Evidence map›Paper›PMID 29165663›Full record

ReviewNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2019

Oral Contraceptives and Cigarette Smoking: A Review of the Literature and Future Directions.

Alicia M Allen, Andrea H Weinberger, Reagan R Wetherill, Carol L Howe, Sherry A McKee

Open access · bronzeAbstract readReview
In one paragraph

Review in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 42 citations in OpenAlex.

  1. Trial
  2. Review
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  4. Smoking Cessation in Black Adults: Differences by Sex and Age.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Alicia M AllenFamily & Community Medicine Department, College of Medicine, University of Arizona, Tucson, AZ, USA.
Andrea H WeinbergerFerkauf Graduate School of Psychology, Yeshiva University, New York, NY, USA.
Reagan R WetherillDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
Carol L HoweUniversity of Arizona Health Sciences Library, University of Arizona, Tucson, AZ.
Sherry A McKeeDepartment of Psychiatry, Yale School of Medicine, New Haven, CT.
University of Arizona · USAlbert Einstein College of Medicine · USUniversity of Pennsylvania · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Influence of the natural hormonal milieu on perfusion fMRI smoking cue responsesR01DA040670 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI WETHERILL, REAGAN R · 2016 to 2020
$2.4M
Effectiveness of Bavisant:Characterizing Individual DifferencesK23AA023894 · NIAAA · UNIVERSITY OF PENNSYLVANIA · PI WETHERILL, REAGAN R · 2015 to 2019
$856k
NCATS NIH HHS UL1 TR001863NIAAA NIH HHS K23 AA023894NIDA NIH HHS R01 DA040670
6 · The paper itself

Abstract

introductionEvidence continues to mount indicating that endogenous sex hormones (eg, progesterone and estradiol) play a significant role in smoking-related outcomes. Although approximately one out of four premenopausal smokers use oral contraceptives (OCs), which significantly alter progesterone and estradiol levels, relatively little is known about how OCs may influence smoking-related outcomes. Thus, the goal of this review article is to describe the state of the literature and offer recommendations for future directions.

methodsIn March 2017, we searched seven databases, with a restriction to articles written in English, using the following keywords: nicotine, smoker(s), smoking, tobacco, cigarettes, abstinence, withdrawal, and craving(s). We did not restrict on the publication date, type, or study design.

resultsA total of 13 studies were identified. Three studies indicated faster nicotine metabolism in OC users compared to nonusers. Five of six laboratory studies that examined physiological stress response noted heightened response in OC users compared to nonusers. Three studies examined cessation-related symptomatology (eg, craving) with mixed results. One cross-sectional study observed greater odds of current smoking among OC users, and no studies have explored the relationship between OC use and cessation outcomes.

conclusionsRelatively few studies were identified on the role of OCs in smoking-related outcomes. Future work could explore the relationship between OC use and mood, stress, weight gain, and brain function/connectivity, as well as cessation outcomes. Understanding the role of OC use in these areas may lead to the development of novel smoking cessation interventions for premenopausal women. IMPLICATIONS: This is the first review of the relationship between oral contraceptives (OCs) and smoking-related outcomes. The existing literature suggests that the use of OCs is related to increased nicotine metabolism and physiological stress response. However, the relationship between OC use and smoking-related symptoms (eg, craving) is mixed. Further, no published data were available on OC use and smoking cessation outcomes. Therefore, we recommend additional research be conducted to characterize the relationship between OC use and smoking cessation outcomes, perhaps as a function of the effect of OC use on mood, stress, weight gain, and brain function/connectivity.

Indexed as

AffectBrainCigarette SmokingContraceptives, OralCross-Sectional StudiesFemaleForecastingHumansSmoking CessationContraceptives, Oral

Identifiers

PMID29165663
PMCPMC6468133
OpenAlexW2769794810

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.