Smoking cessation has immediate health benefits; however, the efficacy of smoking cessation interventions among older adults and women has received limited research attention. The original Women's Initiative for Nonsmoking (WINS) study was a randomized controlled trial that tested the efficacy of a smoking cessation intervention for Bay Area women hospitalized with cardiovascular disease. The current study, which used the WINS dataset, compares participants 62 and older with those younger than 62 years. The sample (n=277) contained 136 older smokers and 141 younger smokers. At the 6-month follow-up, 52.1% of older smokers had quit smoking compared with 40.6% of younger smokers. At the 12-month follow-up, 52.0% of older smokers had quit smoking compared with 38.1% of younger smokers. The difference at 12 months was statistically significant, and a Kaplan-Meier survival analysis further supported these findings. Clinicians should be sure to also include older smokers in smoking assessments and smoking cessation interventions.

(Am J Geriatr Cardiol. 2008;17:37–47)

References

1 Centers for Disease Control and Prevention (CDC). Annual smoking-attributable mortality, years of potential life lost, and economic costs—United States, 1995–1999. MMWR Morb Mortal Wkly Rep. 2002; 51(14): 300–303.
PubMed Google Scholar
2 Husten CG, Shelton DM, Chrismon JH, et al. Cigarette smoking and smoking cessation among older adults: United States, 1965–1994. Tob Control. 1997; 6(3): 175–180.
10.1136/tc.6.3.175
CAS PubMed Google Scholar
3 US Surgeon General. Women and smoking: a report of the surgeon general. MMWR Morb Mortal Wkly Rep. 2002; 51: 1–30.
PubMed Google Scholar
4 US Census Bureau. 2004 American Community Survey Data Profile Highlights. 2004 American Community Survey. http://factfinder.census.gov/servlet/ACSSAFFFacts?_event=&geo_id=01000US&_geoContext=01000US&_street=&_ county=&_cityTown=&_state=&_zip=&_lang=en&_ sse=on&ActiveGeoDiv=&_useEV=&pctxt=fph&pgsl=010, 2004. Accessed October 1, 2005.
Google Scholar
5 Centers for Disease Control and Prevention. 2004 Surgeon General's Report—The Health Consequences of Smoking: A Report of the Surgeon General. http://www.cdc.gov/tobacco/data_statistics/sgr/sgr_2004/index.htm. Accessed October 22, 2007.
Google Scholar
6 Dale LC, Glover ED, Sachs DP, et al. Bupropion for smoking cessation: predictors of successful outcome. Chest. 2001; 119(5): 1357–1364.
10.1378/chest.119.5.1357
CAS PubMed Web of Science® Google Scholar
7 Hajek P, Taylor TZ, Mills P. Brief intervention during hospital admission to help patients to give up smoking after myocardial infarction and bypass surgery: randomised controlled trial. BMJ. 2002; 324(7329): 87–89.
10.1136/bmj.324.7329.87
PubMed Google Scholar
8 Froelicher ES, Christopherson DJ. Women's initiative for nonsmoking (WINS) I: design and methods. Heart Lung. 2000; 29(6): 429–437.
10.1067/mhl.2000.110323
CAS PubMed Web of Science® Google Scholar
9 Froelicher ES, Miller NH, Christopherson DJ, et al. High rates of sustained smoking cessation in women hospitalized with cardiovascular disease: the Women's Initiative for Nonsmoking (WINS). Circulation. 2004; 109(5): 587–593.
PubMed Web of Science® Google Scholar
10 Oka RK, Katapodi MC, Lim JW, et al. Quantifying smoking cessation outcomes: from The Women's Initiative for Nonsmoking Study (X): methodological implications. Nurs Res. 2006; 55(4): 292–297.
10.1097/00006199-200607000-00010
PubMed Web of Science® Google Scholar
11 Grandes G, Cortada JM, Arrazola A, et al. Predictors of long-term outcome of a smoking cessation programme in primary care. Br J Gen Pract. 2003; 53(487): 101–107.
PubMed Web of Science® Google Scholar
12 Hyland A, Li Q, Bauer JE, et al. Predictors of cessation in a cohort of current and former smokers followed over 13 years. Nicotine Tob Res. 2004; 6(suppl 3): S363–S369.
10.1080/14622200412331320761
PubMed Web of Science® Google Scholar
13 Salive ME, Cornoni-Huntley J, LaCroix AZ, et al. Predictors of smoking cessation and relapse in older adults. Am J Public Health. 1992; 82(9): 1268–1271.
10.2105/AJPH.82.9.1268
CAS PubMed Web of Science® Google Scholar
14 Joseph AM, Norman SM, Ferry LH, et al. The safety of transdermal nicotine as an aid to smoking cessation in patients with cardiac disease. N Engl J Med. 1996; 335(24): 1792–1798.
10.1056/NEJM199612123352402
CAS PubMed Web of Science® Google Scholar
15 Mahrer-Imhof R, Froelicher ES, Li WW, et al. Women's Initiative for Nonsmoking (WINS V): under-use of nicotine replacement therapy. Heart Lung. 2002; 31(5): 368–373.
10.1067/mhl.2002.126539
PubMed Web of Science® Google Scholar
16 Fiore MC, Bailey WC, Cohen SJ, et al. Treating Tobacco Use and Dependence: Clinical Practice Guideline. Rockville, MD: US Department of Heath and Human Services. Public Health Service; 2000.
Google Scholar
17 Froelicher ES, Li WW, Mahrer-Imhof R, et al. Women's initiative for non-smoking (WINS) VI: reliability and validity of health and psychosocial measures in women smokers with cardiovascular disease. Heart Lung. 2004; 33(3): 162–175.
10.1016/j.hrtlng.2004.01.002
PubMed Web of Science® Google Scholar
18 Charlson ME, Pompei P, Ales KL, et al. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987; 40(5): 373–383.
10.1016/0021-9681(87)90171-8
CAS PubMed Google Scholar
19 Stewart AL, Ware JEJ. Measuring Functioning and Well Being: The Medical Outcomes Study Approach. Durham, NC: Duke University Press; 1992.
Google Scholar
20 Fagerstrom KO. Measuring degree of physical dependence to tobacco smoking with reference to individualization of treatment. Addict Behav. 1978;3(3–4): 235–241.
10.1016/0306-4603(78)90024-2
PubMed Web of Science® Google Scholar
21 Killen JD, Fortmann SP, Newman B, et al. Evaluation of a treatment approach combining nicotine gum with self-guided behavioral treatments for smoking relapse prevention. J Consult Clin Psychol. 1990; 58(1): 85–92.
10.1037/0022-006X.58.1.85
CAS PubMed Web of Science® Google Scholar
22 Miller NH, Taylor CB. Lifestyle Management for Patients With Coronary Heart Disease. Champaign, IL: Human Kinetics; 1995.
Google Scholar
23 Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983; 24(4): 385–396.
10.2307/2136404
CAS PubMed Web of Science® Google Scholar
24 Burnam MA, Wells KB, Leake B, et al. Development of a brief screening instrument for detecting depressive disorders. Med Care. 1988; 26(8): 775–789.
10.1097/00005650-198808000-00004
CAS PubMed Web of Science® Google Scholar

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Volume17, Issue1

January 2008

Pages 37-47

The Women's Initiative for Nonsmoking (WINS) XI: Age-Related Differences in Smoking Cessation Responses Among Women With Cardiovascular Disease

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