Perceptions of Continued Smoking and Smoking Cessation Among Patients With Cancer

Alton, Devon; Eng, Lawson; Lü, Lin; Song, Yuyao; Su, Jie; Farzanfar, Delaram; Mohan, Rahul; Krys, Olivia; Mattina, Katie; Harper, Christopher R.; Liu, Sophia; Yoannidis, Tom; Milne, Robin; Brown, M. Catherine; Vennettilli, Ashlee; Hope, Andrew; Howell, Doris; Jones, Jennifer; Selby, Peter; Xu, Wei; Goldstein, David P.; Liu, Geoffrey; Giuliani, Meredith

doi:10.1200/jop.17.00029

Cited by 43 publications

(32 citation statements)

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“…We assessed patient perceptions on three survivorship outcomes through a brief screening tool used by our group previously. For each health behavior, patients were asked to rate the perceived impact of each behavior on three survivorship outcomes: quality of life, 5‐year overall survival, and fatigue after a cancer diagnosis using a 7‐point Likert scale (1 = “make much worse”, 4 = “no effect”, to 7 = “make much better”) …”

Section: Methodsmentioning

confidence: 99%

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Impact of immigration status on health behaviors and perceptions in cancer survivors

et al. 2019

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Background Health behaviors including smoking cessation, physical activity (PA), and alcohol moderation are key aspects of cancer survivorship. Immigrants may have unique survivorship needs. We evaluated whether immigrant cancer survivors had health behaviors and perceptions that were distinct from native‐born cancer survivors. Methods Adult cancer patients from Princess Margaret Cancer Centre were surveyed on their smoking, PA, and alcohol habits and perceptions of the effects of these behaviors on quality of life (QoL), 5‐year survival, and fatigue. Multivariable models evaluated the association of immigration status and region‐of‐origin on behaviors and perceptions. Results Of the 784 patients, 39% self‐identified as immigrants. Median time of survey was 24 months after histological diagnosis. At baseline, immigrants had trends toward not meeting Canadian PA guidelines or being ever‐drinkers; patients from non‐Western countries were less likely to smoke (aOR current = 0.46, aOR ex‐smoker = 0.47, P = 0.02), drink alcohol (aOR current = 0.22, aOR ex‐drinker = 0.52, P < 0.001), or meet PA guidelines (aOR = 0.44, P = 0.006). Among immigrants, remote immigrants (migrated ≥40 years ago) were more likely to be consuming alcohol at diagnosis (aOR = 5.70, P < 0.001) compared to recent immigrants. Compared to nonimmigrants, immigrants were less likely to perceive smoking as harmful on QoL (aOR = 0.58, P = 0.008) and survival (aOR = 0.56, P = 0.002), and less likely to perceive that PA improved fatigue (aOR = 0.62, P = 0.04) and survival (aOR = 0.64, P = 0.08). Conclusions Immigrants had different patterns of health behaviors than nonimmigrants. Immigrants were less likely to perceive continued smoking as harmful and were less likely to be aware of PA benefits. Culturally tailored counselling may be required for immigrants who smoke or are physically sedentary at diagnosis.

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Section: Methodsmentioning

confidence: 99%

“…However, differences in both health behaviors and perceptions of these behaviors between immigrant and native‐born cancer survivors have not been explored. Previously, our group demonstrated that patient perceptions can be associated with health behavior changes after a cancer diagnosis …”

Section: Introductionmentioning

confidence: 99%

Impact of immigration status on health behaviors and perceptions in cancer survivors

et al. 2019

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“…Apesar de o consumo de álcool não ter se demonstrado uma variável independentemente associada ao pior prognóstico, o consumo excessivo e contínuo de álcool após o diagnóstico de câncer pode levar à diminuição da taxa de remissão da doença e ao aumento na incidência de cânceres secundários no fígado e trato aerodigestivo superior com impacto indireto nas taxas de sobrevida 23 .…”

Section: Discussionunclassified

Histórico de Consumo de Álcool como Fator Preditivo de Sobrevida em Pacientes com Carcinoma de Células Escamosas de Boca e Orofaringe: Follow-up de 15 Anos

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Soares

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et al. 2020

Rev. Brasileira.De.Cancerologia

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Introdução: O carcinoma de células escamosas é o tumor de maior importância na região de cabeça e pescoço, em razão da sua incidência e mortalidade. Sabe-se que fatores como consumo de álcool estão relacionados à diminuição da sobrevida de tumores tanto estimulando a progressão tumoral como causando comorbidades importantes, sendo um fator relevante para estudo. Objetivo: Avaliar a influência do histórico de álcool em características clinicoprognósticas de pacientes com carcinoma de células escamosas de boca e orofaringe (CCEBO). Método: Estudo de coorte, retrospectivo, no qual 156 prontuários de pacientes etilistas e 78 prontuários de pacientes não etilistas com CCEBO diagnosticados no Hospital Haroldo Juaçaba, em Fortaleza, Ceará, foram avaliados, entre 2000 e 2014, para análise de dados como idade, sexo, raça, localização do tumor, estadiamento TNM, tratamentos realizados e sobrevida em 15 anos por meio dos testes X², Long-Rank e modelos de regressão multinomial e de Cox (SPSS 20,0; p<0,05). Resultados: Houve maior prevalência de homens entre os pacientes etilistas (p<0,001), com tumores T3-T4 (p=0,003), linfonodos positivos (p=0,006) que realizaram tratamentos paliativos (p<0,001) e menor prevalência abaixo de 65 anos (p<0,001), quando havia histórico familiar de câncer (p=0,043). A sobrevida dos pacientes etilistas foi menor (p=0,040) e os fatores que diminuíram a sobrevida de maneira independente foram sexo masculino (p=0,042), estadiamento T3-T4 (p=0,004), metástase linfonodal (p=0,012), idade >65 anos (p=0,035) e localização na língua (p=0,042). O sexo masculino foi independentemente associado ao etilismo (p<0,001). Conclusão: O álcool é um fator de prognóstico em pacientes com CCEBO, mostrando maior prevalência em pacientes T3-T4 e, assim, influenciando negativamente no prognóstico.

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“…With the seemingly unparalleled rate of smoking among CCS , it is imperative to identify modifiable risk factors for smoking in this patient population. Despite theoretical and conceptual models that tie CA and risk (or benefit) perceptions to adjustment, motivation, and health behavior change after major life events like cancer diagnosis , and empirical support for these relationships in cancer survivors , these variables have not been explored in CCS.…”

Section: Discussionmentioning

confidence: 99%

“…The third major finding stands in contrast to those above, as many participants strongly endorsed smoking as a risk factor for poor clinical and quality of life outcomes after cancer diagnosis. Many CCS spoke at length about smoking's ill‐effects on risk for cancer recurrence and progression, poorer treatment experience and outcome, and worse quality of life, on par with some prior studies . This pattern of responding was not universal, though, as some participants were unsure about the risks of smoking after cervical cancer diagnosis and 1‐2 participants even indicated smoking has beneficial effects.…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Study of Smoking‐Related Causal Attributions and Risk Perceptions in Cervical Cancer Survivors

et al. 2019

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Objective The prevalence of smoking among cervical cancer survivors typically exceeds what is found among women in the general population and other cancer survivors. Yet, there is a dearth of literature on risk and protective factors related to smoking among cervical cancer survivors, especially when it comes to identification of variables that are amendable to intervention. To help fill this gap in the literature, this qualitative study examines the nature of smoking‐related causal attributions and risk perceptions in cervical cancer survivors who smoked at cancer diagnosis. Methods Participants are 21 female cervical cancer survivors (M=45.7, SD=8.4 years old), all diagnosed in the past five years. Nearly three‐quarters of participants reported smoking in the past month. Results: Smoking was not uniformly recognized as a cause of cervical cancer (whether in general or participants' own cancer); the link between smoking and lung, head‐neck, and other cancers was more readily accepted. Despite generally weak endorsements of causal attributions, many participants reported smoking significantly increases risk for poor clinical (e.g., recurrence) and quality of life (e.g., pain) outcomes after cervical cancer diagnosis. Conclusions Findings suggest cervical cancer survivors may not fully understand or appreciate the role of smoking in cervical cancer risk whereas their beliefs about the role of smoking in cervical cancer prognosis are more well‐formed. This study highlights the potential role of causal attributions and risk perceptions in understanding and addressing the smoking‐related experience of cervical cancer survivors.

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Perceptions of Continued Smoking and Smoking Cessation Among Patients With Cancer

Cited by 43 publications

References 43 publications

Impact of immigration status on health behaviors and perceptions in cancer survivors

Impact of immigration status on health behaviors and perceptions in cancer survivors

Histórico de Consumo de Álcool como Fator Preditivo de Sobrevida em Pacientes com Carcinoma de Células Escamosas de Boca e Orofaringe: Follow-up de 15 Anos

A Qualitative Study of Smoking‐Related Causal Attributions and Risk Perceptions in Cervical Cancer Survivors

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