{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T13:03:00Z","timestamp":1777899780732,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2005,5,1]],"date-time":"2005-05-01T00:00:00Z","timestamp":1114905600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Scott Med J"],"published-print":{"date-parts":[[2005,5]]},"abstract":"<jats:p>Background and Aims: The high prevalence of smoking in disadvantaged communities gives serious cause for concern in terms of adverse effects on health and social outcomes. In Scotland, smoking\u2014related lung cancer rates are particularly high and compare less favourably with the rest of the UK and Europe. GPs are increasingly being recognised as having an important role in smoking cessation and are allowed to prescribe NRT to those on a low income. This study aimed to follow up a group patients from a disadvantaged area who had been prescribed nicotine patches by their GP. Methods: An initial self-complete questionnaire gathered details on age, sex, motivation, marital status, employment history, contact with other smokers, concern about weight gain, and nicotine dependence. (Nicotine dependence was assessed by using the Tagerstrom Test). Follow up was carried out at three months after commencing NRT prescription. Data was also gathered from patient case notes as to whether the participant had a smoking-related diagnosis, periods of depression, drug and\/or alcohol problems. Outcome was measured in terms of \u201csmoke the same\u201d, \u201csmoke less\u201d and \u201cstopped\u201d. The statistical methods used for testing each factor against smoking were Spearman rank correlation, chi-squared test for trend and Kruskal-Wallis test. Basic descriptive statistics were used to report general outcomes of the study. Results: The study enrolled 120 patients but 19 were lost to follow up. Out of 101 who used their prescription, 35 were smoking the same, 46 were smoking less and 20 had stopped. The variables most strongly affecting outcome were age, with older smokers having more success (p&lt;0.001), and those who had a diagnosis of depression having a worse outcome in terms of smoking cessation (p&lt;0.05). Conclusion: This study's findings indicate that encouraging GPs to take a proactive approach in prescribing NRT is effective, even in an area of socio-economic deprivation, and particularly with older smokers.<\/jats:p>","DOI":"10.1177\/003693300505000208","type":"journal-article","created":{"date-parts":[[2017,1,10]],"date-time":"2017-01-10T17:30:28Z","timestamp":1484069428000},"page":"64-68","source":"Crossref","is-referenced-by-count":4,"title":["What Happens When GPs Proactively Prescribe NRT Patches in a Disadvantaged Community"],"prefix":"10.1177","volume":"50","author":[{"given":"L","family":"Copeland","sequence":"first","affiliation":[{"name":"Muirhouse Medical Group, I Muirhouse Avenue, Edinburgh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Robertson","sequence":"additional","affiliation":[{"name":"Muirhouse Medical Group, I Muirhouse Avenue, Edinburgh"},{"name":"Department of Community Health Sciences-General Practice, University of Edinburgh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Elton","sequence":"additional","affiliation":[{"name":"Statistical Services, 5 Wilton Road, Edinburgh"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2005,5,1]]},"reference":[{"key":"bibr1-003693300505000208","unstructured":"Smoking statistics: illness and death - Factsheet no. 2. ASH March 2004."},{"key":"bibr2-003693300505000208","first-page":"240","volume-title":"Social determinants of health","author":"Jarvis MJ","year":"1999"},{"key":"bibr3-003693300505000208","unstructured":"Acheson D. Independent inquiry into inequalities in health. London: The Stationery Office, 1998."},{"key":"bibr4-003693300505000208","unstructured":"Smoking kills. A white paper on tobacco. London: The Stationery Office, 1998."},{"key":"bibr5-003693300505000208","unstructured":"Reducing smoking and tobacco-related harm: a key to transforming Scotland's health. NHS Scotland and ASH, 2003."},{"key":"bibr6-003693300505000208","unstructured":"Towards a Healthier Scotland: A White Paper on Health. Edinburgh: The Stationery Office, 1999."},{"key":"bibr7-003693300505000208","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(98)00118-4"},{"key":"bibr8-003693300505000208","doi-asserted-by":"publisher","DOI":"10.1136\/thorax.55.12.987"},{"key":"bibr9-003693300505000208","volume-title":"The Cochrane Library, Issue 2","author":"Silagy C","year":"2003"},{"key":"bibr10-003693300505000208","volume-title":"The Cochrane Library, Issue 4","author":"Silagy C","year":"2004"},{"key":"bibr11-003693300505000208","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.309.6958.842"},{"key":"bibr12-003693300505000208","doi-asserted-by":"publisher","DOI":"10.1136\/tc.7.3.262"},{"key":"bibr13-003693300505000208","doi-asserted-by":"publisher","DOI":"10.1136\/tc.10.2.165"},{"key":"bibr14-003693300505000208","doi-asserted-by":"publisher","DOI":"10.1046\/j.1360-0443.2002.00141.x"},{"key":"bibr15-003693300505000208","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)90001-6"},{"key":"bibr16-003693300505000208","doi-asserted-by":"publisher","DOI":"10.1080\/1462220031000073261"},{"key":"bibr17-003693300505000208","doi-asserted-by":"crossref","unstructured":"Lader D and Meltzer H. Smoking related behaviour and attitudes. London: Office for National Statistics, 2003.","DOI":"10.1037\/e665302007-001"},{"key":"bibr18-003693300505000208","volume-title":"Addictive behaviours: treatment of alcoholism, drug abuse, smoking and obesity","author":"Miller W","year":"1980"},{"key":"bibr19-003693300505000208","doi-asserted-by":"publisher","DOI":"10.1016\/S1353-8292(01)00025-9"},{"key":"bibr20-003693300505000208","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(02)00124-7"},{"key":"bibr21-003693300505000208","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmg410"},{"key":"bibr22-003693300505000208","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.1991.tb01879.x"},{"key":"bibr23-003693300505000208","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.59.2.295"},{"key":"bibr24-003693300505000208","doi-asserted-by":"crossref","unstructured":"Hughes JR. Reduced smoking: an introduction and review of the evidence. Addiction. 2000; 95, Supplement 1, S3-7.","DOI":"10.1080\/09652140032008"}],"container-title":["Scottish Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/003693300505000208","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/003693300505000208","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T10:14:20Z","timestamp":1777630460000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/003693300505000208"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,5]]},"references-count":24,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2005,5]]}},"alternative-id":["10.1177\/003693300505000208"],"URL":"https:\/\/doi.org\/10.1177\/003693300505000208","relation":{},"ISSN":["0036-9330","2045-6441"],"issn-type":[{"value":"0036-9330","type":"print"},{"value":"2045-6441","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,5]]}}}