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Addressing Smoking Cessation among Women in Substance Use Treatment: A Qualitative Approach to Guiding Tailored Interventions

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Department of Psychological, Health & Learning Sciences, The University of Houston, 3657 Cullen Blvd Stephen Power Farish Hall, Houston, TX 77204, USA
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Health Research Institute, The University of Houston, 4849 Calhoun Rd., Houston, TX 77204, USA
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Department of Health & Human Performance, The University of Houston, 3875 Holman Street, Garrison Gymnasium, Room 104, Houston, TX 77204, USA
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Integral Care, Austin, TX 78704, USA
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Long School of Medicine, The University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA
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Author to whom correspondence should be addressed.
Academic Editor: Ashley Sanders-Jackson
Int. J. Environ. Res. Public Health 2021, 18(11), 5764; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18115764
Received: 2 April 2021 / Revised: 17 May 2021 / Accepted: 24 May 2021 / Published: 27 May 2021
(This article belongs to the Special Issue Tobacco Use: How Do We Consider Complexity?)
Intersecting socially marginalized identities and unique biopsychosocial factors place women with substance use disorders (SUDs) experiencing myriad disadvantages at higher risk for smoking and stigmatization. Here, based on our work with women receiving care for SUDs in four participating treatment/women-serving centers (N = 6 individual clinics), we: (1) describe the functions of smoking for women with SUDs; and (2) explore participants’ experiences of a comprehensive tobacco-free workplace (TFW) program, Taking Texas Tobacco-Free (TTTF), that was implemented during their SUD treatment. Ultimately, information gleaned was intended to inform the development of women-tailored tobacco interventions. Data collection occurred pre- and post-TTTF implementation and entailed conducting client (7) and clinician (5) focus groups. Using thematic analysis, we identified four main themes: “the social context of smoking,” “challenges to finding support and better coping methods,” “addressing underlying conditions: building inner and outer supportive environments,” and “sustaining support: TFW program experiences.” Women reported that: smoking served as a “coping mechanism” for stress and facilitated socialization; stigmatization hindered quitting; non-stigmatizing counseling cessation support provided alternative coping strategies; and, with clinicians, the cessation opportunities TTTF presented are valuable. Clinicians reported organizational support, or lack thereof, and tobacco-related misconceptions as the main facilitator/barriers to treating tobacco addiction. Effective tobacco cessation interventions for women with SUDs should be informed by, and tailored to, their gendered experiences, needs, and recommendations. Participants recommended replacing smoking with healthy stress alleviating strategies; the importance of adopting non-judgmental, supportive, cessation interventions; and the support of TFW programs and nicotine replacement therapy to aid in quitting. View Full-Text
Keywords: women-tailored smoking interventions; intersectionality; health disparities; polysubstance use; tobacco-free workplace women-tailored smoking interventions; intersectionality; health disparities; polysubstance use; tobacco-free workplace
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MDPI and ACS Style

Martinez Leal, I.; Taing, M.; Correa-Fernández, V.; Obasi, E.M.; Kyburz, B.; Le, K.; Koshy, L.; Chen, T.A.; Williams, T.; Casey, K.; O’Connor, D.P.; Reitzel, L.R. Addressing Smoking Cessation among Women in Substance Use Treatment: A Qualitative Approach to Guiding Tailored Interventions. Int. J. Environ. Res. Public Health 2021, 18, 5764. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18115764

AMA Style

Martinez Leal I, Taing M, Correa-Fernández V, Obasi EM, Kyburz B, Le K, Koshy L, Chen TA, Williams T, Casey K, O’Connor DP, Reitzel LR. Addressing Smoking Cessation among Women in Substance Use Treatment: A Qualitative Approach to Guiding Tailored Interventions. International Journal of Environmental Research and Public Health. 2021; 18(11):5764. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18115764

Chicago/Turabian Style

Martinez Leal, Isabel, Matthew Taing, Virmarie Correa-Fernández, Ezemenari M. Obasi, Bryce Kyburz, Kathy Le, Litty Koshy, Tzuan A. Chen, Teresa Williams, Kathleen Casey, Daniel P. O’Connor, and Lorraine R. Reitzel 2021. "Addressing Smoking Cessation among Women in Substance Use Treatment: A Qualitative Approach to Guiding Tailored Interventions" International Journal of Environmental Research and Public Health 18, no. 11: 5764. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18115764

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