Why Don't Cancer Survivors Quit Smoking? An Evaluation of Readiness for Smoking Cessation in Cancer Survivors

Melissa A. Little; Robert C. Klesges; Zoran Bursac; Jon O. Ebbert; Jennifer P. Halbert; Andrew N. Dunkle; Lauren Colvin; Patricia J. Goedecke; Benny Weksler

추천

검색

자료유형: 학술저널

저자정보: Melissa A. Little (University of Virginia) Robert C. Klesges (University of Virginia) Zoran Bursac (University of Tennessee Health Science Center) Jon O. Ebbert (Mayo Clinic) Jennifer P. Halbert (University of Virginia) Andrew N. Dunkle (Wilford Hall Ambulatory Surgical Center) Lauren Colvin (St. Jude Children’s Hospital) Patricia J. Goedecke (University of Tennessee Health Science Center) Benny Weksler (University of Tennessee Health Science Center)

저널정보: 대한암예방학회 대한암예방학회지 대한암예방학회지 제23권 제1호

발행연도: 2018.1

수록면: 44 - 50 (7page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Background: Cancer survivors have a high rate of participation in cigarette-smoking cessation programs but their smoking-abstinence rates remain low. In the current study, we evaluated the readiness to quit smoking in a cancer-survivor population. Methods: Cross-sectional data survey conducted among 112 adult cancer survivors who smoked cigarettes in Tennessee. Analyses were conducted using a two-sample t-test, χ2 test, Fishers Exact test, and multivariable logistic regression with smoker’s readiness to quit as the dependent variable. We operationally defined a smoker not ready to quit as anyone interested in quitting smoking beyond the next 6 months or longer (or not at all), as compared to those that are ready to quit within the next 6 months. Results: Thirty-three percent of participants displayed a readiness to quit smoking in the next 30 days. Smokers ready to quit were more likely to display high confidence in their ability to quit (OR = 4.6; 95% CI, 2.1-9.7; P ＜ 0.0001) than those not ready to quit. Those ready to quit were nearly five times more likely to believe smoking contributed to their cancer diagnosis (OR = 4.9; 95% CI, 1.1-22.6; P = 0.0432). Those ready to quit were also much more likely to attempt smoking cessation when diagnosed with cancer (OR = 8.9; 95% CI, 1.8-44.3; P = 0.0076) than smokers not ready to quit. Finally, those ready to quit were more likely to endorse smoking more in the morning than other times of the day, compared to those not ready to quit (OR = 7.9; 95% CI, 1.5-42,3; P = 0.0148), which increased odds of readiness to quit within the next 6 months. Conclusions: Despite high participation in smoking-cessation programs for cancer survivors, only one-third of participants were ready to quit. Future research is needed to develop programs targeting effective strategies promoting smoking cessation among cancer survivors who are both ready and not ready to quit smoking. (J Cancer Prev 2018;23:44-50)

참고문헌 (26)

참고문헌 신청

National Center for Chronic Disease Prevention and Health Promotion (US) Office on Smoking and Health / 2014 / The health consequences of smoking-50 years of progress: a report of the surgeon general

Secretan B / 2009 / A review of human carcinogens--Part E: tobacco, areca nut, alcohol, coal smoke, and salted fish / Lancet Oncol 10:1033~1034

Parsons A / 2010 / Influence of smoking cessation after diagnosis of early stage lung cancer on prognosis: systematic review of observational studies with meta-analysis / BMJ 340:b5569

Cox LS / 2003 / Nicotine dependence treatment for patients with cancer / Cancer 98:632~644

de Moor JS / 2013 / Cancer survivors in the United States: prevalence across the survivorship trajectory and implications for care / Cancer Epidemiol Biomarkers Prev 22:561~570

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!