Jayakumar Navitha, Chaiton Michael, Zhang Bo, Selby Peter, Schwartz Robert
Ontario Tobacco Research Unit, Toronto, ON, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Tob Use Insights. 2020 Jan 22;13:1179173X20901500. doi: 10.1177/1179173X20901500. eCollection 2020.
Smoking cessation interventions with sex considerations have been found to effectively increase cessation rates. However, evidence is limited and weak. This study examined sex differences in the use of smoking cessation services or resources among Ontario adults.
Data are from the Smokers' Panel, an ongoing online survey of Ontario adult smokers and recent quitters. The analysis included 1009 male and 1765 female participants. Bivariate analysis was used to examine differences in sociodemographic characteristics and smoking-related variables by use of cessation services/resources. Logistic regression was then used to identify sociodemographic characteristics and smoking-related variables associated with the use of cessation services/resources.
The analysis shows that there were significant sex differences in the use of individual interventions. Female participants were more likely to use nicotine patch (63% vs 58%; adjusted odds ratio, AOR: 1.39, 95% confidence interval [CI]: 1.16-1.67), varenicline (29% vs 24%; AOR: 1.37, 95% CI: 1.13-1.66), Smokers' Helpline phone (14% vs 10%; AOR: 1.39, 95% CI: 1.07-1.79), Smokers' Helpline online (27% vs 21%; AOR 1.43, 95% CI: 1.18-1.74), self-help materials (23% vs 16%; AOR: 1.81 95% CI: 1.46-2.26), and alternative methods (23% vs 19%; AOR: 1.40, 95% CI: 1.14-1.73) compared with male participants, after adjusting for covariates.
Consistent with other findings, the study shows sex differences in the use of smoking cessation services or resources among adult smokers. Women are more likely to use recommended cessation resources such as nicotine patch, varenicline, and Smokers' Helpline than men. Health professionals should use this increased willingness to help female smokers quit. However, men may be underserved and more men-specific interventions need to be developed and evaluated.
已发现考虑性别的戒烟干预措施能有效提高戒烟率。然而，相关证据有限且不充分。本研究调查了安大略省成年人在使用戒烟服务或资源方面的性别差异。
数据来自吸烟者小组，这是一项对安大略省成年吸烟者和近期戒烟者进行的持续在线调查。分析纳入了1009名男性和1765名女性参与者。采用双变量分析来检验使用戒烟服务/资源在社会人口学特征和吸烟相关变量方面的差异。然后使用逻辑回归来确定与使用戒烟服务/资源相关的社会人口学特征和吸烟相关变量。
分析表明，在使用个体干预措施方面存在显著的性别差异。在调整协变量后，与男性参与者相比，女性参与者更有可能使用尼古丁贴片（63%对58%；调整后的优势比，AOR：1.39，95%置信区间[CI]：1.16 - 1.67）、伐尼克兰（29%对24%；AOR：1.37，95% CI：1.13 - 1.66）、吸烟者帮助热线电话（14%对10%；AOR：1.39，95% CI：1.07 - 1.79）、吸烟者帮助热线在线服务（27%对21%；AOR 1.43，95% CI：1.18 - 1.74）、自助材料（2 for 23%对16%；AOR：1.81，95% CI：1.46 - 2.26）以及替代方法（23%对19%；AOR：1.40，95% CI：1.14 - 1.73）。
与其他研究结果一致，本研究表明成年吸烟者在使用戒烟服务或资源方面存在性别差异。女性比男性更有可能使用推荐的戒烟资源，如尼古丁贴片、伐尼克兰和吸烟者帮助热线。卫生专业人员应利用女性这种更高的意愿来帮助她们戒烟。然而，男性可能未得到充分服务，需要开发和评估更多针对男性的干预措施。
