IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i11p5764-d563554.html
   My bibliography  Save this article

Addressing Smoking Cessation among Women in Substance Use Treatment: A Qualitative Approach to Guiding Tailored Interventions

Author

Listed:
  • Isabel Martinez Leal

    (Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, USA)

  • Matthew Taing

    (Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, USA
    Health Research Institute, The University of Houston, 4849 Calhoun Rd., Houston, TX 77204, USA
    Department of Health & Human Performance, The University of Houston, 3875 Holman Street, Garrison Gymnasium, Room 104, Houston, TX 77204, USA)

  • Virmarie Correa-Fernández

    (Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, USA
    Health Research Institute, The University of Houston, 4849 Calhoun Rd., Houston, TX 77204, USA)

  • Ezemenari M. Obasi

    (Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, USA
    Health Research Institute, The University of Houston, 4849 Calhoun Rd., Houston, TX 77204, USA)

  • Bryce Kyburz

    (Integral Care, Austin, TX 78704, USA)

  • Kathy Le

    (Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, USA
    Health Research Institute, The University of Houston, 4849 Calhoun Rd., Houston, TX 77204, USA
    Long School of Medicine, The University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA)

  • Litty Koshy

    (Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, USA
    Health Research Institute, The University of Houston, 4849 Calhoun Rd., Houston, TX 77204, USA)

  • Tzuan A. Chen

    (Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, USA
    Health Research Institute, The University of Houston, 4849 Calhoun Rd., Houston, TX 77204, USA)

  • Teresa Williams

    (Integral Care, Austin, TX 78704, USA)

  • Kathleen Casey

    (Integral Care, Austin, TX 78704, USA)

  • Daniel P. O’Connor

    (Health Research Institute, The University of Houston, 4849 Calhoun Rd., Houston, TX 77204, USA
    Department of Health & Human Performance, The University of Houston, 3875 Holman Street, Garrison Gymnasium, Room 104, Houston, TX 77204, USA)

  • Lorraine R. Reitzel

    (Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, USA
    Health Research Institute, The University of Houston, 4849 Calhoun Rd., Houston, TX 77204, USA)

Abstract

Intersecting socially marginalized identities and unique biopsychosocial factors place women with substance use disorders (SUDs) experiencing myriad disadvantages at higher risk for smoking and stigmatization. Here, based on our work with women receiving care for SUDs in four participating treatment/women-serving centers (N = 6 individual clinics), we: (1) describe the functions of smoking for women with SUDs; and (2) explore participants’ experiences of a comprehensive tobacco-free workplace (TFW) program, Taking Texas Tobacco-Free (TTTF), that was implemented during their SUD treatment. Ultimately, information gleaned was intended to inform the development of women-tailored tobacco interventions. Data collection occurred pre- and post-TTTF implementation and entailed conducting client (7) and clinician (5) focus groups. Using thematic analysis, we identified four main themes: “the social context of smoking,” “challenges to finding support and better coping methods,” “addressing underlying conditions: building inner and outer supportive environments,” and “sustaining support: TFW program experiences.” Women reported that: smoking served as a “coping mechanism” for stress and facilitated socialization; stigmatization hindered quitting; non-stigmatizing counseling cessation support provided alternative coping strategies; and, with clinicians, the cessation opportunities TTTF presented are valuable. Clinicians reported organizational support, or lack thereof, and tobacco-related misconceptions as the main facilitator/barriers to treating tobacco addiction. Effective tobacco cessation interventions for women with SUDs should be informed by, and tailored to, their gendered experiences, needs, and recommendations. Participants recommended replacing smoking with healthy stress alleviating strategies; the importance of adopting non-judgmental, supportive, cessation interventions; and the support of TFW programs and nicotine replacement therapy to aid in quitting.

Suggested Citation

  • Isabel Martinez Leal & Matthew Taing & Virmarie Correa-Fernández & Ezemenari M. Obasi & Bryce Kyburz & Kathy Le & Litty Koshy & Tzuan A. Chen & Teresa Williams & Kathleen Casey & Daniel P. O’Connor & , 2021. "Addressing Smoking Cessation among Women in Substance Use Treatment: A Qualitative Approach to Guiding Tailored Interventions," IJERPH, MDPI, vol. 18(11), pages 1-25, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:5764-:d:563554
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/11/5764/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/11/5764/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Richter, K.P. & Gibson, C.A. & Ahluwalia, J.S. & Schmelzle, K.H., 2001. "Tobacco use and quit attempts among methadone maintenance clients," American Journal of Public Health, American Public Health Association, vol. 91(2), pages 296-299.
    2. Lorraine Greaves, 2015. "The Meanings of Smoking to Women and Their Implications for Cessation," IJERPH, MDPI, vol. 12(2), pages 1-17, January.
    3. Dinno, Alexis & Glantz, Stanton, 2009. "Tobacco control policies are egalitarian: A vulnerabilities perspective on clean indoor air laws, cigarette prices, and tobacco use disparities," Social Science & Medicine, Elsevier, vol. 68(8), pages 1439-1447, April.
    4. Christine E. Sheffer & Abdulmohsen Al-Zalabani & Andrée Aubrey & Rasha Bader & Claribel Beltrez & Susan Bennett & Ellen Carl & Caroline Cranos & Audrey Darville & Jennifer Greyber & Maher Karam-Hage &, 2021. "The Emerging Global Tobacco Treatment Workforce: Characteristics of Tobacco Treatment Specialists Trained in Council-Accredited Training Programs from 2017 to 2019," IJERPH, MDPI, vol. 18(5), pages 1-17, March.
    5. Matthew Taing & Bryce Kyburz & Isabel Martinez Leal & Kathy Le & Tzu-An Chen & Virmarie Correa-Fernandez & Teresa Williams & Daniel P. O’Connor & Ezemenari M. Obasi & Kathleen Casey & Litty Koshy & Lo, 2020. "Clinician Training in the Adaptation of a Comprehensive Tobacco-Free Workplace Program in Agencies Serving the Homeless and Vulnerably Housed," IJERPH, MDPI, vol. 17(17), pages 1-15, August.
    6. Williams, J.M. & Steinberg, M.L. & Griffiths, K.G. & Cooperman, N., 2013. "Smokers with behavioral health comorbidity should be designated a tobacco use disparity group," American Journal of Public Health, American Public Health Association, vol. 103(9), pages 1549-1555.
    7. Bowleg, L., 2012. "The problem with the phrase women and minorities: Intersectionality-an important theoretical framework for public health," American Journal of Public Health, American Public Health Association, vol. 102(7), pages 1267-1273.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Brian J. Carter & Ammar D. Siddiqi & Tzuan A. Chen & Maggie Britton & Isabel Martinez Leal & Virmarie Correa-Fernández & Anastasia Rogova & Bryce Kyburz & Teresa Williams & Kathleen Casey & Lorraine R, 2023. "Educating Substance Use Treatment Center Providers on Tobacco Use Treatments Is Associated with Increased Provision of Counseling and Medication to Patients Who Use Tobacco," IJERPH, MDPI, vol. 20(5), pages 1-17, February.
    2. Ammar D. Siddiqi & Tzuan A. Chen & Maggie Britton & Isabel Martinez Leal & Brian J. Carter & Virmarie Correa-Fernández & Anastasia Rogova & Bryce Kyburz & Teresa Williams & Kathleen Casey & Lorraine R, 2023. "Changes in Substance Use Treatment Providers’ Delivery of the 5A’s for Non-Cigarette Tobacco Use in the Context of a Comprehensive Tobacco-Free Workplace Program Implementation," IJERPH, MDPI, vol. 20(3), pages 1-16, February.
    3. Catherine O. Egbe & Portia Nevhungoni & Mukhethwa Londani, 2024. "Disparities in Tobacco Smoking by Sex and Employment Status: Results from South Africa’s First Global Adult Tobacco Survey," Social Sciences, MDPI, vol. 13(10), pages 1-15, October.
    4. David, Jean-Charles & Fonte, David & Sutter-Dallay, Anne-Laure & Auriacombe, Marc & Serre, Fuschia & Rascle, Nicole & Loyal, Deborah, 2024. "The stigma of smoking among women: A systematic review," Social Science & Medicine, Elsevier, vol. 340(C).
    5. Ammar D. Siddiqi & Maggie Britton & Tzuan A. Chen & Brian J. Carter & Carol Wang & Isabel Martinez Leal & Anastasia Rogova & Bryce Kyburz & Teresa Williams & Mayuri Patel & Lorraine R. Reitzel, 2022. "Tobacco Screening Practices and Perceived Barriers to Offering Tobacco Cessation Services among Texas Health Care Centers Providing Behavioral Health Treatment," IJERPH, MDPI, vol. 19(15), pages 1-15, August.
    6. Kathy Le & Tzuan A. Chen & Isabel Martinez Leal & Virmarie Correa-Fernández & Ezemenari M. Obasi & Bryce Kyburz & Teresa Williams & Kathleen Casey & Matthew Taing & Daniel P. O’Connor & Lorraine R. Re, 2021. "Organizational Factors Moderating Changes in Tobacco Use Dependence Care Delivery Following a Comprehensive Tobacco-Free Workplace Intervention in Non-Profit Substance Use Treatment Centers," IJERPH, MDPI, vol. 18(19), pages 1-16, October.
    7. Cassidy R. LoParco & Tzuan A. Chen & Isabel Martinez Leal & Maggie Britton & Brian J. Carter & Virmarie Correa-Fernández & Bryce Kyburz & Teresa Williams & Kathleen Casey & Anastasia Rogova & Hsien-Ch, 2022. "Organization-Level Factors Associated with Changes in the Delivery of the Five A’s for Smoking Cessation following the Implementation of a Comprehensive Tobacco-Free Workplace Program within Substance," IJERPH, MDPI, vol. 19(19), pages 1-13, September.
    8. Kathy Le & Tzuan A. Chen & Isabel Martinez Leal & Virmarie Correa-Fernández & Ezemenari M. Obasi & Bryce Kyburz & Teresa Williams & Kathleen Casey & Haleem A. Brown & Daniel P. O’Connor & Lorraine R. , 2021. "Organizational-Level Moderators Impacting Tobacco-Related Knowledge Change after Tobacco Education Training in Substance Use Treatment Centers," IJERPH, MDPI, vol. 18(14), pages 1-14, July.
    9. Haleem A. Brown & Rachel D. Roberts & Tzuan A. Chen & Michael S. Businelle & Ezemenari M. Obasi & Darla E. Kendzor & Lorraine R. Reitzel, 2022. "Perceived Disease Risk of Smoking, Barriers to Quitting, and Cessation Intervention Preferences by Sex Amongst Homeless Adult Concurrent Tobacco Product Users and Conventional Cigarette-Only Users," IJERPH, MDPI, vol. 19(6), pages 1-14, March.
    10. Matthew Taing & Vijay Nitturi & Tzuan A. Chen & Bryce Kyburz & Isabel Martinez Leal & Virmarie Correa-Fernández & Ezemenari M. Obasi & Teresa Williams & Kathleen Casey & Daniel P. O’Connor & Litty Kos, 2021. "Implementation and Outcomes of a Comprehensive Tobacco Free Workplace Program in Opioid Treatment Centers," IJERPH, MDPI, vol. 19(1), pages 1-17, December.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Maggie Britton & Isabel Martinez Leal & Midhat Z. Jafry & Tzuan A. Chen & Anastasia Rogova & Bryce Kyburz & Teresa Williams & Lorraine R. Reitzel, 2023. "Influence of Provider and Leader Perspectives about Concurrent Tobacco-Use Care during Substance-Use Treatment on Their Tobacco Intervention Provision with Clients: A Mixed-Methods Study," IJERPH, MDPI, vol. 20(7), pages 1-21, March.
    2. Vijay Nitturi & Tzuan A. Chen & Isabel Martinez Leal & Virmarie Correa-Fernández & Kelli Drenner & Bryce Kyburz & Teresa Williams & Ezemenari M. Obasi & Maggie Britton & Molly Howard & Rogelio Rangel , 2021. "Implementation and Outcomes of a Train-the-Trainer Program at Behavioral Health Treatment Centers as a Mechanism to Maintain Organizational Capacity to Address Tobacco Use Disorder," IJERPH, MDPI, vol. 18(21), pages 1-15, November.
    3. Ammar D. Siddiqi & Tzuan A. Chen & Maggie Britton & Isabel Martinez Leal & Brian J. Carter & Virmarie Correa-Fernández & Anastasia Rogova & Bryce Kyburz & Teresa Williams & Kathleen Casey & Lorraine R, 2023. "Changes in Substance Use Treatment Providers’ Delivery of the 5A’s for Non-Cigarette Tobacco Use in the Context of a Comprehensive Tobacco-Free Workplace Program Implementation," IJERPH, MDPI, vol. 20(3), pages 1-16, February.
    4. Matthew Taing & Vijay Nitturi & Tzuan A. Chen & Bryce Kyburz & Isabel Martinez Leal & Virmarie Correa-Fernández & Ezemenari M. Obasi & Teresa Williams & Kathleen Casey & Daniel P. O’Connor & Litty Kos, 2021. "Implementation and Outcomes of a Comprehensive Tobacco Free Workplace Program in Opioid Treatment Centers," IJERPH, MDPI, vol. 19(1), pages 1-17, December.
    5. David, Jean-Charles & Fonte, David & Sutter-Dallay, Anne-Laure & Auriacombe, Marc & Serre, Fuschia & Rascle, Nicole & Loyal, Deborah, 2024. "The stigma of smoking among women: A systematic review," Social Science & Medicine, Elsevier, vol. 340(C).
    6. Daniel Demant & Oscar Oviedo-Trespalacios & Julie-Anne Carroll & Jason A. Ferris & Larissa Maier & Monica J. Barratt & Adam R. Winstock, 2018. "Do people with intersecting identities report more high-risk alcohol use and lifetime substance use?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(5), pages 621-630, June.
    7. Theo Beltran & Amani M. Allen & Jess Lin & Caitlin Turner & Emily J. Ozer & Erin C. Wilson, 2019. "Intersectional Discrimination Is Associated with Housing Instability among Trans Women Living in the San Francisco Bay Area," IJERPH, MDPI, vol. 16(22), pages 1-11, November.
    8. Alvarez, Camila H. & Evans, Clare Rosenfeld, 2021. "Intersectional environmental justice and population health inequalities: A novel approach," Social Science & Medicine, Elsevier, vol. 269(C).
    9. Silvia Loi & Peng Li & Mikko Myrskylä, 2022. "At the intersection of adverse life course pathways: the effects on health by nativity," MPIDR Working Papers WP-2022-018, Max Planck Institute for Demographic Research, Rostock, Germany.
    10. Matshabane, Olivia P. & Campbell, Megan M. & Faure, Marlyn C. & Appelbaum, Paul S. & Marshall, Patricia A. & Stein, Dan J. & de Vries, Jantina, 2021. "The role of causal knowledge in stigma considerations in African genomics research: Views of South African Xhosa people," Social Science & Medicine, Elsevier, vol. 277(C).
    11. Mooney, Shelagh, 2018. "Illuminating intersectionality for tourism researchers," Annals of Tourism Research, Elsevier, vol. 72(C), pages 175-176.
    12. Layland, Eric K. & Maggs, Jennifer L. & Kipke, Michele D. & Bray, Bethany C., 2022. "Intersecting racism and homonegativism among sexual minority men of color: Latent class analysis of multidimensional stigma with subgroup differences in health and sociostructural burdens," Social Science & Medicine, Elsevier, vol. 293(C).
    13. Brian A. King & Andrew J. Hyland & Ron Borland & Ann McNeill & K. Michael Cummings, 2011. "Socioeconomic Variation in the Prevalence, Introduction, Retention, and Removal of Smoke-Free Policies among Smokers: Findings from the International Tobacco Control (ITC) Four Country Survey," IJERPH, MDPI, vol. 8(2), pages 1-24, January.
    14. Jayda Martinez & Midhat Z. Jafry & Tzuan A. Chen & Michael S. Businelle & Darla E. Kendzor & Maggie Britton & Maya Vijayaraghavan & Lorraine R. Reitzel, 2022. "Guest Support for Outdoor Smoke-Free Policies within a Homeless Shelter," IJERPH, MDPI, vol. 19(4), pages 1-15, February.
    15. Sangaramoorthy, Thurka & Benton, Adia, 2022. "Intersectionality and syndemics: A commentary," Social Science & Medicine, Elsevier, vol. 295(C).
    16. Tyler D. Harvey & Ijeoma Opara & Emily A. Wang, 2022. "Role of the Intersections of Gender, Race and Sexual Orientation in the Association between Substance Use Behaviors and Sexually Transmitted Infections in a National Sample of Adults with Recent Crimi," IJERPH, MDPI, vol. 19(7), pages 1-14, March.
    17. Cassandra Carels & Maria Florence & Sabirah Adams & Deborah Louise Sinclair & Shazly Savahl, 2022. "Youths’ Perceptions Of The Relation Between Alcohol Consumption And Risky Sexual Behaviour in the Western Cape, South Africa: A Qualitative Study," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 15(4), pages 1269-1293, August.
    18. Claire Adams Spears & Dina M. Jones & Scott R. Weaver & Terry F. Pechacek & Michael P. Eriksen, 2016. "Use of Electronic Nicotine Delivery Systems among Adults with Mental Health Conditions, 2015," IJERPH, MDPI, vol. 14(1), pages 1-14, December.
    19. Evans, Clare R. & Erickson, Natasha, 2019. "Intersectionality and depression in adolescence and early adulthood: A MAIHDA analysis of the national longitudinal study of adolescent to adult health, 1995–2008," Social Science & Medicine, Elsevier, vol. 220(C), pages 1-11.
    20. Evans, Clare R. & Williams, David R. & Onnela, Jukka-Pekka & Subramanian, S.V., 2018. "A multilevel approach to modeling health inequalities at the intersection of multiple social identities," Social Science & Medicine, Elsevier, vol. 203(C), pages 64-73.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:5764-:d:563554. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.