Saturday, April 1, 2006
Wright A (Hilton Milwaukee City Center)
Session: 1300, Alcohol & Tobacco Use: Focus on Special Populations, 3:00 PM

Women and Tobacco Addiction: Implications for Treatment and Future Research

Lynne Buchanan, PhD, RN, Assistant Professor and Sheila Likness, BSN, RN. College of Nursing, University of Nebraska Medical Center, Omaha, NE, 985330 Nebraska Medical Center, Omaha, NE 68198-5330

The purpose of this study is to describe demographics, tobacco history, health status, and psychosocial response of women addicted to tobacco in order to design a future multicomponent intervention that includes a personal digital assistant for home follow-up. Although women have different responses when quitting, there is little differentiation in treatment. Data was collected from a sample of 48 women from a hospital and clinic setting in the Midwest. Inclusion criteria were: adults, stable condition, not pregnant, smoking but had set a quit date and were developing a quit plan. Variables were demographics, tobacco history, and a battery of instruments to collect biopsychosocial characteristics. Findings showed the age was 45.2 (±11), and 82% were Caucasian, 18% married, 38% unmarried/living with a partner, and 42% unmarried/living alone. Only 19% reported regular exercise and BMI was 29.3 (±8). Pack years was 33.92 (±21.33), Fagerstrom dependence score was 7.0 (±2.1), self-efficacy to quit was 7.0 (±2.1), and number of times quit in the past was only 2.0 (±1.9). The CESD depression score was 23.83 (±12.0), 38% reported taking antidepressants and 54% had a history of depression. A spouse, child or other relative was chosen as a support partner for the quit plan but 40% of partners smoked. Positive/negative partner interaction ratio was 2.1 (±1.7). Positive interaction correlated at the p<.05 level with BMI (r = .249), alcohol (r = -.215) and age of first cigarette (r= - 243). The CESD correlated with income (r = - .223, p < .10) and self-efficacy (r = -.242, p< .10). Findings support an evidence based approach when treating tobacco dependence and that women are a special population. In this sample, there was an inverse relation between depression and self-efficacy which may explain why women have more difficulty quitting and make less quit attempts.

Session #1300 - Alcohol & Tobacco Use: Focus on Special Populations

The 30th Annual MNRS Research Conference