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Smoking and Smoking Cessation in Women
J Korean Soc Res Nicotine Tob 2022; 13(2): 35-42
Published online June 30, 2022
© 2022 The Korean Society for Research on Nicotine and Tobacco.

Sang Keun Hahm1, Hyeon Suk Kim2*, Eon Sook Lee3

1Department of Family Medicine, Hanil General Hospital, Seoul, 2College of Nursing, Shinhan University, Uijeongbu, 3Department of Family Medicine, Ilsan-Paik Hospital, College of Medicine, Inje University, Goyang, Korea
Correspondence to: 김현숙
신한대학교 간호대학
E-mail: september7777@hanmail.net
ORCID: https://orcid.org/0000-0001-5412-0188
Received June 7, 2022; Revised June 29, 2022; Accepted June 29, 2022.
This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, dis-tribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
The age-standardized prevalence of daily tobacco smoking decreased in several decades in both genders, but with a steeper decline in women. Worldwide reports showed that women tend to use cigarettes at lower rates than men. However, the reports also showed an increased prevalence of tobacco use in young women, especially in Asian countries, which was because of women-targeted advertising by the tobacco industry. Women are at a higher risk of smoking-associated diseases such as lung cancer or chronic obstructive lung disease, apart from the health effect of second-hand smoking. Recent reports have shown that the incidence and mortality of lung cancer in women has been steadily increasing for several decades. Ample research suggests that there is a gender difference in the nicotine reward pathways, physiology, and psychological effect of smoking. Women are known to experience a stronger craving than men. There is a gender difference in a reason to smoke such as reinforcing effects of nicotine for men and negative mood for women. These differences contribute to the overall lower cessation rate for women. Nicotine replacement therapy additionally is less effective for smoking cessation in women than men. However, varenicline has greater short-term efficacy in women. This study shows the gender difference in smoking and cessation, which suggested that health professionals, governments, and policy-makers should take action on creating a smoking cessation policy for women.
Keywords : Woman; Smoking; Smoking cessation; Nicotine depence
References
  1. Ni J. Tobacco use falling: WHO urges countries to invest in helping more people to quit tobacco. [Internet]. WHO; 2021 [updated 2021 Nov 16; cited 2022.03.20].
    Available from: https://www.who.int/news/item/16-11-2021-tobacco-use-fallingwho-urges-countries-to-invest-in-help ing-more-people-to-quit-tobacco
  2. WHO. Tobacco [internet]. WHO; 2021 [updated 26 July 2021; cited 2022. 03.11].
    Available from: https://www.who.int/news-room/factsheets/detail/tobacco
  3. Jung KJ, Yun YD, Baek SJ, Jee SH, Kim IS. Smoking-attri-butable mortality among Korean adults, 2012. J Health Info Stat 2013; 38: 36-48.
  4. Centers for Disease Control and Prevention (US), National Center for Chronic Disease Prevention and Health Promotion (US), Office on Smoking and Health (US). The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. Atlanta (GA): Centers for Disease Control and Prevention (US); 2014.
  5. Korean Statistical Information Service. Current Smoking rate [Internet]. Korea Disease Control and Prevention Agency; 2022 [updated 2022 Apr 12; cited 2022 Apr 20].
    Available from: https://kosis.kr/statHtml/statHtml.do?orgId=177&tblId=DT_11702_N001&checkFlag=N
  6. Ernster V, Kaufman N, Nichter M, Samet J, Yoon SY. Women and tobacco: moving from policy to action. Bull World Health Organ 2000; 78(7): 891-901.
  7. Anderson SJ, Glantz SA, Ling PM. Emotions for sale: cigarette advertising and women's psychosocial needs. Tob Control. 2005; 14(2): 127-35.
    CrossRef
  8. Centers for Disease Control and Prevention (US), National Center for Chronic Disease Prevention and Health Promotion (US), Office on Smoking and Health (US). Smoking Cessation: A Report of the Surgeon General. Washington (DC): US Department of Health and Human Services; 2020.
  9. Maher EE, Overby PF, Bull AH, Beckmann JS, Leyrer-Jackson JM, Koebele SV, et al. Natural and synthetic estrogens specifically alter nicotine demand and cue-induced nicotine seeking in female rats. Neuropharmacology. 2021; 198: 108756.
    CrossRef
  10. Perez Diaz M, Pochon JB, Ghahremani DG, Dean AC, Faulkner P, Petersen N, et al. Sex Differences in the Association of Cigarette Craving With Insula Structure. Int J Neuropsychopharmacol. 2021; 24(8): 624-33.
    CrossRef
  11. Cosgrove KP, Wang S, Kim SJ, McGovern E, Nabulsi N, Gao H, et al. Sex differences in the brain's dopamine signature of cigarette smoking. J Neurosci. 2014; 34(50): 16851-5.
    CrossRef
  12. Wray JM, Gray KM, McClure EA, Carpenter MJ, Tiffany ST, Saladin ME. Gender differences in responses to cues presented in the natural environment of cigarette smokers. Nicotine Tob Res. 2015; 17(4): 438-42.
    CrossRef
  13. Rodríguez-Cano R, Paulus DJ, López-Durán A, Martínez-Vispo C, Fernández Del Río E, Becoña E, et al. The interplay of history of depression and craving in terms of smoking relapse among treatment seeking smokers. J Addict Dis. 2017; 36(3): 175-82.
    CrossRef
  14. Messer S, Siegel A, Bertin L, Erblich J. Sex differences in affect-triggered lapses during smoking cessation: A daily diary study. Addict Behav. 2018; 87: 82-5.
    CrossRef
  15. Perkins KA, Scott J. Sex differences in long-term smoking cessation rates due to nicotine patch. Nicotine Tob Res. 2008; 10(7): 1245-50.
    CrossRef
  16. Lee EH, Shin SR. Female Smoking Experience Illuminated from a Gender-Perspective. Journal of Qualitative Research. 2020; 21(1): 75-84.
  17. Curry LE, Richardson A, Xiao H, Niaura RS. Nondisclosure of smoking status to health care providers among current and former smokers in the United States. Health Educ Behav. 2013; 40(3): 266-73.
    CrossRef
  18. Triandafilidis Z, Ussher JM, Perz J, Huppatz K. An Intersectional Analysis of Women's Experiences of Smoking-Related Stigma. Qual Health Res. 2017; 27(10): 1445-60.
    CrossRef
  19. Park MB, Kim CB, Nam EW, Hong KS. Does South Korea have hidden female smokers: discrepancies in smoking rates between self-reports and urinary cotinine level. BMC Womens Health. 2014; 14: 156.
    CrossRef
  20. Jhun HJ, Seo HG, Lee DH, Sung MW, Kang YD, Syn HC, et al. Self-reported smoking and urinary cotinine levels among pregnant women in Korea and factors associated with smoking during pregnancy. J Korean Med Sci. 2010; 25(5): 752-7.
    CrossRef
  21. Sansone N, Yong HH, Li L, Jiang Y, Fong GT. Perceived acceptability of female smoking in China. Tob Control. 2015; 24 Suppl 4(0 4): iv48-54.
  22. Jamal A, Phillips E, Gentzke AS, Homa DM, Babb SD, King BA, et al. Current Cigarette Smoking Among Adults - United States, 2016. MMWR Morb Mortal Wkly Rep. 2018; 67(2): 53-9.
    CrossRef
  23. Ng M, Freeman MK, Fleming TD, Robinson M, Dwyer-Lindgren L, Thomson B, et al. Smoking prevalence and cigarette consumption in 187 countries, 1980-2012. JAMA. 2014; 311(2): 183-92.
    CrossRef
  24. Kaufman AR, Augustson EM. Predictors of regular cigarette smoking among adolescent females: does body image matter? Nicotine Tob Res. 2008; 10(8): 1301-9.
    CrossRef
  25. Kim YH KK, Kang MO, Kim NH. A Phenomenological Study on Smoking Experience in Female Adolescents. J Korean Acad Child Health Nurs. 2010; 16(1): 10-9.
    CrossRef
  26. Seung Ju Hwang SWO, Soon Nam Kim, Hwan Sik Hwang, Be Long Cho, Bong Yul Huh. Smoking patterns and factors associated with smoking in Korean adult women. J Korean Acad Fam Med. 2000; 21(3): 344.
  27. Tong EK, Nguyen T, Vittinghoff E, Pérez-Stable EJ. Light and intermittent smoking among California's Asian Americans. Nicotine Tob Res. 2009; 11(2): 197-202.
    CrossRef
  28. Reyes-Guzman CM, Pfeiffer RM, Lubin J, Freedman ND, Cleary SD, Levine PH, et al. Determinants of Light and Intermittent Smoking in the United States: Results from Three Pooled National Health Surveys. Cancer Epidemiol Biomarkers Prev. 2017; 26(2): 228-39.
    CrossRef
  29. Shiffman S, Paton SM. Individual differences in smoking: gender and nicotine addiction. Nicotine Tob Res. 1999; 1 Suppl 2: S153-7;discussion S65-6.
    CrossRef
  30. Azagba S, Shan L. Heated Tobacco Products: Awareness and Ever Use Among U.S. Adults. Am J Prev Med. 2021; 60(5): 684-91.
    CrossRef
  31. Li L, Borland R, Cummings KM, Gravely S, Quah ACK, Fong GT, et al. Patterns of Non-Cigarette Tobacco and Nicotine Use Among Current Cigarette Smokers and Recent Quitters: Findings From the 2020 ITC Four Country Smoking and Vaping Survey. Nicotine Tob Res. 2021; 23(9): 1611-6.
    CrossRef
  32. Zhu SH, Gamst A, Lee M, Cummins S, Yin L, Zoref L. The use and perception of electronic cigarettes and snus among the U.S. population. PLoS One. 2013; 8(10): e79332.
    CrossRef
  33. Cho HJ, Khang YH, Jung-Choi K. Smoking Prevalence among Korean Female Cosmetics Sales Workers. J Korean Soc Res Nicotine Tob. 2014; 5(1): 19-25.
    CrossRef
  34. Ha Y, Park KS, Choi H, Yang S. Self-efficacy and Preparation of Smoking Cessation in Service and Sales Woman Smokers Working in Department Stores Korean. J Occup Health Nurs. 2016; 25: 168-76.
    CrossRef
  35. Ragavan MV, Patel MI. Understanding sex disparities in lung cancer incidence: are women more at risk? Lung Cancer Manag. 2020; 9(3): Lmt34.
    CrossRef
  36. Foreman MG, Zhang L, Murphy J, Hansel NN, Make B, Hokanson JE, et al. Early-onset chronic obstructive pulmonary disease is associated with female sex, maternal factors, and African American race in the COPDGene Study. Am J Respir Crit Care Med. 2011; 184(4): 414-20.
    CrossRef
  37. Thomson NC, Chaudhuri R, Livingston E. Asthma and cigarette smoking. Eur Respir J. 2004; 24(5): 822-33.
    CrossRef
  38. Vasiljevic Z, Scarpone M, Bergami M, Yoon J, van der Schaar M, Krljanac G, et al. Smoking and sex differences in first manifestation of cardiovascular disease. Atherosclerosis. 2021; 330: 43-51.
    CrossRef
  39. Kenfield SA, Wei EK, Rosner BA, Glynn RJ, Stampfer MJ, Colditz GA. Burden of smoking on cause-specific mortality: application to the Nurses’ Health Study. Tob Control. 2010; 19(3): 248-54.
    CrossRef
  40. Samet JM, Yoon SY & World Health Organization Gender, women, and the tobacco epidemic. [Internet]. WHO; 2010 [cited 2022 Apr 01].
    Available from: https://apps.who.int/iris/handle/10665/44342
  41. Miller WR, Rollnick S. Talking oneself into change: Motivational interviewing, stages of change, and therapeutic process. Journal of Cognitive Psychotherapy. 2004; 18(4): 299-308.
    CrossRef
  42. Im MK, Shin DW, Kim HS. Smoking cessation services to which physicians can refer patients. JKMA. 2018; 61(3): 163-72.
    CrossRef
  43. Ortner R SSD, Kraigher D., Mendelsohn A., Fischer G.. Women addicted to nicotine. Archives of Women’s Mental Health. 2002; 4: 103-9
    CrossRef
  44. Kim DH, Choe YH, Ham OK, Im B, Kim NK. Effects of Smoking Cessation Intervention among Female Smokers: Systematic Review. Journal of Korean Public Health Nursing. 2020; 34(2): 263-76.
  45. Torchalla I, Okoli CT, Bottorff JL, Qu A, Poole N, Greaves L. Smoking cessation programs targeted to women: a systematic review. Women Health. 2012; 52(1): 32-54.
    CrossRef
  46. Kim JS, Kang SJ, Kim DJ, Choi IY, Choi BS. Success factors of new enrollees at smoking cessation clinics in the nationwide public health centers in Korea based on gender differences. Korean Public Health Research. 2018; 44(1): 17-30.
  47. Magee W, Clarke P. The effect of smoking on depressive symptoms. Addict Behav. 2021; 112: 106641.
    CrossRef
  48. Bock BC, Dunsiger SI, Rosen RK, Thind H, Jennings E, Fava JL, et al. Yoga as a Complementary Therapy for Smoking Cessation: Results From BreathEasy, a Randomized Clinical Trial. Nicotine Tob Res. 2019; 21(11): 1517-23.
    CrossRef
  49. Ussher MH, Faulkner GEJ, Angus K, Hartmann-Boyce J, Taylor AH. Exercise interventions for smoking cessation. Cochrane Database Syst Rev. 2019 Oct 30;2019(10):CD002295.
    CrossRef
  50. Oncken C, Allen S, Litt M, Kenny A, Lando H, Allen A, et al. Exercise for Smoking Cessation in Postmenopausal Women: A Randomized, Controlled Trial. Nicotine Tob Res. 2020; 22(9): 1587-95.
    CrossRef
  51. Scharf D, Shiffman S. Are there gender differences in smoking cessation, with and without bupropion? Pooled- and meta-analyses of clinical trials of Bupropion SR. Addiction. 2004; 99(11): 1462-9.
    CrossRef
  52. Smith PH, Weinberger AH, Zhang J, Emme E, Mazure CM, McKee SA. Sex Differences in Smoking Cessation Pharmacotherapy Comparative Efficacy: A Network Meta-analysis. Nicotine Tob Res. 2017; 19(3): 273-81.
    CrossRef
  53. Hsueh KC, Hsueh SC, Chou MY, Pan LF, Tu MS, McRobbie H, et al. Smoking Cessation Treatment Outcomes in Men and Women in Taiwan: Implications for Interpreting Gender Differences in Smoking Cessation. The Open Addiction Journal. 2013; 6: 1-5.
    CrossRef
  54. Walker NJ, Van Woerden HC, Kiparoglou V, Yang Y. Identifying seasonal and temporal trends in the pressures experienced by hospitals related to unscheduled care. BMC Health Serv Res. 2016; 16: 307.
    CrossRef
  55. McKee SA, Smith PH, Kaufman M, Mazure CM, Weinberger AH. Sex Differences in Varenicline Efficacy for Smoking Cessation: A Meta-Analysis. Nicotine Tob Res. 2016; 18(5): 1002-11.
    CrossRef
  56. Reid RD, Pipe AL, Riley DL, Sorensen M. Sex differences in attitudes and experiences concerning smoking and cessation: results from an international survey. Patient Educ Couns. 2009; 76(1): 99-105.
    CrossRef
  57. Farmer MM, Rose DE, Riopelle D, Lanto AB, Yano EM. Gender differences in smoking and smoking cessation treatment: an examination of the organizational features related to care. Womens Health Issues. 2011; 21(4 Suppl): S182-9.
    CrossRef
  58. Vogel RI, Hertsgaard LA, Dermody SS, Luo X, Moua L, Allen S, et al. Sex differences in response to reduced nicotine content cigarettes. Addict Behav. 2014; 39(7): 1197-204.
    CrossRef