Patterns of self-selected smoking cessation attempts and relapse by menstrual phase

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31 Scopus citations


Clinical studies are emerging which suggest that sex hormones may play a role in quit attempts and relapse. The present study aim is to determine if menstrual phase plays a role on a second self-selected quit attempt and subsequent relapse during a twenty-six week follow-up. Participants (n = 138) were 29.7 ± 6.5 years old and smoked 16.1 ± 4.8 cigarettes per day. Participants were more likely to self-select a second quit date during the Follicular (F) phase (59.4%) than Luteal (L) phase (40.6%, p = 0.033) and were also more likely to relapse during the F phase than the L phase (59.7% vs. 40.3%, p = 0.043, respectively). Those who self-selected to quit in the L phase experienced a significantly longer time to relapse than those who chose the F phase (median of 3 days vs. 2 days, respectively; Hazard Ratio = 1.599, p-value = 0.014). This confirms previous work suggesting quit dates in the F phase are associated with worse smoking cessation outcomes. Additional research is needed to investigate how this relationship may vary with the use of pharmacotherapy.

Original languageEnglish (US)
Pages (from-to)928-931
Number of pages4
JournalAddictive Behaviors
Issue number11
StatePublished - Nov 2009

Bibliographical note

Funding Information:
This study was funded by NIDA grant 2-R01-DA08075. We thank our research staff – Tracy Bade, Nicole Cordes and Roshan Paudal – for their help with study management, subject recruitment, data measurement and data entry.


  • Females
  • Menstrual cycle
  • Quit date
  • Relapse
  • Smoking cessation


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