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Sex Differences in Response to Reduced Nicotine Content Cigarettes

Identifieur interne : 001328 ( Pmc/Curation ); précédent : 001327; suivant : 001329

Sex Differences in Response to Reduced Nicotine Content Cigarettes

Auteurs : Rachel Isaksson Vogel [États-Unis] ; Louise A. Hertsgaard [États-Unis] ; Sarah S. Dermody [États-Unis] ; Xianghua Luo [États-Unis] ; Lor Moua [États-Unis] ; Sharon Allen [États-Unis] ; Mustafa Al Bsi [États-Unis] ; Dorothy K. Hatsukami [États-Unis]

Source :

RBID : PMC:4084708

Abstract

Background

When switching from usual brand cigarettes, very low nicotine content (VLNC) cigarettes lead to a reduction in the number of cigarettes smoked, toxicant exposure, withdrawal symptoms and dependence. One area that has been relatively unexplored is what factors might moderate the effects of VLNC cigarettes. This exploratory analysis focuses on sex differences in responses to VLNC cigarettes and nicotine replacement therapy (NRT).

Methods

An exploratory secondary analysis of a randomized trial of 235 participants (58% female, mean age 47 years) comparing a) 0.05–0.09 mg nicotine yield cigarettes; b) 21 mg nicotine patch and 3) 0.05–0.09 nicotine yield cigarettes with 21 mg nicotine patch was conducted. We focused on sex differences in product use, and impact of products on withdrawal response from usual brand cigarettes and abstinence by randomized group.

Results

The combination of VLNC cigarettes and nicotine patch was more effective in reducing use of VLNC cigarettes and withdrawal symptoms among males than females, whereas females were equally responsive to VLNC cigarettes with and without the nicotine patch. Females were more likely to quit smoking than males when assigned to either of the conditions that incorporated the VLNC cigarettes; however, males were more likely to quit smoking in the nicotine patch alone condition than females.

Conclusion

Sex of the smoker may be an important determinant for effects of VLNC cigarettes and nicotine patch. Future large randomized trials to confirm these results are needed.


Url:
DOI: 10.1016/j.addbeh.2014.03.021
PubMed: 24746485
PubMed Central: 4084708

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PMC:4084708

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<title>Background</title>
<p id="P2">When switching from usual brand cigarettes, very low nicotine content (VLNC) cigarettes lead to a reduction in the number of cigarettes smoked, toxicant exposure, withdrawal symptoms and dependence. One area that has been relatively unexplored is what factors might moderate the effects of VLNC cigarettes. This exploratory analysis focuses on sex differences in responses to VLNC cigarettes and nicotine replacement therapy (NRT).</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P3">An exploratory secondary analysis of a randomized trial of 235 participants (58% female, mean age 47 years) comparing a) 0.05–0.09 mg nicotine yield cigarettes; b) 21 mg nicotine patch and 3) 0.05–0.09 nicotine yield cigarettes with 21 mg nicotine patch was conducted. We focused on sex differences in product use, and impact of products on withdrawal response from usual brand cigarettes and abstinence by randomized group.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P4">The combination of VLNC cigarettes and nicotine patch was more effective in reducing use of VLNC cigarettes and withdrawal symptoms among males than females, whereas females were equally responsive to VLNC cigarettes with and without the nicotine patch. Females were more likely to quit smoking than males when assigned to either of the conditions that incorporated the VLNC cigarettes; however, males were more likely to quit smoking in the nicotine patch alone condition than females.</p>
</sec>
<sec id="S4">
<title>Conclusion</title>
<p id="P5">Sex of the smoker may be an important determinant for effects of VLNC cigarettes and nicotine patch. Future large randomized trials to confirm these results are needed.</p>
</sec>
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</front>
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<journal-id journal-id-type="nlm-journal-id">7603486</journal-id>
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<given-names>Rachel Isaksson</given-names>
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<name>
<surname>Hertsgaard</surname>
<given-names>Louise A.</given-names>
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<surname>Dermody</surname>
<given-names>Sarah S.</given-names>
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<contrib contrib-type="author">
<name>
<surname>Luo</surname>
<given-names>Xianghua</given-names>
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<xref ref-type="aff" rid="A1">1</xref>
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<name>
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<name>
<surname>al’Absi</surname>
<given-names>Mustafa</given-names>
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<name>
<surname>Hatsukami</surname>
<given-names>Dorothy K.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A7">7</xref>
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</contrib-group>
<aff id="A1">
<label>1</label>
University of Minnesota, Masonic Comprehensive Cancer Center, Minneapolis, MN</aff>
<aff id="A2">
<label>2</label>
University of Minnesota, Tobacco Research Programs, Minneapolis, MN</aff>
<aff id="A3">
<label>3</label>
University of Pittsburgh, Department of Psychology, Pittsburgh, PA</aff>
<aff id="A4">
<label>4</label>
Division of Biostatistics, School of Public Health, University of Minnesota, Minneapolis, MN</aff>
<aff id="A5">
<label>5</label>
University of Minnesota, Family Medicine and Community Health, Minneapolis, MN</aff>
<aff id="A6">
<label>6</label>
University of Minnesota, Departments of Family Medicine and Community Health and Behavioral Sciences, Duluth, MN</aff>
<aff id="A7">
<label>7</label>
University of Minnesota, Department of Psychiatry, Minneapolis, MN</aff>
<author-notes>
<corresp id="FN1">Correspondence Dorothy K. Hatsukami, 717 Delaware St. SE, Minneapolis, MN 55414, Fax: 612 624-4610, Phone: 612 626-2121,
<email>hatsu001@umn.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>6</day>
<month>6</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>3</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="ppub">
<month>7</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>01</day>
<month>7</month>
<year>2015</year>
</pub-date>
<volume>39</volume>
<issue>7</issue>
<fpage>1197</fpage>
<lpage>1204</lpage>
<pmc-comment>elocation-id from pubmed: 10.1016/j.addbeh.2014.03.021</pmc-comment>
<permissions>
<copyright-statement>© 2014 Elsevier Ltd. All rights reserved.</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<abstract>
<sec id="S1">
<title>Background</title>
<p id="P2">When switching from usual brand cigarettes, very low nicotine content (VLNC) cigarettes lead to a reduction in the number of cigarettes smoked, toxicant exposure, withdrawal symptoms and dependence. One area that has been relatively unexplored is what factors might moderate the effects of VLNC cigarettes. This exploratory analysis focuses on sex differences in responses to VLNC cigarettes and nicotine replacement therapy (NRT).</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P3">An exploratory secondary analysis of a randomized trial of 235 participants (58% female, mean age 47 years) comparing a) 0.05–0.09 mg nicotine yield cigarettes; b) 21 mg nicotine patch and 3) 0.05–0.09 nicotine yield cigarettes with 21 mg nicotine patch was conducted. We focused on sex differences in product use, and impact of products on withdrawal response from usual brand cigarettes and abstinence by randomized group.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P4">The combination of VLNC cigarettes and nicotine patch was more effective in reducing use of VLNC cigarettes and withdrawal symptoms among males than females, whereas females were equally responsive to VLNC cigarettes with and without the nicotine patch. Females were more likely to quit smoking than males when assigned to either of the conditions that incorporated the VLNC cigarettes; however, males were more likely to quit smoking in the nicotine patch alone condition than females.</p>
</sec>
<sec id="S4">
<title>Conclusion</title>
<p id="P5">Sex of the smoker may be an important determinant for effects of VLNC cigarettes and nicotine patch. Future large randomized trials to confirm these results are needed.</p>
</sec>
</abstract>
<kwd-group>
<kwd>reduced nicotine cigarettes</kwd>
<kwd>tobacco addiction</kwd>
<kwd>cigarette consumption</kwd>
<kwd>sex differences</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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