Sex differences in smoking cessation outcomes of a tailored program for individuals with substance use disorders and mental illness

Okoli, Chizimuzo T.C.; Khara, Milan; Torchalla, Iris; Ensom, Mary H H; Oliffe, John L.; Bottorff, Joan L.; Stanley, Paul

doi:10.1016/j.addbeh.2010.12.029

Cited by 11 publications

(20 citation statements)

References 27 publications

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“…Predictors of smoking cessation among both males and females with a substance use disorder and/or mental illness were baseline carbon monoxide level and greater attendance at the smoking clinic, and a history of alcohol dependence (Okoli et al, 2011). Heroin and marijuana use were predictive of unsuccessful smoking cessation only in males (Okoli et al, 2011).…”

Section: Introductionmentioning

confidence: 94%

“…While there has been no research reported to date that describes potential gender differences in smoking behaviour, motives, experiences or cessation outcomes among people specifically diagnosed with psychosis, some literature is emerging examining such gender differences in people with mental illness more broadly, usually combining participants with mood and anxiety disorders together with those with psychosis (Johnson et al, 2010;Torchalla et al, 2011;Okoli et al, 2011). One study found no significant differences between male and female smokers diagnosed with mental illness in number of cigarettes per day, level of nicotine dependence and readiness to change (Torchalla et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

“…Predictors of smoking in males with severe mental illness included being less educated, separated or divorced or aged 50-59 years and in females being younger (17-29 years) and living in residential facilities (Johnson et al, 2010). Predictors of smoking cessation among both males and females with a substance use disorder and/or mental illness were baseline carbon monoxide level and greater attendance at the smoking clinic, and a history of alcohol dependence (Okoli et al, 2011). Heroin and marijuana use were predictive of unsuccessful smoking cessation only in males (Okoli et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

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Gender differences in characteristics and outcomes of smokers diagnosed with psychosis participating in a smoking cessation intervention

Filia

Baker

Gurvich

et al. 2014

Psychiatry Research

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While research has identified gender differences in characteristics and outcomes of smokers in the general population, no studies have examined this among smokers with psychosis. This study aimed to explore gender differences among 298 smokers with psychosis (schizophrenia, schizoaffective and bipolar affective disorder) participating in a smoking intervention study. Results revealed a general lack of gender differences on a range of variables for smokers with psychosis including reasons for smoking/quitting, readiness and motivation to quit, use of nicotine replacement therapy, and smoking outcomes including point prevalence or continuous abstinence, and there were no significant predictors of smoking reduction status according to gender at any of the follow-up time-points. The current study did find that female smokers with psychosis were significantly more likely than males to report that they smoked to prevent weight gain. Furthermore, the females reported significantly more reasons for quitting smoking and were more likely to be driven by extrinsic motivators to quit such as immediate reinforcement and social influence, compared to the male smokers with psychosis. Clinical implications include specifically focussing on weight issues and enhancing intrinsic motivation to quit smoking for female smokers with psychosis; and strengthening reasons for quitting among males with psychosis.

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Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Gender differences in characteristics and outcomes of smokers diagnosed with psychosis participating in a smoking cessation intervention

Filia

Baker

Gurvich

et al. 2014

Psychiatry Research

View full text Add to dashboard Cite

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“…There have also been increased efforts to address the social context of women’s smoking, such as the impact of partner smoking during pregnancy [ 56 ], the impact of household members’ smoking in the context of reducing exposure to smoke in the home [ 57 , 58 , 59 ], the links between smoking and experience of intimate partner violence [ 60 ] and mental health issues [ 61 ], other substance use [ 62 , 63 ] and the links between employment roles and smoking [ 35 , 64 , 65 ]. Similarly, the understanding of vulnerability and social context to better understand men’s smoking is growing [ 66 , 67 ].…”

Section: What Approaches Might Work?mentioning

confidence: 99%

The Meanings of Smoking to Women and Their Implications for Cessation

Greaves

2015

IJERPH

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Smoking cigarettes is a gendered activity with sex- and gender-specific uptake trends and cessation patterns. While global male smoking rates have peaked, female rates are set to escalate in the 21st century, especially in low and middle income countries. Hence, smoking cessation for women will be an ongoing issue and requires refreshed attention. Public health and health promotion messages are being challenged to be increasingly tailored, taking gender into account. Women-centred approaches that include harm-reduction, motivational interviewing and trauma-informed elements are the new frontiers in interventions to encourage smoking cessation for women. Such approaches are linked to the meanings of smoking to women, the adaptive function of, and the overall role of smoking cigarettes in the context of women’s lives. These approaches respect gender and sex-related factors that affect smoking and smoking cessation and respond to these issues, not by reinforcing destructive or negative gender norms, but with insight. This article discusses a women-centred approach to smoking cessation that could underpin initiatives in clinical, community or public health settings and could inform campaigns and messaging.

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“…The available studies on opioid addiction in the literature are often limited to men [26] or specific ethnic groups, focus on clinical profiles prior to or at treatment entry [16,19-22], or investigate methadone dose as a single outcome of treatment in association with other factors [27-30]. Sex differences have also been examined in opioid addiction patients treated with methadone in association with factors including prescription opioid use [31], drug use patterns [20], drug treatment utilization [32], psychiatric comorbidity [5,33], smoking outcomes [34], and quality of life [35]; however, little has been reported about differences in methadone treatment outcomes between men and women. Few studies have investigated methadone treatment retention, response, remission, adverse events, health status, social relations, criminal activity, and mortality with a specific focus on sex difference, providing inconsistent results and leaving a large gap in the literature with regards to sex differences in response to MMT.…”

Section: Introductionmentioning

confidence: 99%

Sex differences in outcomes of methadone maintenance treatment for opioid addiction: a systematic review protocol

et al. 2014

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BackgroundUse of methadone for the treatment of opioid addiction is an effective harm-reduction approach, although variability in treatment outcomes among individuals has been reported. Men and women with opioid addiction have been known to differ in factors such as opioid use patterns and characteristics at treatment entry; however, little has been reported about differences in methadone treatment outcomes between men and women. Therefore, we present a protocol for a systematic review which aims to provide a summary of existing literature on sex differences in outcomes of methadone treatment for opioid addiction.Methods/DesignElectronic search of PubMed/MEDLINE, EMBASE, PsycINFO, and CINAHL databases will be conducted using a priori defined search strategy. Two authors (MB and BBD) will independently screen potential articles for eligibility using pre-determined inclusion and exclusion criteria and extract key information using a data extraction form designed for this study. Discrepancies will be resolved using a third party (ZS). The primary outcome will be sex differences in response to treatment defined as abstinence from illicit opioid use. We will also assess sex differences in treatment outcomes including treatment retention, remission status post-treatment, polysubstance abuse, methadone dose, drug-related adverse events, health status, psychological status, mortality, criminal activity, high risk sexual behavior, social support/relations, and employment. A meta-analysis will be conducted if possible; risk of bias and overall quality of evidence will be assessed to determine confidence in the estimates.DiscussionWe anticipate that this review will highlight how men and women differ in methadone treatment outcomes and allow us to generate conclusions that can be applied to treatment in a clinical setting.Systematic review registrationPROSPERO CRD42013006549

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Sex differences in smoking cessation outcomes of a tailored program for individuals with substance use disorders and mental illness

Cited by 11 publications

References 27 publications

Gender differences in characteristics and outcomes of smokers diagnosed with psychosis participating in a smoking cessation intervention

Gender differences in characteristics and outcomes of smokers diagnosed with psychosis participating in a smoking cessation intervention

The Meanings of Smoking to Women and Their Implications for Cessation

Sex differences in outcomes of methadone maintenance treatment for opioid addiction: a systematic review protocol

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