INTRODUCTION: This study examines the presence and correlates of gender disparities in smoking cessation among lower income smokers prescribed nicotine replacement medication. METHODS: We examined quit rates (7-day abstinence point prevalence) among a cohort of smokers who filled prescriptions for nicotine replacement (N = 1,782), using Minnesota Health Care Programs' (e.g., Medicaid) pharmacy claims databases (2005-2006) and mixed-mode survey protocols. A cohort of smokers who recently filled a prescription for nicotine replacement was stratified by race, and then subjects were selected by simple random sample from each race, oversampling the nonWhite groups (N = 1,782). The primary outcome was point prevalence of 7-day abstinence, and outcomes were assessed about 8 months after the nicotine replacement therapy (NRT) index prescription fill date using a mixed-mode survey protocol. Final interaction models were constructed using backward elimination. RESULTS: Abstinence rates were 11.4% among women and 19.2% among men (p = .02) and remained marginally significant after controlling for demographics, mental and physical health, period of cigarette abstinence, social environment, religious attendance, perceived stress, and NRT prescription type (p = .08). There was a significant Gender x Employment interaction (p = .02). Among men, quit rates were higher among the employed (26%) compared with the unemployed (16%); among women, quit rates were lower among those who were employed (8%) compared with those who were unemployed (14%). DISCUSSION: Results suggest the need for research on factors specific to women's work roles or workplaces that inhibit cessation as well as cessation programs tailored to low-income, employed female smokers. On-site workplace interventions and flexible counseling programs may be especially beneficial.
INTRODUCTION: This study examines the presence and correlates of gender disparities in smoking cessation among lower income smokers prescribed nicotine replacement medication. METHODS: We examined quit rates (7-day abstinence point prevalence) among a cohort of smokers who filled prescriptions for nicotine replacement (N = 1,782), using Minnesota Health Care Programs' (e.g., Medicaid) pharmacy claims databases (2005-2006) and mixed-mode survey protocols. A cohort of smokers who recently filled a prescription for nicotine replacement was stratified by race, and then subjects were selected by simple random sample from each race, oversampling the nonWhite groups (N = 1,782). The primary outcome was point prevalence of 7-day abstinence, and outcomes were assessed about 8 months after the nicotine replacement therapy (NRT) index prescription fill date using a mixed-mode survey protocol. Final interaction models were constructed using backward elimination. RESULTS: Abstinence rates were 11.4% among women and 19.2% among men (p = .02) and remained marginally significant after controlling for demographics, mental and physical health, period of cigarette abstinence, social environment, religious attendance, perceived stress, and NRT prescription type (p = .08). There was a significant Gender x Employment interaction (p = .02). Among men, quit rates were higher among the employed (26%) compared with the unemployed (16%); among women, quit rates were lower among those who were employed (8%) compared with those who were unemployed (14%). DISCUSSION: Results suggest the need for research on factors specific to women's work roles or workplaces that inhibit cessation as well as cessation programs tailored to low-income, employed female smokers. On-site workplace interventions and flexible counseling programs may be especially beneficial.
Authors: Shenell D Evans; Christine E Sheffer; Warren K Bickel; Naomi Cottoms; Mary Olson; Luana Panissidi Pitì; Tekeshia Austin; Helen Stayna Journal: J Addict Res Ther Date: 2015-03-20
Authors: Christine E Sheffer; Maxine Stitzer; Reid Landes; S Laney Brackman; Tiffany Munn; Page Moore Journal: Am J Public Health Date: 2012-01-19 Impact factor: 9.308
Authors: Karen L Cropsey; Adam M Leventhal; Erin N Stevens; Lindsay R Trent; C Brendan Clark; Adrienne C Lahti; Peter S Hendricks Journal: Nicotine Tob Res Date: 2014-04-09 Impact factor: 4.244
Authors: Christine E Sheffer; Warren K Bickel; Christopher T Franck; Luana Panissidi; Jami C Pittman; Helen Stayna; Shenell Evans Journal: Drug Alcohol Depend Date: 2017-10-12 Impact factor: 4.492
Authors: Christi A Patten; Carrie A Bronars; Kristin S Vickers Douglas; Michael H Ussher; James A Levine; Susannah J Tye; Christine A Hughes; Tabetha A Brockman; Paul A Decker; Ramona S DeJesus; Mark D Williams; Thomas P Olson; Matthew M Clark; Angela M Dieterich Journal: Nicotine Tob Res Date: 2016-09-09 Impact factor: 4.244