Sociodemographic and Clinical Profile of a Smoking Portuguese Sample
Sex Implications for Intervention in Smoking Cessation
Keywords:
Smoking, Human sex differences, Smoking cessation program, Health promotionAbstract
Smoking cessation programs reduce the morbidity and mortality associated with tobacco consumption. Such
programs are more effective when they are tailored to the specific characteristics of smokers. In this study we analyze sex differences within a group of 100 portuguese smokers, by administering a sociodemographic and clinical questionnaire. The results show sex differences in the number of cigarettes smoked per day, in the time of day and the social contexts connected with greater consumption, in co-habitation with other smokers, in response to social pressures to quit smoking, and in incidence of sleep problems. We discuss the implications of the results for the optimization of the smoking cessation programs offered in healthcare settings.
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Afonso, F., & Pereira, M. G. (2013). Papel mediador das
representações do tabaco e do suporte do parceiro em fumantes
e ex-fumantes. Temas em Psicologia, 21, 391-402. doi:
9788/TP2013.2-07
Ajzen, I. (1991). The theory of planned behavior. Organizational
Behavior and Human Decision Processes, 50, 179-211.
doi:10.1016/0749-5978(91)90020-T
Ajzen, I., & Madden, T. J. (1986). Prediction of goaldirected
behavior: Attitudes, intentions, and perceived behavioral
control. Journal of Experimental Social Psychology, 2, 453-
doi:10.1016/0022-1031(86)90045-4
Alberg, A. J., Carter C. L., & Carpenter M. J. (2007). Weight gain
as an impediment to cigarete smoking cessation: A lingering
problem in need of solutions. Preventive Medicine, 44, 296-
doi: 10.1016/j.ypmed.2007.01.001
Audrain-McGovern, J., & Benowitz, N. L. (2011). Cigarette
smoking, nicotine, and body weight. Clinical Pharmacology
& Therapeutics, 90, 164”“168. doi: 10.1038/clpt.2011.105
Balbani, A. P. S., & Montovani, J. C. (2005). Métodos para abandono
do tabagismo e tratamento da dependência da nicotina. Revista
Brasileira de Otorrinolaringologia, 71, 820-827. doi: 10.1590/
S0034-72992005000600021
Bauer, T., Göhlmann, S., & Sinning, M. (2006, August). Gender
Differences in Smoking Behavior (IZA Discussion Paper No.
. Retrieved from http://seepdf.net/doc/pdf/download/
ftp__iza__org--dp2259.pdf
Bjornson, W., Rand, C., Connett, J. E., Lindgren, P., Nides, M., &
Pope, F. (1995). Gender differences in smoking cessation after
years in the lung health study. American Journal of Public
Health, 85, 223-230. doi: 10.2105/AJPH.85.2.223
Campos, H. M. L. (2008). Caracterização dos hábitos tabágicos
dos pais e dos alunos do 1º ciclo do ensino básico: implicações
para a construção de uma intervenção educativa (Unpublished
master´s thesis). Instituto de Educação e Psicologia,
Universidade do Minho, Portugal.
Catalán, T. V., Gallego-Gómez, J. I., González-Moro, M. T. R., &
Simonelli-Muñoz, A. J. (2014). Fatores influentes na qualidade
do sono em pacientes internados. Revista Portuguesa de
Enfermagem de Saúde Mental, 12, 43-50. Recuperado de http://
www.scielo.mec.pt/scielo.php?script=sci_arttext&pid=S1647-
&lng=pt&tlng=pt.
Centers for Disease Control and Prevention. (2010). How Tobacco
Smoke Causes Disease: The Biology and Behavioral Basis
for Smoking-Attributable Disease: A Report of the Surgeon
General. Nicotine Addiction: Past and Present. Recuperado
de http://www.ncbi.nlm.nih.gov/books/NBK53018/
Chaudhuri, R., Livingston, E., McMahon, A.D., Lafferty, J., Fraser,
I., Spears, M., ... Thomson, N. C. (2006). Effects of smoking
cessation on lung function and airway inflammation in smokers
with asthma. American Journal of Respiratory and Critical
Care Medicine, 174, 127”“133. doi:10.1164/rccm.200510-
OC
Christakis, N. A., & Fowler, J. H. (2008). The collective dynamics
of smoking in a large social network. The New England Journal
of Medicine, 358, 2249-2258. doi: 10.1056/NEJMsa0706154
Costa, E. C. V., & Valério, M. J. (2009). Questionário da Consulta
de Desabituação Tabágica. Braga: Consulta de Desabituação
Tabágica do CHVNG/E.
Direção Geral da Saúde. (2013). Portugal: Prevenção e controlo
do tabagismo em números ”“ 2013. Programa Nacional para
a Prevenção e Controlo do Tabagismo. Portugal: Ministério
da Saúde.
Dollar, K. M., Homish, G. G., Kozlowski, L. T., & Leonard, K.
E. (2009). Spousal and alcohol-related predictors of smoking
cessation: A longitudinal study in a community sample of
married couples. American Journal of Public Health, 99, 231-
doi: 10.2105/AJPH.2008.140459
Donzé, J., Ruffieux, C., & Cornuz, J. (2007). Determinants of
smoking and cessation in older women. Age and Ageing, 36,
”“57. doi: 10.1093/ageing/afl120
Ferketich, A. K., Khan, Y., & Wewers, N. E. (2006). Are physicians
asking about tobacco use and assisting with cessation?
Results from the 2001-2004 national ambulatory medical
care survey. Preventive Medicine, 43, 472-476. doi:10.1016/j.
ypmed.2006.07.009
Helgeson, V. S. (2016). The psychology of gender. New York: Taylor
& Francis Publishers.
Khaled, S. M., Bulloch, A., Exner, D. V., & Patten, S. B. (2009).
Cigarette smoking, stages of change, and major depression in
the Canadian population. La Revue Canadienne de Psychiatrie,
(3), 204-208.
Leinsalu, M., Tekkel, M., & Kunst, A. E. (2007). Social determinants
of ever initiating smoking differ from those of quitting: A
cross-sectional study in Estonia. European Journal of Public
Health, 17, 572”“578. doi: 10.1093/eurpub/ckm030
Leventhal, A. M., Boyd, S., Moolchan, E. T., Waters, A. J.,
Lerman, C., & Pickworth, W. B. (2007). Gender differences
in acute tobacco withdrawal: Effects on subjective, cognitive,
and physiological measures. Experimental and Clinical
Psychopharmacology, 15, 21-36. doi: 10.1037/1064-
15.1.21
Macedo, C. R. (2008). Bruxismo do sono. Revista Dental Press
de Ortodontia e Ortopedia Facial, 13, 18-22. doi: 10.1590/
S1415-54192008000200002
Machado, A. Nicolau, R., & Dias, C.M. (2009). Consumo de tabaco
na população: Análise dos dados do Inquérito Nacional de
Saúde 2005/2006. Lisboa: Instituto Nacional de Saúde Doutor
Ricardo Jorge - Departamento de Epidemiologia.
May, S. & Wets, R. (2000). Do social support interventions (“buddy
systems”) aid smoking cessation? A review. Tobacco Control,
, 415-422. doi: 10.1136/tc.9.4.415
Nunes, E., Candeias, A., Mendes, B., Pardal, C., Fonseca, J.,
Oliveira, L., ... Vinagre, S. (2007). Cessação Tabágica.
Programa-tipo de actuação em cessação tabágica . Lisboa:
Direcção-Geral da Saúde - Gradiva Publicações.
Oliveira, C. M., & Gorayeb, R. (2012). Diferenças de gênero e fatores
motivacionais para início do tabagismo em adolescentes. Saúde
& Transformação Social, 3(1), 49-54. Recuperado de http://
pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S2178-
&lng=pt&tlng=pt.
Pereira, C. F., & Vargas, D. (2015). Profile of women who carried
out smoking cessation treatment: A systematic review.
Revista de Saúde Pública, 49, 1-8. doi: 10.1590/S0034-
2015049005783
Perkins, K. A., Levine, M., Marcus, M., Shiffman, S., D’Amico,
D., Miller, ... Broge, M. (2000). Tobacco withdrawal in women
and menstrual cycle phase. Consulting Clinical Psychology,
(1), 176-180. doi: 10.1037//0022-006X.68.1.176
Prochaska, J. O., DiClemente, C. C., Velicer, W. F., Ginpil, S.,
& Norcross, J. C. (1985) Predicting change in smoking
status for self-changers. Addict Behaviour, 10, 395-406. doi:
1016/0306-4603(85)90036-X
Prosise, G. L., Bonnet, M. H., Berry, R. B., & Dickel, M. J.
(1994). Effects of abstinence from smoking on sleep and
daytime sleepiness. Chest, 105, 1136-1141. doi:10.1378/
chest.105.4.1136
Pullon, S., Mcleod, D., Benn, C., Viccars, A., White, S., Cookson,
T., … Green, R. (2003). Smoking cessation in New Zealand:
Education and resources for use by midwives for women who
smoke during pregnancy. Health Promotion International,
(4), 315-325.
Ratneswaran, C., Chisnall, B., Drakatos, P., Sivakumar, S.,
Sivakumar, B., Barrecheguren, … Steier, J. (2014). A crosssectional
survey investigating the desensitisation of graphic
health warning labels and their impact on smokers, nonsmokers
and patients with COPD in a London cohort. BMJ
Open, 4(7): e004782. doi: 10.1136/bmjopen-2013-004782
Rise, J., Kovac, V., Kraft, P., & Moan, I. S. (2008). Predicting the
intention to quit smoking and quitting behaviour: Extending
the theory of planned behaviour. British Journal of Health
Psychology, 13, 291-310. doi: 10.1348/135910707X187245
Rohrbaugh, M. J., Shoham, V., & Dempsey, C. L. (2009). Gender
differences in quit support by partners health-compromised
smokers. Journal of Drug Issues, 39(2), 329-334.
Rosendo, I., Fonseca, G., Guedes, A. R., & Martins, V. (2009). A
characterisation of smokers and factors influencing motivation
to stop smoking. Revista Portuguesa de Pneumologia, 15,
-802. doi: 10.1016/S0873-2159(15)30179-3
Scharf, D. M., Dunbar, M. S., & Shiffman, S. (2008). Smoking
during the night: Prevalence and smoker characteristics.
Nicotine & Tobacco Research, 10, 167-178. doi:
1080/14622200701767787
Schwarzer, R. (2008). Modeling health behavior change: How to
predict and modify the adoption and maintenance of health
behaviors. Applied Psychology, 57, 1”“29. doi: 10.1111/j.1464-
2007.00325.x
Solty, H., Crockford, D., White, W. D., & Currie, S. (2009).
Cigarette smoking, nicotine dependence, and motivation for
smoking cessation in psychiatric inpatients. The Canadian
Journal of Psychiatry, 54(1), 36”“45.
Streppel, M. T., Boshuizen, H. C., Ocké, M. C., Kok, F. J., &
Kromhout, D. (2007). Mortality and life expectancy in
relation to long-term cigarette, cigar and pipe smoking: The
Zutphen Study. Tobacco Control, 16, 107-113. doi: 10.1136/
tc.2006.017715
Sumner, W., Dunaway, M., & Dillman, D. G. (1998). Cigarette
continuity programs and social support for smoking. Archives
of Family Medicine, 7(3), 264-268.
Tonnesen, P., Carrozzi, L., Fagerstro, K. O., Gratziou, C., Jimenez-
Ruiz, C., Nardinie, S., ... West, R. (2007). Smoking cessation
in patients with respiratory diseases: A high priority, integral
component of therapy. European Respiratory Journal, 29,
”“ 417. doi: 10.1183/09031936.00060806
Trigo, M. (2007). Cigarros, tabaco e nicotina: Factores
biocomportamentais associados ao tabagismo (Unpublished
doctoral dissertation). Faculdade de Psicologia e de Ciências
da Educação, Universidade de Lisboa, Portugal.
Walsh, P. M., Carrillo, P., Flores, G., Masuet, C., Morchon, S., &
Ramon, J. M. (2007). Effects of partner smoking status and
gender on long-term abstinence rates of patients receiving
smoking cessation treatment. Addictive Behaviors, 32, 128-
doi:10.1016/j.addbeh.2006.03.027
World Health Organization. (2009). Report on the global tobacco
epidemic. Implementing smoking-free environments. The
MPOWER package. Geneva: World Health Organization.
World Health Organization. (2012). Global Report: Mortality
Attributable to Tobacco. Geneva: World Health Organization.
Willemse, B. W., Postma, D. S., Timens, W., & ten Hacken, N.
H. (2004). The impact of smoking cessation on respiratory
symptoms, lung function, airway hyperresponsiveness and
inflammation. European Respiratory Journal, 23, 464”“476.
doi: 10.1183/09031936.04.00012704
Willemse, B. W., Hacken, N. H., Rutgers, B., Lesman-Leegte, I. G.,
Postma, D. S., & Timens, W. (2005). Effect of 1-year smoking
cessation on airway inflammation in COPD and asymptomatic
smokers. European Respiratory Journal, 26, 835”“845. doi:
1183/09031936.05.00108904
Williams, R. J., Herzog, T. A., & Simmons, V. N. (2011). Risk
perception and motivation to quit smoking: A partial test of
the Health Action Process Approach. Addictive Behaviors, 36,
”“791. doi:10.1016/j.addbeh.2011.03.003
Vidrine, D. J. (2009). Cigarette smoking and HIV/AIDS: Health
implications, smoker characteristics and cessation strategies.
AIDS Education and Prevention, 21, 3-13. doi: 10.1521/
aeap.2009.21.3_supp.3
