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在医疗环境中接受烟草依赖干预的吸烟者中的性别差异。

Gender differences among smokers receiving interventions for tobacco dependence in a medical setting.

作者信息

Croghan Ivana T, Ebbert Jon O, Hurt Richard D, Hays J Taylor, Dale Lowell C, Warner Nathaniel, Schroeder Darrell R

机构信息

Mayo Clinic, Nicotine Dependence Center, 200 First St, SW, Rochester, Minnesota 55905, United States.

出版信息

Addict Behav. 2009 Jan;34(1):61-7. doi: 10.1016/j.addbeh.2008.08.010. Epub 2008 Aug 31.

DOI:10.1016/j.addbeh.2008.08.010
PMID:18814974
Abstract

OBJECTIVE

The purpose of this study was to assess differences between women and men receiving treatment for tobacco dependence through a clinical treatment program.

METHODS

We conducted a retrospective review of clinical data collected on 2139 ambulatory and 1259 hospitalized smokers receiving individualized tobacco dependence treatment from Jan 1, 2004 to Dec 31, 2005 through the Mayo Clinic Nicotine Dependence Center.

RESULTS

Overall, female smokers smoked less than males (p<0.001); were less likely to have received treatment for alcoholism (p<0.001); were more likely to have received treatment for past depression (p<0.001); were also less likely to have started smoking prior to 18 years of age (p=0.004 and p=0.008 for ambulatory and hospitalized patients, respectively); were less likely to be married (p<0.001); were less likely to be tobacco dependent (hospitalized smokers only p=0.04); and were more likely to have received a prescription for a smoking cessation medication (ambulatory smokers only, p=0.034). After adjustment for baseline characteristics, women and men did not differ in tobacco abstinence outcomes.

CONCLUSION

Although many gender differences are present among patients treated in a large ambulatory and hospital based tobacco treatment programs, gender is not associated with failure to achieve smoking abstinence.

摘要

目的

本研究旨在评估通过临床治疗项目接受烟草依赖治疗的女性和男性之间的差异。

方法

我们对2004年1月1日至2005年12月31日期间通过梅奥诊所尼古丁依赖中心接受个体化烟草依赖治疗的2139名门诊吸烟者和1259名住院吸烟者收集的临床数据进行了回顾性分析。

结果

总体而言,女性吸烟者吸烟量少于男性(p<0.001);患酒精中毒接受治疗的可能性较小(p<0.001);过去患抑郁症接受治疗的可能性较大(p<0.001);18岁之前开始吸烟的可能性也较小(门诊患者和住院患者分别为p=0.004和p=0.008);结婚的可能性较小(p<0.001);烟草依赖的可能性较小(仅住院吸烟者p=0.04);接受戒烟药物处方的可能性较大(仅门诊吸烟者,p=0.034)。在对基线特征进行调整后,女性和男性在戒烟结果方面没有差异。

结论

尽管在一个大型的基于门诊和医院的烟草治疗项目中接受治疗的患者之间存在许多性别差异,但性别与戒烟失败无关。

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