Smoking cessation in Argentina: a gender-based perspective from GATS results
More details
Hide details
1
Ministry of Health, National Tobacco Control Program, Argentina
2
Instituto Universitario CEMIC, Family Medicine, Argentina
Publication date: 2018-03-01
Tob. Induc. Dis. 2018;16(Suppl 1):A355
Download abstract book (PDF)
KEYWORDS
TOPICS
ABSTRACT
Background:
It is a common belief that men are more
successful in quitting than women. However, results from the evidence are
controversial.
While some studies do not show differences in
number of quit attempts and abstinence rates by gender, other sources find abstinence
is more difficult for women. In Argentina, more girls than boys smoke, but men
smoke more than women. This study aimed to measure the quitting effect evaluating
the characteristics of current and former smoker from a gender perspective.
Methods:
Secondary analysis from the
Global Adult Tobacco Survey (GATS) done in Argentina in 2012, restricted to adult smokers of 18 years old
or more. Results from a population-based study were analyzed using multivariate
logistic regression modelling for the
association of socio-demographic, attitudinal, dependence and
environmental characteristics and the status of former smoker vs smokers.
Results:
The
analysis includes 3,038 subjects representing in a population-weighted
projection 12,017,116, mean age 47.47 years (95%CI 45.37-49.57). Former smokers
were 50.46% (95%CI 44.72-56) 42.21% women (95%CI 33.89-51). There were no differences of elapsed time
since quitting by gender (p=0.053). For current smokers
(n=1,610, women 37.44% 95%IC 30.73-44.68), there was a significant
difference in smoking years (females 20.75 years 95%IC 18.14-23.35, males 25.12
years 95%IC 21.92-28.32, p=0.039). In multivariable analysis former smoker
status was strongly associated to female gender (OR 1.53 95%CI 1.06-2.19), age
(OR 1.11 95%CI 1.02-1.2 every 5 years), smoke-free homes (OR 2.92 95%CI
1.78-4.78), support to raise tobacco taxes (OR 2.32 95%CI 1.52-3.56), and
non-daily consumption (OR 2.06 95%CI 1.25-3.39), independently of educational
or income level.
Conclusions:
Results
from GATS Argentina show women were more likely to quit than men among other
factors associated with quitting. These results challenge the common assumption
that women find it harder to quit. Tailored gender-specific strategies
could enhance smoking cessation.