Abstract: Slide Presentations |


Virginia C. Reichert; Pat Folan, RN; Colleen DeGaetano, RN; Dan Jacobsen, RN; Lorana Miceli, RN; Nina Kohn, MBA; Christine Metz, PhD; Arunabh Talwar, MD
Author and Funding Information

North Shore-LIJ Health System, Great Neck, NY


Chest. 2005;128(4_MeetingAbstracts):204S. doi:10.1378/chest.128.4_MeetingAbstracts.204S-b
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PURPOSE:  Reported variability in successful quitting between genders, prompted us to study the perceptions of smokers. Many factors influence the decision of a smoker to make a quit attempt. We studied the factors smokers, who were motivated to quit, experienced at the start of a tobacco dependence treatment program and evaluated discrepancies between the genders.

METHODS:  Six sessions emphasized behavior modification and pharmacological interventions. Demographics, co-morbidity and smoking information was obtained from questionnaires on day 1. Quit status verified at 1 month with exhaled carbon monoxide levels.

RESULTS:  1139 smoking patients total (482 males [median age 45.2 years]; 657 females [median age 48.6]); of these, median ‘pack years’ for males was 33 vs. 27.5 for females. No difference in Fagerstrom scores- scale of nicotine addiction (6.0 out of possible 10 for both men and women), or the number of previous quit attempts (2). More females 71.9% vs. males 63.1% reported smoking “light” cigarettes; believing them to be less harmful than regular cigarettes (p<0.01) and more females 71.8% vs. 59.4% males believed that nicotine causes cancer (p<0.01). 75.0% females vs. 64.5% males report worrying that their smoking may give them cancer (p<0.01). Females also reported ‘feeling guilty about their smoking’ more often than males 77.2% vs. 61.7% (p<0.01). In regard to obstacles to this quit attempt, more females than males reported: a ‘fear of failure’ 17.5 vs. 10.7% (p<0.01), and a ‘fear of weight gain’ 41.1% vs. 14.6% (p<0.01). More females also reported ‘being worried about managing their stress without cigarettes’ 63.1% vs. 55.0% (p<0.01). We found no difference in the quit rates of males and females at 30 days (59.1% vs. 54.9%).

CONCLUSION:  Both genders quit similarly, howver, both demonstrated significant knowledge deficit about tobacco and its health hazards. Female concerns about tobacco use far outweighed concerns of males.

CLINICAL IMPLICATIONS:  Comprehensive cessation programs need to include not only pharmacotherapy, and behavior modification but also need to emphasize intensive education for both genders to maximize success rates.

DISCLOSURE:  Virginia Reichert, None.

2:30 PM - 4:00 PM




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