Tobacco use in women with lung cancer
Tobacco use in women with lung cancer
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DOI：
10.1007/bf02879906
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发表时间：
2007-01-01
影响因子：
3.8
通讯作者：
Elashoff, David
中科院分区：
文献类型：
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作者：
Cooley, Mary E.;Sarna, Linda;Elashoff, David
背景癌症诊断后戒烟与改善临床结果相关。目的：本研究的目的是确定吸烟率，描述吸烟模式，确定戒烟准备和戒烟策略，确定与肺癌妇女继续吸烟相关的因素，并确定家庭成员的吸烟率。方法：采用问卷调查和查阅病历的方法收集资料。通过自我报告和尿可替宁生化验证确定吸烟。结果：87%的女性报告曾经吸烟，37%的女性报告在诊断时吸烟。10%的女性在进入研究时吸烟，13%在3个月时吸烟，11%在6个月时吸烟。55%的吸烟者计划在未来一个月内戒烟。三分之一的吸烟者在诊断时接受了戒烟援助，药物治疗是最常见的策略。与持续吸烟相关的重要因素包括年轻、抑郁和家庭成员吸烟。家庭成员中继续吸烟的占21%。12%的家庭成员改变了他们的吸烟行为; 77%的人戒烟，但12%的人开始吸烟。结论：癌症的诊断是行为改变的强烈动力，一些患者需要额外的支持来戒烟。家庭成员也应成为戒烟干预的目标。
Background. Smoking cessation after a cancer diagnosis is associated with improved clinical outcomes. Purpose: The aims of this study are to determine smoking prevalence, describe patterns of smoking, identify readiness to quit and cessation strategies, identify factors associated with continued smoking among women with lung cancer, and determine smoking prevalence among household members. Methods: Data were collected through questionnaires and medical record review from 230 women. Smoking was determined through self-report and biochemical verification with urinary cotinine. Results: Eighty-seven percent of women reported ever-smoking, and 37% reported smoking at the time of diagnosis. Ten percent of women were smoking at entry to the study, 13% were smoking at 3 months, and 11% at 6 months. Fifty-five percent of smokers planned a quit attempt within the next month. One third of smokers received cessation assistance at diagnosis, and pharmacotherapy was the most common strategy. Significant factors associated with continued smoking included younger age, depression, and household member smoking. Continued smoking among household members was 21%. Twelve percent of household members changed their smoking behavior; 77% quit smoking, but 12% started smoking. Conclusions: The diagnosis of cancer is a strong motivator for behavioral change, and some patients need additional support to quit smoking. Family members should also be targeted for cessation interventions.