The effectiveness of smoking cessation interventions for socio-economically disadvantaged women: a systematic review and meta-analysis
Citation:
O'Connell, N., Burke, E., Dobbie, F., Dougall, N., Mockler, D., Vance, J., Darker, C., Bernstein, S., Harper Brooks, A., Gilbert, H., Bauld, L., Hayes, CB., The effectiveness of smoking cessation interventions for socio-economically disadvantaged women: a systematic review and meta-analysis, Systematic Reviews., 11, 1, 2022, 111-Download Item:
Abstract:
Introduction: This systematic review and meta-analysis assessed the effectiveness of smoking cessation interven-
tions among women smokers in low socio-economic status (SES) groups or women living in disadvantaged areas
who are historically underserved by smoking cessation services.
Methods: A systematic literature search was conducted using MEDLINE (OVID), EMBASE, Cochrane, CINAHL,
PsychINFO and Web of Science databases. Eligibility criteria included randomised controlled trials of any smoking ces-
sation intervention among women in low SES groups or living in socio-economically disadvantaged areas. A random
effects meta-analysis assessed effectiveness of interventions on smoking cessation. Risk of bias was assessed with the
Cochrane Risk of Bias tool. The GRADE approach established certainty of evidence.
Results: A total of 396 studies were screened for eligibility and 11 (6153 female participants) were included. Seven
studies targeted women-only. 5/11 tested a form of face-to-face support. A pooled effect size was estimated in
10/11 studies. At end of treatment, two-thirds more low SES women who received a smoking cessation intervention
were more likely to stop smoking than women in control groups (risk ratio (RR) 1.68, 95% CI 1.36–2.08, I2= 34%). The
effect was reduced but remained significant when longest available follow-up periods were pooled (RR 1.23, 95% CI
1.04–1.48, I 2 = 0%). There was moderate-to-high risk of bias in most studies. Certainty of evidence was low.
Conclusions: Behavioural and behavioural + pharmacotherapy interventions for smoking cessation targeting
women in low SES groups or women living in areas of disadvantage were effective in the short term. However, longer
follow-up periods indicated reduced effectiveness. Future studies to explore ways to prevent smoking relapse in this
population are needed.
Sponsor
Grant Number
Health Research Board (HRB)
HRB-DIFA-048
Author's Homepage:
http://people.tcd.ie/hayesc9Description:
PUBLISHED
Author: Hayes, Catherine
Sponsor:
Health Research Board (HRB)Type of material:
Journal ArticleSeries/Report no:
Systematic Reviews.;11;
1;
Availability:
Full text availableSubject:
Health disparities, Tobacco control, Behavioural, Cessation, Meta-analysis, GenderSubject (TCD):
Cancer , Inclusive SocietyDOI:
https://doi.org/10.1186/s13643-022-01922-7Metadata
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