Harm reduction and cessation efforts and interest in cessation resources among survivors of smoking-related cancers.

Harm reduction and cessation efforts and interest in cessation resources among survivors of smoking-related cancers.
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DOI:
10.1007/s11764-012-0243-9
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发表时间:
2013-03
期刊:
Journal of cancer survivorship : research and practice
影响因子:
--
通讯作者:
Ostroff JS
Ostroff JS
中科院分区:
其他
文献类型:
--
作者:
Berg CJ;Carpenter MJ;Jardin B;Ostroff JS

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尽管长期吸烟存在明确的风险,但许多在癌症诊断时是活跃吸烟者的癌症幸存者仍继续吸烟。为了指导癌症幸存者戒烟干预措施的发展,需要更好地了解诊断后戒烟的努力。因此,我们研究了在诊断时自我认定为当前吸烟者的癌症幸存者的戒烟和减少努力以及对戒烟资源的兴趣。我们对调查参与者(n=54)进行了分析,他们在癌症诊断时是当前吸烟者,在评估时是持续吸烟者。我们还对癌症诊断后继续吸烟或戒烟的一部分人进行了半结构化访谈(n=21)。在我们的调查参与者中,22.2%的人曾经使用过行为停止资源,66.7%的人使用过药物治疗,而62.8%的人对未来使用行为停止资源感兴趣,75.0%的人对药物治疗感兴趣。大多数人报告了一些戒烟努力,包括尝试戒烟,使用戒烟药物,减少每日吸烟量。半结构化访谈数据揭示了用于帮助减少吸烟和戒烟的各种策略以及戒烟资源偏好的变化。诊断后吸烟的癌症患者经常参与减少吸烟和戒烟相关行为,这可能反映了他们减少吸烟相关风险的动机。他们还报告了对戒烟资源的高度兴趣。因此,重要的是要探讨不同的戒烟干预组件之间的这一组的可接受性和有效性。
Despite the well-established risks associated with persistent smoking, many cancer survivors who were active smokers at the time of cancer diagnosis continue to smoke. In order to guide the development of tobacco cessation interventions for cancer survivors, a better understanding is needed regarding post-diagnosis quitting efforts. Thus, we examined quitting and reduction efforts and interest in cessation resources among cancer survivors who self-identified as current smokers at the time of diagnosis. We conducted analyses of survey participants (n=54) who were current smokers at the time of cancer diagnosis and were continued smokers at the time of assessment. We also conducted semi-structured interviews (n=21) among a subset of those who either continued to smoke or quit smoking post cancer diagnosis. Among our survey participants, 22.2% had ever used behavioral cessation resources and 66.7% had use pharmacotherapy, while 62.8% had interest in future use of behavioral cessation resources and 75.0% had interest in pharmacotherapy. The majority reported some quitting efforts including making quit attempts, using cessation medications, and reducing their daily cigarette consumption. Semi-structured interview data revealed various strategies used to aid in smoking reduction and cessation as well as variability in preferences for cessation resources. Cancer patients who smoke following diagnosis often engage in smoking reduction and cessation-related behaviors, which may reflect their motivation to reduce their smoking-related risks. They also report high interest in cessation resources. Thus, it is important to explore the acceptability and effectiveness of different cessation intervention components among this group.
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