Collins Bradley N, Wileyto E Paul, Patterson Freda, Rukstalis Margaret, Audrain-McGovern Janet, Kaufmann Vyga, Pinto Angela, Hawk Larry, Niaura Raymond, Epstein Leonard H, Lerman Caryn
University of Pennsylvania, Tabacco Research Center, Philadelphia, PA 19104, USA.
Nicotine Tob Res. 2004 Feb;6(1):27-37. doi: 10.1080/14622200310001656830.
Among smokers, women may be at greater risk than men for developing smoking-related diseases, perhaps because they have greater difficulty quitting smoking, as suggested by numerous studies. In the present study, we hypothesized that bupropion would reduce this gender disparity among 314 women and 241 men enrolled in a placebo-controlled, randomized trial using behavioral counseling plus 10 weeks of bupropion (300 mg). Prolonged abstinence and biochemically verified point prevalence outcomes were measured at end of treatment (8 weeks after the quit date) and at 6-month follow-up. A logistic regression model of 6-month prolonged abstinence and a Cox regression (survival analysis) model revealed a significant gender by smoking rate by drug interaction and a main effect for marital status. This three-way interaction suggests that bupropion particularly benefited men who smoked more than one pack of cigarettes per day at baseline and, conversely, women who smoked a pack or less. The point prevalence logistic regression model showed no evidence that either gender or smoking rate modified the effect of treatment. These results suggest that bupropion treatment may reduce the gender disparity in prolonged abstinence rates among lighter smokers.
在吸烟者中,女性患吸烟相关疾病的风险可能比男性更高,这或许是因为正如众多研究所表明的,她们戒烟难度更大。在本研究中,我们假设安非他酮能够缩小性别差异,该研究共有314名女性和241名男性参与,这是一项使用行为咨询加10周安非他酮(300毫克)治疗的安慰剂对照随机试验。在治疗结束时(戒烟日期后8周)和6个月随访时测量长期戒烟情况和经生化验证的点患病率结果。一个关于6个月长期戒烟的逻辑回归模型和一个Cox回归(生存分析)模型显示,存在显著的性别×吸烟率×药物交互作用以及婚姻状况的主效应。这种三向交互作用表明,安非他酮对基线时每天吸烟超过一包的男性特别有益,反之,对每天吸烟一包或更少的女性有益。点患病率逻辑回归模型没有显示出性别或吸烟率改变治疗效果的证据。这些结果表明,安非他酮治疗可能会缩小轻度吸烟者在长期戒烟率方面的性别差异。