A review of research on smoking behavior in three demographic groups of veterans: women, racial/ethnic minorities, and sexual orientation minorities

Weinberger, Andrea H.; Esan, Hannah; Hunt, Marcia G.; Hoff, Rani A.

doi:10.3109/00952990.2015.1045978

Cited by 8 publications

(3 citation statements)

References 63 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…6 This tobacco legacy within the military has significant consequences as VA has spent an estimated $2.7 billion on medical consequences of smoking in 2010. 7 Almost one-third of current military members started smoking after joining the military. 8 Reasons for smoking initiation in the military are multifactorial including stress relief, sanctioned regular smoking breaks, and peer pressure.…”

Section: Introductionmentioning

confidence: 99%

Military Factors Associated with Smoking in Veterans

et al. 2018

View full text Add to dashboard Cite

Military-specific variables are associated with smoking behaviors among Veterans. Findings from this study that exposure to dead/dying/wounded soldiers, service era, duration of service, service-connected disability status, and enrollment in VA care all influence smoking in Veterans, can inform prevention and cessation efforts in part by encouraging alternative healthy habits or cessation techniques in subgroups of Veterans with particular military backgrounds. By assessing risk factors in this unique population future research can leverage these findings to determine mechanisms that help explain these associations. Identifying factors associated with smoking offers insights for smoking cessation and prevention interventions given the military experiences and increased smoking incidence among Veterans.

show abstract

Section: Introductionmentioning

confidence: 99%

Military Factors Associated with Smoking in Veterans

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Specifically, the prevalence of smoking ranges from 50% to at least 75% among individuals seeking treatment for AUD in the United States, depending on geographic region (Daeppen et al, 2000;Durazzo, T. C. et al, 2014b). Veteran cigarette smoking rates are also significantly higher than the national average (Durazzo, Timothy C et al, 2014;Weinberger et al, 2015a). In those with AUD, smoking is associated with increased alcohol consumption severity (Durazzo, T. C. et al, 2014a;Meyerhoff et al, 2013), greater symptoms of alcohol withdrawal, and increased likelihood of relapse (Chiappetta et al, 2014;Satre et al, 2007;Weinberger et al, 2015b), or earlier relapse in individuals who resumed hazardous drinking after treatment (Durazzo and Meyerhoff, 2017).…”

Section: Introductionmentioning

confidence: 99%

Predicting relapse after alcohol use disorder treatment in a high-risk cohort: The roles of anhedonia and smoking

Nguyen

Durazzo

Dwyer

et al. 2020

Journal of Psychiatric Research

View full text Add to dashboard Cite

On average, two-thirds of individuals treated for alcohol use disorder (AUD) relapse within six months. There is a critical need to identify modifiable risk factors associated with relapse that can be addressed during AUD treatment. Candidate factors include mood disorders and cigarette smoking, which frequently co-occur with AUD. We predicted that co-occurrence of mood disorders, cigarette smoking, and other modifiable conditions will predict relapse within six months of AUD treatment. Ninety-five Veterans, 23-91 years old, completed assessments of multiple characteristics including demographic information, co-occurring psychiatric disorders, and medical conditions during residential treatment for AUD. Participants' alcohol consumption was monitored over six months after participation. Logistic regression was used to determine if, mood disorders, cigarette smoking status, alcohol consumption, educational level, and comorbid general medical conditions are associated with relapse after AUD treatment. Sixty-nine percent of Veterans (n = 66) relapsed within six months of study while 31% remained abstinent (n = 29). While education, comorbid general medical conditions, and mood disorder diagnoses were not predictors of relapse, Veterans with greater symptoms of anhedonia, active smokers, and fewer days of abstinence prior to treatment showed significantly greater odds for relapse within six months. Anhedonia and cigarette smoking are modifiable risk factors, and effective treatment

show abstract

“…Women veterans are a unique population of women for whom the prevalence of smoking has remained persistently elevated over recent years, despite decreasing for nonveteran women and veteran and nonveteran men (Brown, 2010). A higher proportion of women veterans smoke than nonveteran women (Weinberger, Esan, Hunt, & Hoff, 2016), and among women veterans who use the Veterans Health Administration (VA), current smoking rates exceed those of male veterans (23%-29% of women smoked vs. 19%-23% men; Duffy et al, 2012;Farmer, Rose, Riopelle, Lanto, & Yano, 2011). These differences are likely due, in part, to the younger mean age of women veterans as compared with male veterans (Barnett, Hamlett-Berry, Sung, & Max, 2015).…”

mentioning

confidence: 99%

Smoking Cessation among Female and Male Veterans before and after a Randomized Trial of Proactive Outreach

Danan

Sherman

Clothier

et al. 2019

Women's Health Issues

View full text Add to dashboard Cite

Introduction: Female veterans smoke cigarettes at high rates compared with both male veterans and nonveteran women. Proactive outreach to smokers may reduce gender disparities in cessation care. The objectives of this study were to compare baseline experiences with VA smoking cessation care for men and women and to assess for gender differences in response to a proactive outreach intervention. Methods: We conducted a post hoc subgroup analysis of a pragmatic, multisite randomized, controlled trial comparing proactive outreach with usual care (UC). Baseline experiences included physician advice to quit, satisfaction with care, and past-year treatment use. At the 1-year follow-up, treatment use, quit attempts, and 6-month prolonged abstinence for women and men randomized to proactive outreach versus UC were compared using logistic regression. Results: Baseline and follow-up surveys were returned by 138 women and 2,516 men. At baseline, women were less likely than men to report being very or somewhat satisfied with the process of obtaining smoking cessation medications in the VA (47% of women vs. 62% of men), but no less likely to report having used cessation medications from the VA in the past year (39% of women vs. 34% of men). After the intervention, phone counseling and combined therapy increased among both women and men in proactive outreach as compared with UC. At the 1-year follow-up, men in proactive outreach were significantly more likely to report prolonged abstinence than those in UC (odds ratio, 1.65; 95% CI, 1.28-2.14); results for women were in the same direction but not statistically significant (odds ratio, 1.39; 95% CI, 0.48-3.99). Conclusions: Satisfaction with cessation care in VA remains low. Proactive outreach to smokers was associated with an increased use of cessation therapies, and increased odds of achieving prolonged abstinence. A subgroup analysis by gender did not reveal significant differences in the treatment effect.

show abstract

A review of research on smoking behavior in three demographic groups of veterans: women, racial/ethnic minorities, and sexual orientation minorities

Cited by 8 publications

References 63 publications

Military Factors Associated with Smoking in Veterans

Military Factors Associated with Smoking in Veterans

Predicting relapse after alcohol use disorder treatment in a high-risk cohort: The roles of anhedonia and smoking

Smoking Cessation among Female and Male Veterans before and after a Randomized Trial of Proactive Outreach

Contact Info

Product

Resources

About