Gender differences in smoking cessation services received among veterans

Scott Sherman, Steven S. Fu, Anne M. Joseph, Andrew B. Lanto, Elizabeth M. Yano

Research output: Contribution to journalArticle

Abstract

Introduction: Smoking is the leading preventable cause of death among women in the United States. It is a particular problem for women using the Veterans Health Administration (VA), where the prevalence of smoking among women is 30%. We compared the baseline characteristics of male and female smokers and then assessed the smoking cessation services they received to determine whether there are important gender differences in care. Methods: As part of a study of implementing national guidelines for smoking cessation taking place at 18/23 VA centers in the southwestern and western United States, we conducted a baseline survey of a random sample of 1,941 smokers in primary care (129 women, 1,812 men) to assess the smoking cessation services received by female and male veterans. Subjects were followed 1 year later (73 women, 1007 men). Results for men and women were compared using chi-square tests and analysis of variance. Logistic regression analyses were conducted to determine factors that were independently associated with receipt of smoking cessation services. Results: Female smokers were younger, more educated, and less likely to be married than male smokers. Women were equally likely to report being advised to quit smoking or referred to a smoking cessation program but were much less likely to report receiving a prescription for nicotine patches (OR .5, 95% CI .3-.9). One year later, female smokers were less likely to have successfully quit smoking. Conclusion: Women were less likely to report receiving nicotine patches for smoking cessation. Future interventions to increase use of smoking cessation medications for female smokers will also hopefully increase their quit rate.

Original languageEnglish (US)
Pages (from-to)126-133
Number of pages8
JournalWomen's Health Issues
Volume15
Issue number3
DOIs
StatePublished - May 1 2005

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Veterans
Smoking Cessation
smoking
gender-specific factors
Smoking
Tobacco Use Cessation Products
Veterans Health
United States Department of Veterans Affairs
Southwestern United States
nicotine
medication
Chi-Square Distribution
Prescriptions
Cause of Death
Primary Health Care
Analysis of Variance
Logistic Models
Regression Analysis
cause of death
health

ASJC Scopus subject areas

  • Health(social science)
  • Obstetrics and Gynecology
  • Public Health, Environmental and Occupational Health
  • Maternity and Midwifery

Cite this

Gender differences in smoking cessation services received among veterans. / Sherman, Scott; Fu, Steven S.; Joseph, Anne M.; Lanto, Andrew B.; Yano, Elizabeth M.

In: Women's Health Issues, Vol. 15, No. 3, 01.05.2005, p. 126-133.

Research output: Contribution to journalArticle

Sherman, Scott ; Fu, Steven S. ; Joseph, Anne M. ; Lanto, Andrew B. ; Yano, Elizabeth M. / Gender differences in smoking cessation services received among veterans. In: Women's Health Issues. 2005 ; Vol. 15, No. 3. pp. 126-133.
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