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Gender differences in smoking cessation after 3 years in the Lung Health Study

Author

Listed:
  • Bjornson, W.
  • Rand, C.
  • Connett, J.E.
  • Lindgren, P.
  • Nides, M.
  • Pope, F.
  • Buist, A.S.
  • Hoppe-Ryan, C.
  • O'Hara, P.

Abstract

Objectives. An analysis of gender differences in smoking cessation was conducted among 3923 participants in the Special Intervention group of the Lung Health Study. This report focuses on gender differences in sustained quit rates at 12 and 36 months. Methods. Special Intervention participants were offered a 12-session, 12-week smoking cessation program using nicotine gum and were followed for 3 years. Self-reported smoking status was validated with carbon monoxide and salivary cotinine. Results. Men had higher sustained quit rates at 12 and 36 months; gender differences were found in baseline variables that also predicted sustained abstinence; and controlling for selected baseline variables reduced the association between gender and sustained abstinence. When other variables were controlled, gender predicted sustained abstinence at 36 months (odds ratio [OR] = 1.24, 95% confidence interval [CI] = 1.04, 1.48) but not 12 months (OR = 1.08, 95% CI = 0.92, 1.27), reflecting more late relapse among women. Conclusions. Demographics and smoking history were more important than gender per se in sustained smoking cessation in the Lung Health Study. Programs tailoring smoking cessation by gender need to include coping skills for problems associated with less education and social support and for improving persistence with quit attempts.

Suggested Citation

  • Bjornson, W. & Rand, C. & Connett, J.E. & Lindgren, P. & Nides, M. & Pope, F. & Buist, A.S. & Hoppe-Ryan, C. & O'Hara, P., 1995. "Gender differences in smoking cessation after 3 years in the Lung Health Study," American Journal of Public Health, American Public Health Association, vol. 85(2), pages 223-230.
    • Handle: RePEc:aph:ajpbhl:1995:85:2:223-230_9
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    Cited by:

    1. Gabriella Conti & James J. Heckman & Rodrigo Pinto, 2016. "The Effects of Two Influential Early Childhood Interventions on Health and Healthy Behaviour," Economic Journal, Royal Economic Society, vol. 126(596), pages 28-65, October.
    2. Lundborg, Petter & Andersson, Henrik, 2008. "Gender, risk perceptions, and smoking behavior," Journal of Health Economics, Elsevier, vol. 27(5), pages 1299-1311, September.
    3. Gabriella Conti & James J. Heckman & Rodrigo Pinto, 2016. "The Effects of Two Influential Early Childhood Interventions on Health and Healthy Behaviour," Economic Journal, Royal Economic Society, vol. 126(596), pages 28-65, October.
    4. Homish, Gregory G. & Leonard, Kenneth E., 2005. "Spousal influence on smoking behaviors in a US community sample of newly married couples," Social Science & Medicine, Elsevier, vol. 61(12), pages 2557-2567, December.
    5. Joyce P. Jacobsen, 2002. "What About Us? Men’s Issues in Development," Wesleyan Economics Working Papers 2002-001, Wesleyan University, Department of Economics.
    6. Chao, Dingding & Hashimoto, Hideki & Kondo, Naoki, 2015. "Dynamic impact of social stratification and social influence on smoking prevalence by gender: An agent-based model," Social Science & Medicine, Elsevier, vol. 147(C), pages 280-287.

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