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Titolo:
Smoking cessation in women - Special considerations
Autore:
Perkins, KA;
Indirizzi:
Univ Pittsburgh, Sch Med, Western Psychiat Inst & Clin, Dept Psychiat, Pittsburgh, PA 15213 USA Univ Pittsburgh Pittsburgh PA USA 15213 sychiat, Pittsburgh, PA 15213 USA
Titolo Testata:
CNS DRUGS
fascicolo: 5, volume: 15, anno: 2001,
pagine: 391 - 411
SICI:
1172-7047(2001)15:5<391:SCIW-S>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
NICOTINE REPLACEMENT THERAPY; POPULATION-BASED RECRUITMENT; SUSTAINED-RELEASE BUPROPION; RANDOMIZED CONTROLLED TRIAL; TOBACCO WITHDRAWAL SYNDROME; LUNG-CANCER RISK; TRANSDERMAL NICOTINE; CIGARETTE-SMOKING; GENDER DIFFERENCES; WEIGHT-GAIN;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
138
Recensione:
Indirizzi per estratti:
Indirizzo: Perkins, KA Univ Pittsburgh, Sch Med, Western Psychiat Inst & Clin, Dept Psychiat, 3811 OHara St, Pittsburgh, PA 15213 USA Univ Pittsburgh 3811 OHaraSt Pittsburgh PA USA 15213 5213 USA
Citazione:
K.A. Perkins, "Smoking cessation in women - Special considerations", CNS DRUGS, 15(5), 2001, pp. 391-411

Abstract

Women may be at relatively greater risk of smoking-related diseases than men but tend to have less success than men in quitting smoking. The failure of most outcome studies to report results by gender and the lack of statistical power for detecting significant gender differences currently do not allow for many firm conclusions to be drawn about smoking cessation rates in women, but several trends warrant attention and further study. First, the difference in cessation rates for women versus men may be even greater in trials of nicotine replacement therapies (NRT). This suggests that women benefit less from NRT relative to men, although this difference may depend on the particular form of NRT (e.g. inhaler versus gum). On the other hand, some non-NRT medications may reverse the poorer outcome of women,producing quit rates in women comparable with those in men. Gender differences in outcome, as well as overall success rates, with NRT and some of thenon-NRT medications appear to be enhanced when treatment includes substantial behavioural counselling. However, while several of the non-NRT medications may be particularly appropriate to consider for treating women trying to quit smoking, adverse effects may limit widespread use of some of these drugs, such as clonidine and naltrexone. Thus, even if the gender differences in outcome with NRT versus non-NRT drugs are confirmed in further research, such findings do not necessarily justify limiting NRT use in women, because such treatment is clearly effective and is likely to be safer and more readily available than non-NRT medications. Nevertheless, study of the mechanisms by which some non-NRT drugs are effective in women may aid our understanding of factors that are more influential in smoking behaviour in womenthan in men. Secondly, smoking cessation treatment for women must address several otherissues that often emerge, and these are most likely to require behaviouralcounselling that is tailored to these problems. These issues include concern about bodyweight gain, restrictions on medication use in pregnant smokers, variability in mood and withdrawal as a function of menstrual cycle phase, harnessing social support to foster abstinence, and the possibility thatsmoking-associated environmental cues may be more influential in smoking behaviour in women than men. Greater attention to gender differences in clinical trial outcomes and to addressing concerns of women smokers may aid in the development of substantially improved smoking cessation interventions for women.

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Documento generato il 23/10/20 alle ore 13:36:21