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Does gender affect response to a brief clinic-based smoking intervention?
E P Whitlock1, T M Vogt, J F Hollis
1Kaiser Permanente Center for Health Research, Portland, OR 97227, USA.
American Journal of Preventive Medicine
|May 1, 1997
Summary
This study found brief smoking cessation interventions equally effective for men and women in primary care. While cessation outcomes were similar, women utilized more varied strategies, suggesting potential differences in the cessation process.
Area of Science:
- Public Health
- Clinical Medicine
- Behavioral Science
Background:
- Existing reviews indicate minimal gender differences in smoking cessation success.
- However, the efficacy of brief interventions, common in routine care, across genders requires specific examination.
Purpose of the Study:
- To investigate gender-based differences in response to a primary care-based smoking cessation intervention.
- To analyze variations in smoking characteristics, intervention engagement, quitting behaviors, and cessation outcomes between male and female smokers.
Main Methods:
- Utilized data from a randomized controlled trial of a primary care smoking intervention (n=1,978).
- Examined gender differences in sociodemographic factors, smoking habits, intervention component use, quit attempts, and cessation success at 3 and 12 months.
Main Results:
- Despite demographic and smoking characteristic differences, men and women showed equal participation in intervention steps.
- Both genders reported similar rates of quit attempts and long-term cessation (3 and 12 months).
- No significant gender difference in relapse rates at 12 months was observed; women employed a wider range of cessation strategies.
Conclusions:
- The brief, nurse-assisted intervention demonstrated equal efficacy and acceptability for both male and female smokers.
- Widespread adoption of this intervention in medical settings is recommended for tobacco use reduction.
- Such programs may particularly benefit women due to their higher engagement with healthcare services.