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Smoking Cessation among Female and Male Veterans before and after a Randomized Trial of Proactive Outreach

INTRODUCTION: Female veterans smoke cigarettes at high rates compared with both male veterans and nonveteran women. Proactive outreach (PRO) to smokers may reduce gender disparities in cessation care. The objectives of this study were to compare baseline experiences with VA smoking cessation care fo...

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Autores principales: Danan, Elisheva R., Sherman, Scott E., Clothier, Barbara, Burgess, Diana J., Pinsker, Erika, Joseph, Anne M., Noorbaloochi, Siamak, Fu, Steven S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8269751/
https://www.ncbi.nlm.nih.gov/pubmed/31253237
http://dx.doi.org/10.1016/j.whi.2019.04.001
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author Danan, Elisheva R.
Sherman, Scott E.
Clothier, Barbara
Burgess, Diana J.
Pinsker, Erika
Joseph, Anne M.
Noorbaloochi, Siamak
Fu, Steven S.
author_facet Danan, Elisheva R.
Sherman, Scott E.
Clothier, Barbara
Burgess, Diana J.
Pinsker, Erika
Joseph, Anne M.
Noorbaloochi, Siamak
Fu, Steven S.
author_sort Danan, Elisheva R.
collection PubMed
description INTRODUCTION: Female veterans smoke cigarettes at high rates compared with both male veterans and nonveteran women. Proactive outreach (PRO) to smokers may reduce gender disparities in cessation care. The objectives of this study were to compare baseline experiences with VA smoking cessation care for men and women and to assess for gender differences in response to a PRO intervention. METHODS: We conducted a post hoc subgroup analysis of a pragmatic, multisite randomized, controlled trial comparing PRO with usual care (UC). Baseline experiences included physician advice to quit, satisfaction with care, and past-year treatment use. At the 1-year follow-up, treatment use, quit attempts, and 6-month prolonged abstinence for women and men randomized to PRO versus UC were compared using logistic regression. RESULTS: Baseline and follow-up surveys were returned by 138 women and 2,516 men. At baseline, women were less likely than men to report being very or somewhat satisfied with the process of obtaining smoking cessation medications in the VA (47% of women vs. 62% of men), but no less likely to report having used cessation medications from the VA in the past year (39% of women vs. 34% of men). After the intervention, phone counseling and combined therapy increased among both women and men in PRO as compared with UC. At the 1-year follow-up, men in PRO were significantly more likely to report prolonged abstinence than those in UC (odds ratio, 1.65; 95% CI, 1.28–2.14); results for women were in the same direction but not statistically significant (odds ratio, 1.39; 95% CI, 0.48–3.99). CONCLUSIONS: Satisfaction with cessation care in VA remains low. PRO to smokers was associated with an increased use of cessation therapies, and increased odds of achieving prolonged abstinence. A subgroup analysis by gender did not reveal significant differences in the treatment effect.
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spelling pubmed-82697512021-07-09 Smoking Cessation among Female and Male Veterans before and after a Randomized Trial of Proactive Outreach Danan, Elisheva R. Sherman, Scott E. Clothier, Barbara Burgess, Diana J. Pinsker, Erika Joseph, Anne M. Noorbaloochi, Siamak Fu, Steven S. Womens Health Issues Article INTRODUCTION: Female veterans smoke cigarettes at high rates compared with both male veterans and nonveteran women. Proactive outreach (PRO) to smokers may reduce gender disparities in cessation care. The objectives of this study were to compare baseline experiences with VA smoking cessation care for men and women and to assess for gender differences in response to a PRO intervention. METHODS: We conducted a post hoc subgroup analysis of a pragmatic, multisite randomized, controlled trial comparing PRO with usual care (UC). Baseline experiences included physician advice to quit, satisfaction with care, and past-year treatment use. At the 1-year follow-up, treatment use, quit attempts, and 6-month prolonged abstinence for women and men randomized to PRO versus UC were compared using logistic regression. RESULTS: Baseline and follow-up surveys were returned by 138 women and 2,516 men. At baseline, women were less likely than men to report being very or somewhat satisfied with the process of obtaining smoking cessation medications in the VA (47% of women vs. 62% of men), but no less likely to report having used cessation medications from the VA in the past year (39% of women vs. 34% of men). After the intervention, phone counseling and combined therapy increased among both women and men in PRO as compared with UC. At the 1-year follow-up, men in PRO were significantly more likely to report prolonged abstinence than those in UC (odds ratio, 1.65; 95% CI, 1.28–2.14); results for women were in the same direction but not statistically significant (odds ratio, 1.39; 95% CI, 0.48–3.99). CONCLUSIONS: Satisfaction with cessation care in VA remains low. PRO to smokers was associated with an increased use of cessation therapies, and increased odds of achieving prolonged abstinence. A subgroup analysis by gender did not reveal significant differences in the treatment effect. 2019-06-25 /pmc/articles/PMC8269751/ /pubmed/31253237 http://dx.doi.org/10.1016/j.whi.2019.04.001 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ).
spellingShingle Article
Danan, Elisheva R.
Sherman, Scott E.
Clothier, Barbara
Burgess, Diana J.
Pinsker, Erika
Joseph, Anne M.
Noorbaloochi, Siamak
Fu, Steven S.
Smoking Cessation among Female and Male Veterans before and after a Randomized Trial of Proactive Outreach
title Smoking Cessation among Female and Male Veterans before and after a Randomized Trial of Proactive Outreach
title_full Smoking Cessation among Female and Male Veterans before and after a Randomized Trial of Proactive Outreach
title_fullStr Smoking Cessation among Female and Male Veterans before and after a Randomized Trial of Proactive Outreach
title_full_unstemmed Smoking Cessation among Female and Male Veterans before and after a Randomized Trial of Proactive Outreach
title_short Smoking Cessation among Female and Male Veterans before and after a Randomized Trial of Proactive Outreach
title_sort smoking cessation among female and male veterans before and after a randomized trial of proactive outreach
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8269751/
https://www.ncbi.nlm.nih.gov/pubmed/31253237
http://dx.doi.org/10.1016/j.whi.2019.04.001
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