241128 Who Tended to Continue Smoking after Cancer Diagnosis: The National Health and Nutrition Examination Survey 1999-2008

Tuesday, November 1, 2011

Tung-Sung Tseng, DrPH , School of Public Health, Louisiana State University Health Sciences Center, New Orleans, LA
Hui-Yi Lin, PhD , Biostatistics Department, Moffitt Cancer Center & Research Institute, Tampa, FL
Sarah Moody-Thomas, PhD , School of Public Health, Louisiana State University Health Sciences Center, New Orleans, LA
Michelle Y. Martin, PhD , Division of Preventive Medicine, Univeristy of Alabama at Birmingham, Birmingham, AL
Ted Chen, PhD , Community Health Sciences, Tulane University, New Orleans, LA
Background: It has been estimated that there are approximately 11.7 million cancer survivors in the United States. Continued smoking after a cancer diagnosis is linked to adverse effects among cancer survivors on overall survival, treatment effectiveness, and quality of life. Little is known about who tends to quit smoking after his/her cancer diagnosis. The objective of this study is to closely evaluate factors associated with smoking cessation in cancer survivors, which to date has not been well studied.

Method: The National Health and Nutrition Examination Survey (NHANES) 1999-2008 surveys were used in this study. A total of 2,374 cancer survivors aged 20 and over with valid smoking status in the NHANES 99-08 survey were included in this study. Among them, 566 cancer survivors who regularly smoked at the time of their cancer diagnosis were included in the analyses. Results: Around 50.6% of cancer survivors smoked regularly prior to their cancer diagnosis and only 36.1% of them quit smoking after their cancer diagnosis. Racial disparity was observed in smoking cessation among cancer survivors. Hispanics (OR=0.32, 95% CI=0.13-0.77) were less likely to quit smoking than Whites after their cancer diagnosis. Cancer survivors who continued to smoke were more likely to be female, younger, Hispanic, underweight or within normal weight limits have a longer smoking history, and were diagnosed with a cancer not related to smoking. This study suggests that smoking cessation for cancer survivors should be customized based on their special needs and different characteristics.

Learning Areas:
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
To identify the risk group of continued smoking after cancer diagnosis. To discuss optimize impact of smoking cessation project among cancer survivors.

Keywords: Tobacco Control, Cancer

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I am a faculty member and researcher in School of Public Health
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.