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Patient types and special populations

Smoking cessation in special populations, such as pregnant women, individuals with comorbidities, and those with mental health conditions, requires tailored approaches to address unique challenges and ensure effective quitting.

Smoking cessation in pregnancy and in co-morbid conditions

Smoking cessation is a critical component of preventive care, particularly for individuals in special populations. As healthcare professionals, understanding the unique challenges and risks associated with smoking in these groups is essential for providing effective support.

  • Pregnant women: There are significant perinatal risks associated with tobacco use including low birth weight, preterm birth, stillbirth, sudden infant death syndrome (SIDS), and neonatal complications.1, 2

    • Second hand smoke also poses a significant risk to both mother and unborn child.

  • Individuals with diabetes: Smoking can make the body more resistant to insulin. Smoking and diabetes together increases the risk of having a heart-related condition.3

  • Cardiovascular health: Smoking is a major risk factor for heart disease.2

  • Mental Health: Individuals with mental health conditions are nearly 2.5 times more likely to smoke compared to the general population.4

References

  1. NHS. Stop smoking in pregnancy. https://www.nhs.uk/pregnancy/keeping-well/stop-smoking/

  2. Office for Health Improvement and Disparities. Smoking and tobacco: Applying All Our Health. GOV.UK. https://www.gov.uk/government/publications/smoking-and-tobacco-applying-all-our-health

  3. NHS Greater Manchester. Smoking and diabetes. My Way Diabetes. https://diabetesmyway.nhs.uk/resources/internal/smoking-and-diabetes/

  4. Public Health England. Health matters: Smoking and mental health. GOV.UK. https:// www.gov.uk/government/publications/health-matters-smoking-and-mental-health/health-matters-smoking-and-mental-health

UK-NIC-2025-241219

October 2025