Hormonal contraceptive use in smokers: Prevalence of use and associations with smoking motives

被引:14
作者
Allen, Alicia M. [1 ]
Lundeen, Kim [2 ]
Eberly, Lynn E. [3 ]
Allen, Sharon S. [4 ]
al'Absi, Mustafa [5 ]
Muramoto, Myra [6 ]
Hatsukami, Dorothy [7 ]
机构
[1] Univ Arizona, Coll Med, Dept Family & Community Med, 3950 South Country Club Dr,Suite 330, Tucson, AZ 85714 USA
[2] Univ Minnesota, Med Sch, Dept Family Med & Community Hlth, 717 Delaware St SE,Room 300, Minneapolis, MN 55414 USA
[3] Univ Minnesota, Sch Publ Hlth, Div Biostat, 420 Delaware St SE,MMC 303 Mayo, Minneapolis, MN 55455 USA
[4] Univ Minnesota, Med Sch, Dept Family Med & Community Hlth, 420 Delaware St SE,Room A682, Minneapolis, MN 55455 USA
[5] Univ Minnesota, Med Sch, Dept Behav Sci, 1035 Univ Dr,236 SMed,D601A, Duluth, MN 55812 USA
[6] Univ Arizona, Coll Med, Dept Family & Community Med, 1450 N Cherry Ave,POB 245052, Tucson, AZ 85724 USA
[7] Univ Minnesota, Med Sch, Dept Psychiat, 717 Delaware St SE,Room 260, Minneapolis, MN 55414 USA
基金
美国国家卫生研究院;
关键词
MENSTRUAL-CYCLE PHASE; WISCONSIN INVENTORY; TOBACCO DEPENDENCE; NICOTINE WITHDRAWAL; ORAL-CONTRACEPTIVES; CIGARETTE-SMOKING; OVARIAN HORMONES; REPRODUCTIVE AGE; SEX; METABOLISM;
D O I
10.1016/j.addbeh.2017.10.011
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Introduction: While endogenous sex hormones influence smoking-related outcomes, little is known about the role of hormonal contraceptives (HCs). This is despite dated estimates suggesting that HC use is prevalent among female smokers. Therefore, we sought to update estimates of the prevalence of HC use among female smokers and explore the association of HC use with various smoking motives (SMs). Methods: This online cross-sectional survey recruited female smokers between the ages of 18-35. Survey questions assessed smoking behavior, SMs, use of liCs, and menstrual cycle regularity. Results: Participants (n = 734) were, on average ( standard deviation), 20.7 +/- 2.7 years old and smoked 7.3 +/- 6.7 cigarettes/day. The majority of females reported a history of HC use (85%) and half reported current use (48%). Cyclical HC users (n = 227) scored significantly lower on three SMs compared to naturally -cycling women in the follicular phase (n = 62) and significantly higher on 15 SMs compared to naturally-cycling women in the luteal phase (n = 29). Women on cyclical HCs differed from women on long-acting HCs (n = 128) on two SMs. Further, the naturally -cycling women in the follicular phase scoring significantly higher on 15 SMs compared to those in the luteal phase. Discussion: These observations indicate that HC use remains prevalent in female smokers and may influence SMs. Additional research should replicate these observations and explore the implications on smoking cessation outcomes.
引用
收藏
页码:187 / 192
页数:6
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