Medicine and Health Sciences Commons^™

Men's Smoking Cessation Interventions: A Brief Review, Chizimuzo T.C. Okoli, Iris Torchalla, John L. Oliffe, Joan L. Bottorff

Chizimuzo T.C. Okoli

Background: Smoking is associated with adverse health effects and significant disease burden among men, making it an important men's health issue. Conversely, smoking cessation is associated with significant reductions in smoking-attributable risk. However, few studies have examined men-specific smoking cessation programs. The aim of our study was to conduct a comprehensive review of the literature to identify men-specific smoking cessation programs to make recommendations about future efforts to develop, implement and evaluate men-centered smoking cessation interventions.

Methods: A comprehensive search of the COCHRANE Library, MEDLINE, and PsycINFO and SIGLE databases was performed. Out of 873 studies that we retrieved from …

The Relationship Between Secondhand Tobacco Smoke (Shs) Exposure And Smoking Behaviours: Designing A Program Of Research, Chizimuzo T.C. Okoli

Chizimuzo T.C. Okoli

Overview

- Background and Significance

- Study 1: Literature Review Study

- Study 2: SHS Exposure, Nicotine Dependence, and Smoking Cessation

- Study 3: Hair Nicotine as a Measure of SHS Exposure

- Study 4: Effects of Nicotine Exposure from SHS Among Bar and Restaurant Workers

- Study 5: Nicotine Dependence Symptoms among Young Never-Smokers Exposed to SHS

- Study 6: An Examination of the Relationship between Adolescents’ Initial Smoking Experience and their Exposure to Peer and Family Member Smoking

Conclusions and Future Directions

Smoking And Secondhand Tobacco Smoke Exposure: Prevalence, Prevention, Protection, And Treatment, Chizimuzo T.C. Okoli

Chizimuzo T.C. Okoli

Prevalence and Disease Burden of Smoking

Strategies for Prevention and Protection

Approaches to Tobacco Dependence Treatment

Example of a Smoking Cessation Program

Trauma, Psychiatric Disorders, Substance Use, And Smoking Among Women, Chizimuzo T.C. Okoli, Nancy Poole, Natalie Hemsing, Karin O'Leary

Chizimuzo T.C. Okoli

Despite decreasing smoking rates among women in the general population, there remain subgroups of women characterized by high nicotine dependence, who remain less able to quit.

One subgroup of women who continue to smoke at rates higher than the general population are those who: have past experiences of trauma, are vulnerable to psychiatric disorders and have substance use problems/addictions.

However, the prevalence of the co-occurrence of trauma, psychiatric disorders, and substance use problems/ addictions, with smoking among women has not previously been synthesized.

The purpose of this study is to conduct a comprehensive review to identify the prevalence of smoking …

Treatment Outcomes From The Tdc: A Look At Smoking Cessation Among Patients With Co-Occurring Disorders, Chizimuzo T.C. Okoli

Chizimuzo T.C. Okoli

Summary of Key Findings •Smoking abstinence at end of program:

–Intent to treat analysis: 32.2%(83/258) –Among program completers: 41.3%(83/201)

•Significant predictors of abstinence : –Having an alcohol, heroin (or other opioid) or marijuana use history was a significant predictor of being less likely to quit smoking when compared to having no history of substance use disorder. –Having a lower CO level at program enrolment was a significant predictor of being more likely to quit –Attending the TDC program for a longer duration was a significant predictor of being more likely to quit.

Intensive Treatment Of Tobacco Dependence In An Out - Patient Addictions Services Setting, Milan Khara, Chizimuzo T.C. Okoli

Chizimuzo T.C. Okoli

BACKGROUND

• Drug treatment populations are disproportionately affected by morbidity and mortality attributable to tobacco use. However, with appropriately intensive intervention, individuals in drug treatment settings can succeed in their efforts towards smoking cessation.

• The Tobacco Dependence Clinic (TDC) is a program that provides smoking cessation counseling and up to 26 weeks of free pharmacotherapy for clients through Vancouver Coastal Health Addiction Services, British Columbia, Canada.

• The purpose of this study is to provide evaluation data (in terms of program completion and smoking cessation outcomes) from the TDC.

Smoking Cessation In Patients With Substance Use Disorders: The Vancouver Coastal Health Tobacco Dependence Clinic, Milan Khara, Chizimuzo T.C. Okoli

Chizimuzo T.C. Okoli

Summary of Key Findings •Smoking abstinence at end of program:

–Intent to treat analysis: 32.2%(83/258) –Among program completers: 41.3%(83/201)

•Significant predictors of abstinence : –Having an alcohol, heroin (or other opioid) or marijuana use history was a significant predictor of being less likely to quit smoking when compared to having no history of substance use disorder. –Having a lower CO level at program enrolment was a significant predictor of being more likely to quit –Attending the TDC program for a longer duration was a significant predictor of being more likely to quit.

Intensive Tobacco Dependence Treatment For Clients With Substance Use Disorder And/Or Mental Illness, Milan Khara, Chizimuzo T.C. Okoli

Chizimuzo T.C. Okoli

BACKGROUND •Drug treatment populations are disproportionately affected by morbidity and mortality due to tobacco use. However, with appropriately intensive intervention, individuals in drug treatment settings can succeed in their efforts towards smoking cessation. •The Tobacco Dependence Clinic (TDC) is a program that provides smoking cessation counseling and up to 26 weeks of free pharmacotherapy for clients through Vancouver Coastal Health Addiction Services , British Columbia, Canada. There are currently three clinic sites: Pacific Spirit, Three Bridges, and Downtown Community Health Centre (DCHC). •The purpose of this study is to provide 2-year pilot evaluation data (in terms of program completion and …

Are There Differences In The Smoking Identities Of Adolescents Boys And Girls?, Chizimuzo T.C. Okoli, Iris Torchalla, Pamela A. Ratner, Joy L. Johnson

Chizimuzo T.C. Okoli

Purpose:

To assess sex-disaggregated differences in youth characterizations of their own smoking behaviour

Background:

•Smoking identities represent psychosocial constructions of how adolescents who smoke perceive themselves in relation to their smoking behaviour (e.g, ex-smoker, social smoker, occasional smoker, e.t.c.)

•These smoking identities converge (or diverge) with established taxonomies used to describe youth smoking behaviour

•Few quantitative studies have examined differences in smoking identity between boys and girls

Is Exposure To Peer And Family Smoking Associated With Youths' Initial Smoking Experiences?, Chizimuzo T.C. Okoli, Chris G. Richardson, Joy L. Johnson

Chizimuzo T.C. Okoli

Background:

- Peers and family member’s smoking is associated with adolescent smoking.

- Sensitivity to the initial smoking experience, determined by positive (for e.g., feeling relaxed, high, and good) and/or negative (for e.g., feeling nervous, sick, coughing) symptoms upon initial smoking experimentation, is also associated with youth smoking.

- However, the effect of peer and family member’s smoking on the initial smoking experiences of adolescents has not been previously studied.

- We present the findings of a cross-sectional analysis assessing the association between exposure to smoking from peers and family members on the symptoms of the initial smoking experience of …

The Tobacco Dependence Clinic (Tdc): Providing Smoking Cessation For A Drug Treatment Population, Milan Khara, Chizimuzo T.C. Okoli, Deanna Barlow, Catherine Hanley

Chizimuzo T.C. Okoli

BACKGROUND: Drug treatment populations are disproportionately affected by tobacco use morbidity and mortality. However, with adequate intervention, individuals in drug treatment settings can succeed in their efforts towards smoking cessation. The Tobacco Dependence Clinic (TDC) is a program that provides smoking cessation counseling and pharmacotherapy for clients through the Addiction Services program of the Vancouver Coastal Health Authority, British Columbia, Canada. OBJECTIVES: To a) describe smoking cessation services and programs provided by the TDC, and b) evaluate 26 week smoking cessation outcomes of drug treatment clients in the TDC. METHODS: Participants of the TDC program receive a structured 8 week …

Smoking Cessation And Drug Treatment: Identifying Gaps, Milan Khara, Chizimuzo T.C. Okoli, Ric M. Procyshyn, Joy Johnson, Alasdair Barr, Lorraine Greaves

Chizimuzo T.C. Okoli

BACKGROUND: An estimated 70% - 90% of individuals in drug treatment con-currently smoke cigarettes. Although individuals in drug treatment settings are motivated and can succeed in smoking cessation, there is still a lack of systematic knowledge regarding the long-term abstinence, methods employed for successful cessation, and the barriers to smoking cessation in this population.

OBJECTIVES: To: a) describe types of smoking cessation interventions (i.e., cognitive-behavioral and/or pharmacotherapy) employed in drug treatment settings, b) determine the effectiveness of such interventions, and c) identify gaps in knowledge regarding smoking cessation interventions among the drug treatment populations

METHODS: A comprehensive review of the …

Are Adolescents Smoking Identities Valid Descriptors Of Their Smoking Behaviour?, Chizimuzo T.C. Okoli, Chris G. Richardson, Pamela A. Ratner, Joy L. Johnson

Chizimuzo T.C. Okoli

Background: Studies have raised concerns regarding mismatches between researchers’ and adolescents’ characterizations of youth smoking behaviour; which may impede tobacco use prevention and cessation programs to reach their intended youth audience. Understanding how youth’s characterize their own smoking behaviour is an important factor for designing tailored interventions.

Objective: To address observations that youths’ smoking identities are valid descriptors of their smoking behaviour we examined the relationships between youths’ self-reported smoking identities, their perceived levels of addiction, and established taxonomies of smoking behaviour.

Methods: Cross-sectional data were collected on demographics, perceived extent of addiction to tobacco, smoking history, and self-reported smoking …

Effects Of Smoke-Free Laws On Indoor Air Pollution, Chizimuzo T.C. Okoli, Ellen J. Hahn, Kiyoung Lee

Chizimuzo T.C. Okoli

Purpose:

To assess the impact of smoke-free laws on indoor air quality by monitoring particulate matter smaller than 2.5μm (PM 2.5) under both smoking and nonsmoking conditions in Kentucky, USA

Background:

• In April 2004, Lexington, Kentucky implemented the first comprehensive smoke-free ordinance in the state

• Tobacco smoke substantially contributes to indoor particle concentration in hospitality venues and can be greatly reduced by smoke-free laws.

Methods:

• Descriptive, prospective study of hospitality venues in Lexington (n = 10) and Louisville (n = 10)

• Pre-law in Lexington: Friday and Saturday, September 2003, 7:30 PM-12:30 AM

• Post-law and in …

Behavioural Effects Of Nicotine Exposure From Secondhand Smoke Among Bar And Restaurant Workers, Chizimuzo T.C. Okoli, Ellen J. Hahn, Mary Kay Rayens

Chizimuzo T.C. Okoli

Introduction

• Besides the adverse physical health effects of secondhand tobacco smoke (SHS) exposure, not much is known about its behavioural outcomes.

• SHS exposure is a source of involuntary nicotine exposure with potential behavioural consequences in smokers and nonsmokers alike.

• Hospitality workers are a population at high risk for health problems related to occupational SHS exposure.

• This study explores self-reported behavioural symptoms commonly associated with nicotine withdrawal among smoking and nonsmoking bar and restaurant workers exposed to SHS.

Methods • This is a cross-sectional analysis of existing data obtained from a larger study examining the effect of …