National assessment of recommendations from healthcare providers for smoking cessation among adults with cancer.

National assessment of recommendations from healthcare providers for smoking cessation among adults with cancer.
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全国对癌症成年人戒烟的医疗保健提供者建议的建议。

DOI:
10.1016/j.canep.2021.102088
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发表时间:
2022-06
影响因子:
2.6
通讯作者:
El Shahawy, Omar
El Shahawy, Omar
中科院分区:
医学3区
文献类型:
--
作者:
Matulewicz, Richard S.;Feuer, Zachary;Birken, Sarah A.;V. Makarov, Danil;Sherman, Scott E.;Bjurlin, Marc A.;El Shahawy, Omar

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癌症幸存者受益于循证戒烟治疗。这个过程中至关重要的第一步是临床医生建议患者戒烟。然而,当代癌症患者戒烟建议的提供并不为人所知。在一项针对美国成年人的前瞻性人群代表性研究中纳入的所有成年吸烟者的横断面分析中,我们根据报告的癌症病史(无癌症、烟草相关癌症、非烟草相关癌症病史)分析了患者报告接受医疗保健专业人员戒烟建议的频率。在估计的2830万吸烟者中,9.3%的人报告有癌症史,其中48.8%是与烟草有关的癌症。一般来说,建议戒烟的癌症幸存者(67.8%)比没有任何癌症的成年人(56.0%)更多。调整社会人口因素后,与有烟草相关癌症史的患者相比,患有非烟草相关癌症(0.51,95%CI 0.32-0.83)和无任何癌症史(0.43,95%CI 0.30-0.63)的吸烟者报告被建议戒烟的可能性均较低。
Cancer survivors benefit from evidence-based smoking cessation treatment. A crucial first step in this process is a clinician recommending that the patient quit smoking. However, contemporary delivery of advice to quit among patients with cancer is not well known. In a cross-sectional analysis of all adult smokers included in a prospective population-representative study of US adults, we analyzed the frequency that patients reported receiving advice to quit smoking from a healthcare professional according to reported cancer history (no cancer, tobacco-related cancer, non-tobacco related cancer history). Among an estimated 28.3 million smokers, 9.3% reported a history of cancer, 48.8% of which were tobacco-related cancers. In general, advice to quit was reported by more (67.8%) cancer survivors than those adults without any cancer (56.0%). After adjustment for sociodemographic factors, smokers with a non tobacco-related cancer (0.51, 95% CI 0.32-0.83) and those without any cancer history (0.43, 95% CI 0.30-0.63) were both less likely to report being advised to quit smoking than patients with a tobacco-related cancer history.
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