Gender Differences in Outcome of an Attempt to Stop Smoking Among Smokers Attending a Smoking Cessation Clinic in Taiwan

Wu, Pin-Chieh; Hsueh, Kuang-Chieh; Mar, Guang-Yuan; Hsueh, Shu-Chun; Tu, Ming-Shium; McRobbie, Hayden; Hájek, Peter

doi:10.1177/0163278715616439

Cited by 8 publications

(5 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One review demonstrated that women have more difficulty maintaining long-term abstinence than men [ 16 ]. A study on smoking cessation services in Taiwan also showed that women were significantly less likely than men to be abstinent at one year and three years [ 17 ]. The poor long-term outcome in women had been generally attributed to greater concerns about weight gain.…”

Section: Discussionmentioning

confidence: 99%

Factors Correlated with Success Rate of Outpatient Smoking Cessation Services in Taiwan

Huang

Hsu

Chang

2018

IJERPH

View full text Add to dashboard Cite

Smoking is the leading cause of preventable death. The purpose of this study was to explore the patient’s and physician’s factors that are correlated with smoking cessation success rate. A total of 877 smokers who visited the outpatient smoking cessation services at a medical center in Northern Taiwan were recruited for the study. Phone interviews were carried out six months after the initial visit to evaluate the success rate of smoking cessation. The result showed that the abstinence rate at six-month was 37.7%. By the multivariate logistic regression model, the predictive factors of abstinence were smokers who had a lower Fagerström test for cigarette dependence (FTCD), lower exhaled carbon monoxide (CO) concentration, or who smoked less than 20 cigarettes per day at the first visit. Smokers who had more than one smoking cessation outpatient visit or seen by physicians who, on average, delivered more than one smoking cessation consultations per week also led to a higher success rate. Therefore, we suggest that physicians should put more efforts and encourage follow-up visits for some smokers by knowing their characteristics at the first visit. Furthermore, physicians with more experience in smoking cessation consultation seemed to be more likely to help patients to quit smoking successfully.

show abstract

Section: Discussionmentioning

confidence: 99%

Factors Correlated with Success Rate of Outpatient Smoking Cessation Services in Taiwan

Huang

Hsu

Chang

2018

IJERPH

View full text Add to dashboard Cite

show abstract

“…In observational studies, self-reported rates of quitting smoking and the successful smoking cessation rates were similar among older men and women, but higher in women than in men among adults younger than 50 [22]. Among smokers who received NRT in one clinic, women were less likely than men to be abstinent after 1 year [12]. Conversely, our study did not find differential abstinence rates between the sexes, regardless of which smoking cessation medications they had used.…”

Section: Discussionmentioning

confidence: 99%

“…Female smokers have more difficulty in quitting and may respond differently than males to smoking cessation medications [12, 13]. Although some studies observed no differences between males and females in the efficacy of NRT patch, bupropion or varenicline [7, 13–15], one recent analysis reported greater efficacy of NRT patch in men [16].…”

Section: Introductionmentioning

confidence: 99%

Comparative Effectiveness of Smoking Cessation Medications: A National Prospective Cohort From Taiwan

Chang

Lo²,

Chang³

et al. 2016

PLoS ONE

Self Cite

View full text Add to dashboard Cite

Background and objectiveRelative effectiveness of smoking cessation medications—varenicline, bupropion and nicotine replacement therapy (NRT)—remains unclear among smokers in real-world settings. Evidence in females and smokers with light/moderate nicotine dependence is particularly insufficient. This study compared the effectiveness of varenicline, bupropion or NRT gum relative to NRT patch, in achieving abstinence among recent quitters.MethodsIn a national smoking cessation program in Taiwan (2012–2015), a cohort of 11,968 participants received varenicline (n = 5,052), bupropion (n = 823), NRT gum (n = 1944) or NRT patch (n = 4,149). The 7-day, 1-month or 6-month point-prevalence was calculated based on self-reported last smoking event via telephone interview after 6 months. Logistic regression modellings estimated odds ratios (OR) and 95% confidence intervals (CI) for achieving abstinence using different modalities (NRT patch as referent). Models included age, sex, education, marital status, geographic region, smoke-years, nicotine-dependence level, medical institution, number of clinic visits and medication use duration. Analyses were further stratified by sex and dependence severity.ResultsParticipants were predominantly male (83%) with a mean age of 43.7±12.6 years. Varenicline users were more likely than NRT patch users to achieve abstinence, based on 7-day point-prevalence (OR = 1.30, CI: 1.19–1.44), 1-month point-prevalence (OR = 1.36, CI: 1.24–1.50) or 6-month point-prevalence (OR = 1.30, CI: 1.14–1.47). Compared with NRT patch, varenicline was associated with greater odds of being abstinent in women (OR = 1.29, CI: 1.01–1.65), men (OR = 1.31, CI: 1.18–1.46), those with light/moderate dependence (OR = 1.42, CI: 1.24–1.63) or smokers with severe dependence (OR = 1.19, CI: 1.04–1.37), based on 7-day point-prevalence. Differences in effectiveness were not observed between users of bupropion, NRT gum and NRT patch.ConclusionsIn smoking cessation clinics in Taiwan, varenicline users reported higher abstinence rates than NRT patch users after 6 months. Women and smokers with light/moderate nicotine dependence may also benefit from varenicline in actual clinical practice.

show abstract

“…There is some evidence that females compared to males may be less successful when making a smoking quit attempt (Japuntich et al, 2011;McKee et al, 2015;Smith et al, 2015;Wu et al, 2015). Female smokers may have stronger motivation to reinstate smoking after abstinence than males because they experience more severe negative affect (NA), urge to smoke, and other tobacco withdrawal symptoms during abstinence (Leventhal et al, 2007;Pang and Leventhal, 2013).…”

Section: Introductionmentioning

confidence: 99%

Ovarian Hormones and Transdermal Nicotine Administration Independently and Synergistically Suppress Tobacco Withdrawal Symptoms and Smoking Reinstatement in the Human Laboratory

Pang

Liautaud

Kirkpatrick

et al. 2017

Neuropsychopharmacol.

View full text Add to dashboard Cite

Modeling intra-individual fluctuations in estradiol and progesterone may provide unique insight into the effects of ovarian hormones on the etiology and treatment of nicotine dependence. This randomized placebo-controlled laboratory study tested the independent and interactive effects of intra-individual ovarian hormone variation and nicotine on suppression of tobacco withdrawal symptoms and smoking behavior. Female smokers randomized to 21 mg nicotine (TNP; n=37) or placebo (PBO; n=43) transdermal patch following overnight abstinence completed three sessions occurring during hormonally distinct menstrual cycle phases. At each session, participants provided saliva for hormone assays and completed repeated self-report measures (ie, tobacco withdrawal symptoms, smoking urge, and negative affect (NA)) followed by an analog smoking reinstatement task for which participants could earn money to delay smoking and subsequently purchase cigarettes to smoke. Higher (vs lower) progesterone levels were associated with greater reductions in NA. Higher (vs lower) progesterone levels and progesterone to estradiol ratios were associated with reducing smoking urges over time to a greater extent with TNP compared to PBO. There was an interaction between Patch and estradiol on NA. With TNP, higher-than-usual estradiol was associated with greater decreases in NA. However with PBO, lower-than-usual estradiol was associated with greater decreases in NA. These results suggest that the effects of TNP on mood- and smoking-related outcomes may vary depending on the ovarian hormone levels.

show abstract

Gender Differences in Outcome of an Attempt to Stop Smoking Among Smokers Attending a Smoking Cessation Clinic in Taiwan

Cited by 8 publications

References 10 publications

Factors Correlated with Success Rate of Outpatient Smoking Cessation Services in Taiwan

Factors Correlated with Success Rate of Outpatient Smoking Cessation Services in Taiwan

Comparative Effectiveness of Smoking Cessation Medications: A National Prospective Cohort From Taiwan

Ovarian Hormones and Transdermal Nicotine Administration Independently and Synergistically Suppress Tobacco Withdrawal Symptoms and Smoking Reinstatement in the Human Laboratory

Contact Info

Product

Resources

About