2.50
Hdl Handle:
http://hdl.handle.net/10755/165375
Category:
Abstract
Type:
Presentation
Title:
GENDER DIFFERENCES IN SMOKING RELAPSE
Author(s):
Cooley, Mary E.; Blood, Emily; Hoskinson, Randall; Garvey, Arthur
Author Details:
Mary E. Cooley, PhD, RN, Nurse Scientist, Dana-Farber Cancer Institute, Boston, Massachusetts, USA, email: marycooley@dfci.harvard.edu; Emily Blood, Randall Hoskinson, and Arthur Garvey
Abstract:
Topic: As a result of increased tobacco use among US women, there has been an unprecedented rise in the incidence and mortality associated with lung cancer. In order to eliminate tobacco-related illnesses, effective smoking cessation interventions are needed. Although the number of studies examining gender differences has increased over recent years, there are still significant gaps in the knowledge related to smoking behavior among men and women. Purpose: Consistent with ONS research priorities, the purposes of this secondary analysis were to examine whether pre-cessation and post-quit-day-1 (D1) biopsychosocial (NRT dose, withdrawal, stress, mood, coping, social support, partner smoking), and behavioral (self-efficacy, motivation) factors associated with smoking relapse (SR) differed among men and women, and to examine potential differences in self-reported reasons for SR. Framework: The biobehavioral model of nicotine addiction was used to guide this study. Methods: Data were collected from 608 participants using standardized questionnaires. Salivary cotinine was used to confirm smoking abstinence. Descriptive statistics, chi-square, and time-to-event analysis were performed. Findings: Pre-cessation factors associated with time-to-relapse (TTR) among men were NRT dose, higher social stress and partner smoking, whereas women with NRT dose, higher financial stress and higher self-efficacy in positive affect situations were at greater risk for SR. In a combined model, only this effect of positive affect self-efficacy on TTR appeared to be marginally significantly different in men and women. The D1 factors associated with TTR in men were NRT dose and higher self-efficacy in negative affect situations. For women, dose, lower motivation, lower negative-affect, and higher self-efficacy in habitual-craving situations were associated with greater SR risk. In a combined model, the effects of self-efficacy in negative-affect and habitual-craving situations on TTR appeared to be significantly different in men and women. Analysis of self-reported reasons for early SR showed 24% of women and 37% of men identified smoking out of habit as the reason for SR. Another 24% of women identified negative affect as the reason for SR as compared to 14% of men. Results suggest that factors associated with SR may differ among men and women. Development and testing of gender-specific interventions are needed to increase long-term abstinence rates among women.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
31st Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Boston, Massachusetts, USA
Sponsors:
Funding Sources: National Cancer Institute.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleGENDER DIFFERENCES IN SMOKING RELAPSEen_GB
dc.contributor.authorCooley, Mary E.en_US
dc.contributor.authorBlood, Emilyen_US
dc.contributor.authorHoskinson, Randallen_US
dc.contributor.authorGarvey, Arthuren_US
dc.author.detailsMary E. Cooley, PhD, RN, Nurse Scientist, Dana-Farber Cancer Institute, Boston, Massachusetts, USA, email: marycooley@dfci.harvard.edu; Emily Blood, Randall Hoskinson, and Arthur Garveyen_US
dc.identifier.urihttp://hdl.handle.net/10755/165375-
dc.description.abstractTopic: As a result of increased tobacco use among US women, there has been an unprecedented rise in the incidence and mortality associated with lung cancer. In order to eliminate tobacco-related illnesses, effective smoking cessation interventions are needed. Although the number of studies examining gender differences has increased over recent years, there are still significant gaps in the knowledge related to smoking behavior among men and women. Purpose: Consistent with ONS research priorities, the purposes of this secondary analysis were to examine whether pre-cessation and post-quit-day-1 (D1) biopsychosocial (NRT dose, withdrawal, stress, mood, coping, social support, partner smoking), and behavioral (self-efficacy, motivation) factors associated with smoking relapse (SR) differed among men and women, and to examine potential differences in self-reported reasons for SR. Framework: The biobehavioral model of nicotine addiction was used to guide this study. Methods: Data were collected from 608 participants using standardized questionnaires. Salivary cotinine was used to confirm smoking abstinence. Descriptive statistics, chi-square, and time-to-event analysis were performed. Findings: Pre-cessation factors associated with time-to-relapse (TTR) among men were NRT dose, higher social stress and partner smoking, whereas women with NRT dose, higher financial stress and higher self-efficacy in positive affect situations were at greater risk for SR. In a combined model, only this effect of positive affect self-efficacy on TTR appeared to be marginally significantly different in men and women. The D1 factors associated with TTR in men were NRT dose and higher self-efficacy in negative affect situations. For women, dose, lower motivation, lower negative-affect, and higher self-efficacy in habitual-craving situations were associated with greater SR risk. In a combined model, the effects of self-efficacy in negative-affect and habitual-craving situations on TTR appeared to be significantly different in men and women. Analysis of self-reported reasons for early SR showed 24% of women and 37% of men identified smoking out of habit as the reason for SR. Another 24% of women identified negative affect as the reason for SR as compared to 14% of men. Results suggest that factors associated with SR may differ among men and women. Development and testing of gender-specific interventions are needed to increase long-term abstinence rates among women.en_GB
dc.date.available2011-10-27T12:17:25Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:17:25Z-
dc.conference.date2006en_US
dc.conference.name31st Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationBoston, Massachusetts, USAen_US
dc.description.sponsorshipFunding Sources: National Cancer Institute.-
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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