Assessment of Trends in Cigarette Smoking Cessation After Cancer Diagnosis Among US Adults, 2000 to 2017

Abstract

This serial cross-sectional study of the National Health Interview Survey evaluates temporal trends in and sociodemographic and behavioral factors associated with cigarette smoking cessation among adult cancer survivors in the US.

Smoking among breast cancer survivors

“…Smokers are also known to have lower rates of mammographic screening, leading to higher stage at diagnosis and worse outcomes overall 5 . Persistent smoking after being treated for breast cancer is a clinical concern 5,6 . Numerous studies in the literature have highlighted increased mortality among breast cancer survivors who continue to smoke, as high as 25% according to one prospective trial, and about 28% as per one large meta‐analysis 6 .…”

“…Persistent smoking after being treated for breast cancer is a clinical concern 5,6 . Numerous studies in the literature have highlighted increased mortality among breast cancer survivors who continue to smoke, as high as 25% according to one prospective trial, and about 28% as per one large meta‐analysis 6 . When the study results are adjusted for other risk factors and non‐smoking‐related lifestyle factors such as obesity, persistent smoking among the breast cancer survivors increases the mortality by 30% 6 .…”

“…Numerous studies in the literature have highlighted increased mortality among breast cancer survivors who continue to smoke, as high as 25% according to one prospective trial, and about 28% as per one large meta‐analysis 6 . When the study results are adjusted for other risk factors and non‐smoking‐related lifestyle factors such as obesity, persistent smoking among the breast cancer survivors increases the mortality by 30% 6 . Continuing to smoke not only increases the chances of recurrence and reduce mortality, but also increases the risk of second primary malignancies 6,7 .…”

“…When the study results are adjusted for other risk factors and non‐smoking‐related lifestyle factors such as obesity, persistent smoking among the breast cancer survivors increases the mortality by 30% 6 . Continuing to smoke not only increases the chances of recurrence and reduce mortality, but also increases the risk of second primary malignancies 6,7 . Treatment efficacy of radiation therapy decreases and the number of side effects from the treatment increases if the patient continues to smoke 7 …”

Introduction to the Cancer Center Cessation Initiative Working Groups: Improving Oncology Care and Outcomes by Including Tobacco Treatment

“…1,2 Among the estimated 1.9 million people who will be diagnosed with cancer in the United States in 2021, 3 many will receive their oncology care at one of the 64 clinical NCI-designated Cancer Centers 4 ; approximately 24% will be cigarette smokers at the time of diagnosis. 5 Although compelling data have shown that quitting smoking after a cancer diagnosis leads to better health and quality of life outcomes, a 2009 survey reported that only 38% of NCI Cancer Centers recorded smoking as a vital sign, and fewer than half had dedicated personnel to provide smoking cessation treatment. 6 Only about half of patients with cancer who smoke and just 15% of those who have completed treatment are counseled to quit.…”