Correlates of continued smoking versus cessation among survivors of smoking-related cancers.
Correlates of continued smoking versus cessation among survivors of smoking-related cancers.
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DOI：
10.1002/pon.3077
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发表时间：
2013-04
期刊：
影响因子：
3.6
通讯作者：
Khuri, Fadlo R.
中科院分区：
文献类型：
--
作者：
Berg, Carla J.;Thomas, Akilah N.;Mertens, Ann C.;Schauer, Gillian L.;Pinsker, Erika A.;Ahluwalia, Jasjit S.;Khuri, Fadlo R.
我们研究了在癌症诊断时积极吸烟的吸烟相关癌症幸存者样本中继续吸烟与戒烟的相关性。在过去四年内有吸烟史和吸烟相关癌症诊断（肺癌，口腔癌，咽喉癌，食道癌，膀胱癌，胃癌，宫颈癌，肾癌，胰腺癌，急性髓性白血病）的参与者在电子病历中被识别。我们招募了613人完成基于邮件的调查，并收到139份完整的调查（22.7%的回复率）。我们关注了105名在诊断时吸烟的参与者，并将他们分为自诊断以来戒烟（48.6%; n=51）或继续吸烟（51.4%; n=54）。我们评估了社会人口统计学、癌症类型和治疗以及心理社会因素（抑郁症状、社会支持、希望、生活质量）。然后，我们对21名受访者进行了结构化访谈。二元Logistic回归分析显示，在控制年龄、性别、民族、婚姻状况和收入的情况下，与继续吸烟和戒烟相关的因素包括诊断为其他吸烟相关癌症（OR=11.21，CI 2.85，44.02）和有明显的抑郁症状（OR=1.25，CI 1.08，1.45）。定性研究结果强调了戒烟的动机（被诊断患有癌症的影响，医生建议戒烟，社会影响）和戒烟的障碍（绝望，压力，成瘾）。这些发现强调了解决癌症幸存者，特别是那些继续吸烟的人的抑郁症状的必要性，以及探索癌症幸存者关于癌症诊断后需要戒烟的信息的重要性。
We examined correlates of continued smoking versus cessation among a sample of survivors of smoking-related cancers who were actively smoking at the time of cancer diagnosis. Participants with a history of smoking and a smoking-related cancer diagnosis (lung, oral, pharynx, larynx, esophagus, bladder, stomach, cervix, kidney, pancreas, acute myeloid leukemia) within the past four years were identified in the electronic medical record. We recruited 613 individuals to complete a mail-based survey and received 139 completed surveys (22.7% response rate). We focused on 105 participants who smoked at the time of diagnosis and dichotomized them to having either quit since diagnosis (48.6%; n=51) or continued smoking (51.4%; n=54). We assessed sociodemographics, type of cancer and treatment(s), and psychosocial factors (depressive symptoms, social support, hope, quality of life). We then conducted structured interviews with a subset of 21 survey respondents. Binary logistic regression indicated that, controlling for age, gender, ethnicity, marital status, and income, factors associated with continued smoking versus cessation included being diagnosed with other smoking-related cancers versus lung or head and neck cancer (OR=11.21, CI 2.85, 44.02) and having significant depressive symptoms (OR=1.25, CI 1.08, 1.45). Qualitative findings highlighted motivators for cessation (impact of being diagnosed with cancer, doctor advice to quit, social influences) and barriers to cessation (hopelessness, stress, addiction). These findings highlight the need to address depressive symptoms among cancer survivors, particularly those continuing to smoke, and the importance of exploring messages cancer survivors are given regarding the need for cessation post cancer diagnosis.
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影响因子：
2.3
作者：
Do, KA;Johnson, MM;Spitz, MR
通讯作者：
Spitz, MR
影响因子：
2.3
作者：
Ginsberg, Dorothy;Hall, Sharon M.;Munoz, Ricardo F.
通讯作者：
Munoz, Ricardo F.
影响因子：
5.3
作者：
Cooley, Mary E.;Sarna, Linda;Kotlerman, Jenny;Lukanich, Jeanne M.;Jaklitsch, Michael;Green, Sarah B.;Bueno, Raphael
通讯作者：
Bueno, Raphael
影响因子：
6.7
作者：
GLASSMAN, AH;COVEY, LS;COOPER, TB
通讯作者：
COOPER, TB
DOI：
10.1093/jnci/86.2.131
发表时间：
1994-01-19
期刊：
JOURNAL OF THE NATIONAL CANCER INSTITUTE
影响因子：
--
作者：
DAY, GL;BLOT, WJ;FRAUMENI, JF
通讯作者：
FRAUMENI, JF