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Research Article| Volume 19, ISSUE 13, P1416-1424, December 1997

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Smoking Cessation in Women

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      Abstract

      More women are starting to smoke and fewer go on to achieve cessation.
      Physiological and psychological factors particular to females, as well as socio-economic influences are considered. Positive approaches to the stages of cessation and physician strategies known to be effective are outlined. The use of prescription medications including nicotine replacements, buspirone, seratonin re-uptake inhibators, clonidine, and antidepressants is discussed.

      Resume

      De plus en plus de femmes commencent à fumer, mais celles qui réussissent à cesser sont de moins en moins nombreuses.
      Des facteurs physiologiques et psychologiques particuliers aux femmes, des influences socio-économiques, des approches positives des étapes de l’abandon du tabac et des stratégies médicales dont l’efficacité est éprouvée font l’objet d’un examen. On discute du recours aux médicaments d’ordonnance, y compris les produits de substitution de la nicotine, le buspirone, les inhibiteurs de la réabsorption de la sérotonine, la clonidine et les antidépresseurs.

      Key Words

      References

        • The Canadian Task Force on the Periodic Health Examination
        The Canadian Guide To Clinical Preventive Health Care. 1994 (Ministry of Supply and Services)
      1. Physicians For A Smoke-Free Canada, Building on the Blueprint. January 1996;1-12.

        • Schabas R
        Tobacco and your health. 1993 (Ministry of Ontario)
        • Prochaska JO
        • Goldstein M
        Process of smoking cessation: implications for clinicians.
        Clin Chest Met. 1981; 12: 727-734
        • ASH Working Group on Women and Smoking
        Smoke Still Gets In Her Eyes. 1990
      2. U.S. Department of Health and Human Services: preventing tobacco use among young people: a report of the Surgeon General. U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health Atlanta. Georgia, 1994.

        • Fiore MC
        • Pierce JP
        • Rerhington PL
        • et al.
        Cigarette smoking: the clinician’s role in cessation, prevention and public health.
        Disease-a-Month. 1990; 36: 186-242
        • Jong W
        Relapse prevention: an emerging technology for promoting long term drug abstinence.
        Int J Add. 1994; 29: 681-705
        • Chen Y
        • Home SL
        • Dosman JA
        Increased susceptibility to lung dysfunction in female smokers.
        Am Rev Respir Dis. 1991; 143 (Jun): 1224-1230
        • Gourlay SG
        • Benowitz NL
        Is clonidine an effective smoking cessation therapy?.
        Drugs. 1995; 50 (Aug): 197-207
        • Gritz ER
        • Klesges RC
        • Meyers AW
        Smoking and body weight: implications for interventions and post-cessation weight control.
        Ann Behav Med. 1989; 11: 144-153
        • Department of Health and Human Services
        The health benefits of smoking cessation: a report of the Surgeon General. Government Printing Office (DHHS publication no [CDC] 90-8416), Washington D.C.1990
        • Pomerleau CS
        • Pomerleau OF
        • Garcia AW
        Biobehavioural research on nicotine use in women.
        Br J Add. 1991; 86: 527-531
        • Kendler K
        • Neale MC
        • MacLean CJ
        • Heath AC
        • Eaves U
        • Kessler RC
        Smoking and major depression: a causal analysis.
        Arch Gen Psychiatry. 1993; 50 (January): 36-43
        • Anda RF
        • Williamson DF
        • Escobedo LG
        • Mast EE
        • Giovino GA
        • Remington PL
        Depression and the dynamics of smoking; a national perspective.
        JAMA. 1990; 264 (Sep26): 1541-1545
        • Hughes JR
        Treatment of nictotine dependence—is more better?.
        JAMA. 1995; 274 (November 1): 1390-1391
        • Wartman JJ
        Depression and weight gain—the Serotonin connection.
        J Aff Disorder. 1993; 29 (Oct-Nov): 183-192
        • Breslau N
        • Kilbey MM
        • Andreski P
        Nicotine dependence and major depression—new evidence from a prospective investigation.
        Arch Gen Psychiatry. 1993; 50 (Jan): 31-35
        • Labbate LA
        Nicotine cessation, mania, and depression.
        Am J Psychiatry. 1992; 149 (May): 708
        • Glassman AH
        • Helzer JE
        • Covey LS
        • Cottler LB
        • et al.
        Smoking, smoking cessation and major depression.
        JAMA. 1990; 264 (Sept 26): 1546-1549
        • Brautbar N
        Direct effects of nicotine on the braifi: evidence for chemical addiction.
        Archives of Enviromental Health. 1995; 50 (July/August): 263-266
        • Benowitz NL
        Pharmalogical aspects of smoking.
        N Engl J Med. 1988; 319: 1318-1330
        • Edihgton RF
        • Chagnon JP
        • Wm Steinburg
        Clonidine (Dixarit) for menopausal flushing.
        Can Med Assoc J. 1980; 123: 23-25
        • Hilleman DE
        • Mohiuddin SM
        • Del Core MG
        • Sketch MH
        Effect of Buspirone on withdrawal symptoms associated with smoking cessation.
        Arch Intern Med. 1992; 152 (February): 350-352
        • Silagy C
        • Mant D
        • Fowler G
        • Lodge M
        Meta-analysis on efficacy of nicotine replacement therapies in smoking cessation.
        Lancet. 1994; 343 (Jan 15): 8890
        • Silagy C
        • Mant D
        • Fowler G
        • Lodge M
        Meta-analysis on efficacy of nicotine replacement therapies in smoking cessation.
        Lancet. 1994; 343 (Jan 15): 139-142
        • Fiore MC
        • Smith SS
        • Jorenby DE
        • et al.
        The effectiveness of the nicotine patch for smoking cessation: a meta-analysis.
        JAMA. 1994; 271: 1440-1497
        • Tang JL
        • Law M
        • Wald N
        How effective is nicotine replacement therapy in helping people to stop smoking?.
        Br Med J. 1994; 308: 21-26
        • Kenford SL
        • Fiore MC
        • Jorenby DE
        • Smith SS
        • Wetter D
        • Baker TB
        Predicting smoking cessation—who will quit with and without the nicotine patch.
        JAMA. 1994; 271 (Feb 23): 8
        • Kenford SL
        • Fiore MC
        • Jorenby DE
        • Smith SS
        • Wetter D
        • Baker TB
        Predicting smoking cessation—who will quit with and without the nicotine patch.
        JAMA. 1994; 271 (Feb 23): 589-594
        • Dale LC
        • Hurt RD
        • Offord KP
        • Lawson GM
        • Croghan IT
        • Schroeder DR
        High-dose nicotine patch therapy: percentage of replacement and smoking cessation.
        JAMA. 1995; 274 (Nov 1): 17
        • Dale LC
        • Hurt RD
        • Offord KP
        • Lawson GM
        • Croghan IT
        • Schroeder DR
        High-dose nicotine patch therapy: percentage of replacement and smoking cessation.
        JAMA. 1995; 274 (Nov 1): 1353-1358
        • Dacosta A
        • Guy JM
        • Tardy B
        • Gonthier R
        • Denis L
        • Lamaud M
        • Cerisier A
        • Vemeyre H
        Myocardial infarction and nicotine patch—a contributing or causative factor.
        Eur Heart J. 1993; 14 (Dec 1993): 10-11
        • Benowitz NL
        Smoking-induced coronary vasoconstriction: implications for therapeutic use of nicotine.
        J Am Coli Cardiol. 1993; 22: 648-649
        • Miller JB
        Towards a New Psychology of Women. Beacon Press, Boston1976
        • Gilligan C
        In a Different Voice: Psychological Theory and Women’s Development. Harvard University Press, Cambridge Mass1982
        • Cervain C
        Dalhousie University. 1995 (Personal Communication)
      3. Batty HP, King HF, Wilson D (Work in progress).

        • Gray J
        Men are from Mars, Women are from Venus. Harper Perennial, Harper Collins Publishers Inc., N.Y.1992
        • Abernathy TJ
        • Bertrand LD
        Preventing cigarette smoking among children: results of a four year evaluation of the PAL program.
        Can J Public Health. 1992; 83: 226-229
        • Kaufman NJ
        Smoking and young women—the physician’s role in stopping an equal oppprtunity killer.
        JAMA. 1994; 271 (Feb 23): 8
        • Kaufman NJ
        Smoking and young women—the physician’s role in stopping an equal oppprtunity killer.
        JAMA. 1994; 271 (Feb 23): 629-630
        • McGuire DP
        • Mitic W
        • Neumann B
        • et al.
        Perceived stress in adolescents: what normal teenagers worry about.
        Canada’s Mental Health. 1987; 35 (June): 2-5
        • Kandel DB
        • Davies M
        Adult sequelae of adolescent depressive symptoms.
        Arch Gen Psychiatry. 1986; 43: 255-262
        • Batty HP
        • King HF
        The family physician and smoking in pregnancy.
        J Fam Pract. 1990; 30: 344-346
      4. Moner S. The Canadian Task Force on the Periodic Health Examination, The Canadian Guide To Clinical Preventive Health Care, Ministry of Supply and Services, 1994;Chapter3.

      5. Levitt C, Hammond M, Hanvey L, Continelli A. Approach-ing Smoking in Pregnancy: A Guide for Health Professionals. A program developed by the College of Family Physicians of Canada 1995 (in press).

        • Benowitz NL
        Nicotine replacement therapy during pregnancy.
        JAMA. 1991; 266: 3174-3177
      6. Motherisk Clinic, Hospital for Sick Children, Toronto, 1994 (personal communication).

        • Sexton M
        • Hebel RJ
        • Fox NL
        Postpartum smoking.
        in: Rosenberg MJ Smoking and Reproductive Health. PSG, Littleton MA1987
        • King AC
        • Taylor CB
        • Haskell WL
        • et al.
        Smoking in older women. Is being female a ’risk factor’ for continued cigarette use?.
        Arch Int Med. 1990; 150: 1841-1846
        • Fletcher C
        • Petro R
        The Natural history of chronic airflow obstruction.
        Br Med J. 1977; 1: 1645-1648
        • Rosenbery L
        • Palmer JR
        • Shapiro S
        Decline in the risk of myocardial infarction among women who stop smoking.
        N Engl J Med. 1990; 322 (January): 213-217
        • Parchman ML
        Recognition of depression in patients who smoke.
        J Fam Pract. 1991; 33 (Sep): 255-258
        • McWhorter WP
        • Boyd GM
        • Mattson ME
        Predictors of quitting smoking: the Nhanes I followup experience.
        J Clin Epidemiol. 1990; 43: 1399-1405