Prevalence and Predictors of Sustained Smoking after a Cancer Diagnosis in Korean Men
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Purpose Although smoking has a significant impact on mortality and morbidity of cancer patients, many patients continue to smoke post-diagnosis. The purpose of this study was to investigate prevalence and predictors of sustained smoking among male cancer survivors. Materials and Methods The Korean National Health Insurance Service-National Health Screening Cohort database was used for this population-based, retrospective study. Study subjects were 15,141 men who were diagnosed with their first incident cancer between 2004 and 2011. Changes in smoking status before and after a cancer diagnosis were investigated. For patients who were current smokers pre-diagnosis, association between post-diagnosis sustained smoking and demographic, socioeconomic, and clinical variables were examined. Results Of the 4,657 pre-diagnosis smokers, 2,255 (48%) had quit after cancer diagnosis, while 2,402 (51.6%) continued to smoke. In a multivariate logistic regression analysis, younger age at cancer diagnosis (adjusted odds ratio [aOR], 1.37; 95% confidence interval [CI], 1.21 to 1.55; p < 0.001), low socioeconomic status (aOR, 1.29; 95% CI, 1.15 to 1.45; p ! 0.001), pre-diagnosis heavy smoking (aOR, 1.24; 95% CI, 1.09 to 1.41; p=0.001), diagnosis of nonsmoking– related cancer (aOR, 1.67; 95% CI, 1.42 to 1.96; p < 0.001), and high serum glucose level (aOR, 1.23; 95% CI, 1.03 to 1.46; p=0.019) were associated with sustained smoking after a cancer diagnosis. Conclusion Almost half of the male smokers continue to smoke after a cancer diagnosis. Targeted interventions for smoking cessation should be considered for patients with younger age, low socioeconomic status, heavy smoking history, non-smoking–related cancer, and high blood glucose levels.
Abstract
Purpose Although smoking has a significant impact on mortality and morbidity of cancer patients, many patients continue to smoke post-diagnosis. The purpose of this study was to investigate prevalence and predictors of sustained smoking among male cancer survivors. Materials and Methods The Korean National Health Insurance Service-National Health Screening Cohort database was used for this population-based, retrospective study. Study subjects were 15,141 men who were diagnosed with their first incident cancer between 2004 and 2011. Changes in smoking status before and after a cancer diagnosis were investigated. For patients who were current smokers pre-diagnosis, association between post-diagnosis sustained smoking and demographic, socioeconomic, and clinical variables were examined. Results Of the 4,657 pre-diagnosis smokers, 2,255 (48%) had quit after cancer diagnosis, while 2,402 (51.6%) continued to smoke. In a multivariate logistic regression analysis, younger age at cancer diagnosis (adjusted odds ratio [aOR], 1.37; 95% confidence interval [CI], 1.21 to 1.55; p < 0.001), low socioeconomic status (aOR, 1.29; 95% CI, 1.15 to 1.45; p ! 0.001), pre-diagnosis heavy smoking (aOR, 1.24; 95% CI, 1.09 to 1.41; p=0.001), diagnosis of nonsmoking– related cancer (aOR, 1.67; 95% CI, 1.42 to 1.96; p < 0.001), and high serum glucose level (aOR, 1.23; 95% CI, 1.03 to 1.46; p=0.019) were associated with sustained smoking after a cancer diagnosis. Conclusion Almost half of the male smokers continue to smoke after a cancer diagnosis. Targeted interventions for smoking cessation should be considered for patients with younger age, low socioeconomic status, heavy smoking history, non-smoking–related cancer, and high blood glucose levels.
참고문헌 (37)
- Cancer trends progress report: 2017 update, "National Cancer Institute", Natio-nal Cancer Institute, ~ (2017)
- Do KA, "Longitudinal study of smoking patterns in relation to the development of smoking-related secondary primary tumors in patients with upper aerodigestive tract malignancies", Cancer, 101, pp.2837~2842 (2004)
- Parsons A, "Influence of smoking cessation after diagnosis of early stage lung cancer on prognosis : systematic review of observational studies with metaanalysis", BMJ, 340, pp.b5569~ (2010)
- Sitas F, "Smoking cessation after cancer", J Clin Oncol, 32, pp.3593~3595 (2014)
- Warren GW, "Smoking at diagnosis and survival in cancer patients", Int J Cancer, 132, pp.401~410 (2013)
- Duffy SA, "Depressive symptoms, smoking, drinking, and quality of life among head and neck cancer patients", Psychosomatics, 48, pp.142~148 (2007)
- Daniel M, "Persistent smoking after a diagnosis of lung cancer is associated with higher reported pain levels", J Pain, 10, pp.323~328 (2009)
- Park B, "Health behaviors of cancer survivors in nationwide cross-sectional survey in Korea : higher alcohol drinking, lower smoking, and physical inactivity pattern in survivors with higher household income", Medicine(Baltimore), 94, pp.e1214~ (2015)
- Keenan PS, "Smoking and weight change after new health diagnoses in older adults", Arch Intern Med, 169, pp.237~242 (2009)
- Westmaas JL, "Does a recent cancer diagnosis predict smoking cessation? An analysis from a large prospective US cohort", J Clin Oncol, 33, pp.1647~1652 (2015)
- Bryant J, "Prevalence and factors related to smoking and smoking cessation 6months following a cancer diagnosis : a population-based study", J Cancer Surviv, 10, pp.645~653 (2016)
- Bell RJ, "Changes in patterns of use of cigarettes and alcohol in women after a first diagnosis of invasive breast cancer : a cohort study of women from Victoria, Australia", Support Care Cancer, 20, pp.783~789 (2012)
- Eng L, "Secondhand smoke as a predictor of smoking cessation among lung cancer survivors", J Clin Oncol, 32, pp.564~570 (2014)
- Schnoll RA, "Characteristics of cancer patients entering a smoking cessation program and correlates of quit motivation : implications for the development of tobacco control programs for cancer patients", Psychooncology, 13, pp.346~358 (2004)
- Schnoll RA, "Predictors of smoking cessation among cancer patients enrolled in a smoking cessation program", Acta Oncol, 50, pp.678~684 (2011)
- Guimond AJ, "Predictors of smoking cessation and relapse in cancer patients and effect on psychological variables : an 18-month observational study", Ann Behav Med, 51, pp.117~127 (2017)
- Mayer DK, "Smoking patterns in cancer survivors", Nicotine Tob Res, 13, pp.34~40 (2011)
- Eakin EG, "Health behaviors of cancer survivors : data from an Australian population-based survey", Cancer Causes Control, 18, pp.881~894 (2007)
- Swoboda CM, "Likelihood of smoking among cancer survivors : an updated health information national trends survey analysis", Nicotine Tob Res, 21, pp.1636~1643 (2019)
- Gallaway MS, "Smoking cessation attitudes and practices among cancer survivors, United States, 2015", J Cancer Surviv, 13, pp.66~74 (2019)
- Yang HK, "The association between perceived social support and continued smoking in cancer survivors", Jpn J Clin Oncol, 43, pp.45~54 (2013)
- Korea Health Statistics 2015: Korea National Health and Nutrition Examination Survey (KNHANES VI), "Ministry of Health and Welfare", Korea Centers for Disease Control and Prevention, ~ (2015)
- Neumann T, "Gold standard program for heavy smokers in a real-life setting", Int J Environ Res Public Health, 10, pp.4186~4199 (2013)
- Reducing the health consequences of smoking: 25 years of progress: a report of the surgeon general, "U.S. Department of Health and Human Services", U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, ~, pp.DHHS Publication No. (CDC) 89-8411 (1989)
- Annual report of cancer statistics in Korea in 2015, "National Cancer Center", Ministry of Health and Welfare, ~ (2017)
- Sundararajan V, "New ICD-10 version of the Charlson comorbidity index predicted in-hospital mortality", J Clin Epidemiol, 57, pp.1288~1294 (2004)
- Burke L, "Smoking behaviors among cancer survivors : an observational clinical study", J Oncol Pract, 5, pp.6~9 (2009)
- Martinez U, "Associations between the smoking-relatedness of a cancer type, cessation attitudes and beliefs, and future abstinence among recent quitters", Psychooncology, 27, pp.2104~2110 (2018)
- Tonstad S, "Cigarette smoking, smoking cessation, and diabetes", Diabetes Res Clin Pract, 85, pp.4~13 (2009)
- Alkerwi A, "Smoking status is inversely associated with overall diet quality : findings from the ORISCAVLUX study", Clin Nutr, 36, pp.1275~1282 (2017)
- Vander Ark W, "Factors affecting smoking cessation in patients with head and neck cancer", Laryngoscope, 107, pp.888~892 (1997)
- Coutinho M, "The relationship between glucose and incident cardiovascular events: a metaregression analysis of published data from 20 studies of 95,783individuals followed for 12.4 years", Diabetes Care, 22, pp.233~240 (1999)
- Demark-Wahnefried W, "Promoting health and physical function among cancer survivors : potential for prevention and questions that remain", J Clin Oncol, 24, pp.5125~5131 (2006)
- Lauridsen SV, "Smoking and alcohol cessation intervention in relation to radical cystectomy : a qualitative study of cancer patients'experiences", BMC Cancer, 17, pp.793~ (2017)
- de Moor JS, "Smoking prevention and cessation interventions for cancer survivors", Semin Oncol Nurs, 24, pp.180~192 (2008)
- Emmons KM, "Peer-delivered smoking counseling for childhood cancer survivors increases rate of cessation : the partnership for health study", J Clin Oncol, 23, pp.6516~6523 (2005)
- Abdelrahim A, "Considerations for a head and neck smoking cessation support programme : a qualitative study of the challenges in quitting smoking after treatment for head and neck cancer", Eur J Oncol Nurs, 35, pp.54~61 (2018)