Continued smoking in African American cancer survivors: The Detroit Research on Cancer Survivors Cohort

Malburg, Carly M; Fucinari, Juliana; Ruterbusch, Julie J.; Ledgerwood, David M.; Beebe‐Dimmer, Jennifer L.; Schwartz, Ann G.; Coté, Michele L.

doi:10.1002/cam4.3368

Cited by 7 publications

(3 citation statements)

References 29 publications

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“…4,29 Previous work in our ROCS cohort suggests that 57% of AA cancer survivors who reported cigarette smoking at diagnosis continued to smoke after diagnosis. 30 In the United States, ecigarette use has become increasingly popular as a nicotine source and had been proposed as a potential mechanism to assist with tobacco cessation. The increase in e-cigarette use has been seen among cancer survivors as well as the general population.…”

Section: Resultsmentioning

confidence: 84%

“…Cigarette smoking is the primary cause of preventable disease and death in the United States and throughout the world, contributing to chronic diseases, such as cardiovascular disease, cerebrovascular disease, diabetes, chronic obstructive pulmonary disease, and cancers 4,29 . Previous work in our ROCS cohort suggests that 57% of AA cancer survivors who reported cigarette smoking at diagnosis continued to smoke after diagnosis 30 . In the United States, e‐cigarette use has become increasingly popular as a nicotine source and had been proposed as a potential mechanism to assist with tobacco cessation.…”

Section: Discussionmentioning

confidence: 90%

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Use of electronic cigarettes among African American cancer survivors

Wharram,

Kyko,

Ruterbusch

et al. 2023

Cancer

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BackgroundThe use of electronic cigarettes (e‐cigarettes) is increasing rapidly in the United States, although the negative health outcomes associated with these products are still unknown. Emerging research has examined the use of e‐cigarettes in the cancer survivor population as a whole, yet none has focused on e‐cigarette use in the African American (AA) cancer survivor population.MethodsThe authors used data from the Detroit Research on Cancer Survivors cohort study, comprised of AA adult cancer survivors. Logistic regression models were used to evaluate factors potentially associated with e‐cigarette ever use and current use.ResultsOf 4443 cancer survivors who completed a baseline interview, 8.3% (n = 370) reported ever using e‐cigarettes, and 16.5% (n = 61) of those reporting ever use also reported current use of e‐cigarettes. Ever users and current users were on average younger than those who did not use e‐cigarettes (57.5 vs. 61.2 years; p < .001). Current cigarette smokers were >20 times more likely (odds ratio, 20.75; 95% confidence interval, 12.84–33.55) and former smokers were almost 10 times more likely (odds ratio, 9.50; 95% confidence interval, 6.03–14.97) to have ever used e‐cigarettes than never‐smokers. Preliminary data suggested that ever use of e‐cigarettes is associated with later stage at diagnosis for breast and colorectal cancers.ConclusionsAs the use of e‐cigarettes increases in the general population, it is important to continue to monitor their use in cancer survivors and to gain more insight as it pertains to the AA cancer survivor population. Elucidation of the factors associated with e‐cigarette use in this population may help inform comprehensive cancer survivorship recommendations and interventions.

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Section: Resultsmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 90%

Use of electronic cigarettes among African American cancer survivors

Wharram,

Kyko,

Ruterbusch

et al. 2023

Cancer

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“…Considering the high prevalence of comorbidities among Black breast cancer survivors, drinking history should be captured along with smoking history during clinical management, and there may be a benefit associated with targeted prevention efforts for women who both smoke and regularly consume alcohol. Moreover, recent alcohol consumption was found to be associated with continued smoking after a cancer diagnosis among African American cancer survivors, 37 underscoring the importance of examining these behaviors together.…”

Section: Greater Risk Of Mortalitymentioning

confidence: 99%

Association of Cigarette Smoking and Alcohol Consumption With Subsequent Mortality Among Black Breast Cancer Survivors in New Jersey

et al. 2023

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ImportanceThere are limited data about how lifestyle factors are associated with breast cancer prognosis among Black or African American women because most of the evidence is based on studies of White breast cancer survivors.ObjectiveTo examine the association of prediagnostic cigarette smoking and alcohol consumption with all-cause mortality and breast cancer–specific mortality in a cohort of Black breast cancer survivors.Design, Setting, and ParticipantsThis population-based cohort study included 1926 Black or African American breast cancer survivors who received a diagnosis from June 6, 2005, to May 21, 2019, identified in 10 counties in New Jersey through rapid case ascertainment by the New Jersey State Cancer Registry. Statistical analysis was conducted from January 1, 2021, to August 1, 2022.ExposuresInformation on prediagnostic cigarette smoking, alcohol consumption, and additional covariates was collected during in-person interviews. The covariates examined included smoking status at the time of breast cancer diagnosis (currently smoking at the time of breast cancer diagnosis, formerly smoking, or never smoking), smoking duration (number of years smoking), smoking intensity (cigarettes smoked per day), number of pack-years of smoking, and regular alcohol consumption the year before diagnosis (categorized as nondrinkers, ≤3 drinks per week, or &gt;3 drinks per week).Main Outcomes and MeasuresPrimary outcomes included breast cancer–specific mortality and all-cause mortality.ResultsAmong the 1926 women in the study, the mean (SD) age at breast cancer diagnosis was 54.4 (10.8) years. During 13 464 person-years of follow-up (median follow-up, 6.7 years [range, 0.5-16.0 years]), there were 337 deaths, of which 187 (55.5%) were breast cancer related. Compared with never smokers, current smokers at the time of breast cancer diagnosis had a 52% increased risk for all-cause mortality (hazard ratio [HR], 1.52; 95% CI, 1.15-2.02), which was most pronounced for those with 10 or more pack-years of smoking (HR, 1.84; 95% CI, 1.34-2.53). Similar findings were observed for breast cancer–specific mortality (current smokers vs never smokers: HR, 1.27; 95% CI, 0.87-1.85), although they were not statistically significant. There was no statistically significant association between alcohol consumption and all-cause mortality (&gt;3 drinks per week vs nondrinkers: HR, 1.05; 95% CI, 0.73-1.51) or breast cancer–specific mortality (&gt;3 drinks per week vs nondrinkers: HR, 1.06; 95% CI, 0.67-1.67).Conclusions and RelevanceThis population-based cohort study of Black breast cancer survivors suggests that current smoking at the time of diagnosis was associated with an increased risk of all-cause mortality, particularly among women with greater pack-years of smoking.

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Correlates of health-related quality of life in African Americans diagnosed with cancer: a review of survivorship studies and the Detroit research on cancer survivors cohort

Trendowski,

Ruterbusch,

Baird

et al. 2024

Cancer Metastasis Rev

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Continued smoking in African American cancer survivors: The Detroit Research on Cancer Survivors Cohort

Abstract: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 7 publications

References 29 publications

Use of electronic cigarettes among African American cancer survivors

Use of electronic cigarettes among African American cancer survivors

Association of Cigarette Smoking and Alcohol Consumption With Subsequent Mortality Among Black Breast Cancer Survivors in New Jersey

Correlates of health-related quality of life in African Americans diagnosed with cancer: a review of survivorship studies and the Detroit research on cancer survivors cohort

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