Patterns and associations of smoking and electronic cigarette use among survivors of tobacco related and non-tobacco related cancers: A nationally representative cross-sectional analysis

•Survivors of tobacco-related cancers have a higher prevalence of current cigarette smoking, e-cigarette, and dual use compared to survivors of non-tobacco related cancers.•There was a sequential increase in cigarette use during each subsequent year from the time of a new cancer diagnosis.•There rem...

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Veröffentlicht in:Cancer epidemiology 2022-06, Vol.78, p.101913, Article 101913
Hauptverfasser: Bjurlin, Marc A., Basak, Ramsankar, Zambrano, Ibardo, Schatz, Daniel, El Shahawy, Omar, Sherman, Scott, Matulewicz, Richard S.
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container_start_page 101913
container_title Cancer epidemiology
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creator Bjurlin, Marc A.
Basak, Ramsankar
Zambrano, Ibardo
Schatz, Daniel
El Shahawy, Omar
Sherman, Scott
Matulewicz, Richard S.
description •Survivors of tobacco-related cancers have a higher prevalence of current cigarette smoking, e-cigarette, and dual use compared to survivors of non-tobacco related cancers.•There was a sequential increase in cigarette use during each subsequent year from the time of a new cancer diagnosis.•There remains the need for long term tobacco cessation support among newly diagnosed adults with cancer. Tobacco-use among cancer survivors leads to preventable morbidity, mortality, and increased healthcare costs. We sought to explore the prevalence of smoking and e-cigarette use among survivors of tobacco and non-tobacco related cancers. A cross-sectional analysis was conducted using the 2015–2018 National Health Interview Survey. Our primary outcome was the prevalence of current cigarette smoking or e-cigarette use among adults with self-reported history of tobacco related or non-tobacco related cancer. Logistic regression analysis was to assess the association of reported cancer type with cigarette smoking or e-cigarette use. Secondary outcomes included yearly trends and dual use. A total of 12,984 respondents reported a history of cancer, representing a weighted estimate of 5,060,059 individuals with a history of tobacco-related malignancy and 17,583,788 with a history of a tobacco and non-tobacco related cancer, respectively. Survivors of tobacco-related cancers had a significantly higher prevalence of current cigarette use (18.2 % vs 9.7 %, P 
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Tobacco-use among cancer survivors leads to preventable morbidity, mortality, and increased healthcare costs. We sought to explore the prevalence of smoking and e-cigarette use among survivors of tobacco and non-tobacco related cancers. A cross-sectional analysis was conducted using the 2015–2018 National Health Interview Survey. Our primary outcome was the prevalence of current cigarette smoking or e-cigarette use among adults with self-reported history of tobacco related or non-tobacco related cancer. Logistic regression analysis was to assess the association of reported cancer type with cigarette smoking or e-cigarette use. Secondary outcomes included yearly trends and dual use. A total of 12,984 respondents reported a history of cancer, representing a weighted estimate of 5,060,059 individuals with a history of tobacco-related malignancy and 17,583,788 with a history of a tobacco and non-tobacco related cancer, respectively. Survivors of tobacco-related cancers had a significantly higher prevalence of current cigarette use (18.2 % vs 9.7 %, P &lt; 0.0001), e-cigarette use (2.7 % vs 1.6 %, P &lt; 0.0001) and similar rates of dual use. The prevalence of cigarette smoking among all survivors increased as time increased from the year of diagnosis up to 2 years post-diagnosis (P = 0.047). Odds of reporting current cigarette smoking use was higher for survivors of tobacco-related cancers, adjusted for sociodemographic factors (OR1.69, 95 % CI 1.44−1.99). Survivors of tobacco-related cancers have a higher prevalence of current cigarette smoking and e-cigarette use compared to survivors of non-tobacco related cancers. There was a sequential increase in the prevalence of cigarette use during each subsequent year from the time of a new cancer diagnosis, underscoring the need for long term tobacco cessation support among newly diagnosed adults with cancer.</description><identifier>ISSN: 1877-7821</identifier><identifier>ISSN: 1877-783X</identifier><identifier>EISSN: 1877-783X</identifier><identifier>DOI: 10.1016/j.canep.2021.101913</identifier><identifier>PMID: 33674247</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Adult ; Adults ; Age ; Cancer ; Cancer Survivors ; Cancer therapies ; Cigarette smoking ; Cross-Sectional Studies ; Data collection ; Diagnosis ; Electronic cigarettes ; Electronic Nicotine Delivery Systems ; Epidemiology ; Ethnicity ; Health care ; Humans ; Malignancy ; Medical diagnosis ; Melanoma ; Morbidity ; Neoplasms - epidemiology ; Neoplasms - pathology ; Persistent cigarette smoking ; Population ; Prevalence ; Regression analysis ; Smoking ; Smoking Cessation ; Sociodemographics ; Survival ; Tobacco ; Tobacco Products ; Tobacco related and non-tobacco related cancers ; Trends ; Vaping ; Vaping - adverse effects ; Vaping - epidemiology</subject><ispartof>Cancer epidemiology, 2022-06, Vol.78, p.101913, Article 101913</ispartof><rights>2021 Elsevier Ltd</rights><rights>Copyright © 2021 Elsevier Ltd. 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Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c387t-16198212876019624b280d3801a089daf2fe7a8c09455b678ecc3452473317333</citedby><cites>FETCH-LOGICAL-c387t-16198212876019624b280d3801a089daf2fe7a8c09455b678ecc3452473317333</cites><orcidid>0000-0003-3342-6377 ; 0000-0003-4384-0969 ; 0000-0003-1752-7303</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1877782121000308$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33674247$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bjurlin, Marc A.</creatorcontrib><creatorcontrib>Basak, Ramsankar</creatorcontrib><creatorcontrib>Zambrano, Ibardo</creatorcontrib><creatorcontrib>Schatz, Daniel</creatorcontrib><creatorcontrib>El Shahawy, Omar</creatorcontrib><creatorcontrib>Sherman, Scott</creatorcontrib><creatorcontrib>Matulewicz, Richard S.</creatorcontrib><title>Patterns and associations of smoking and electronic cigarette use among survivors of tobacco related and non-tobacco related cancers: A nationally representative cross-sectional analysis</title><title>Cancer epidemiology</title><addtitle>Cancer Epidemiol</addtitle><description>•Survivors of tobacco-related cancers have a higher prevalence of current cigarette smoking, e-cigarette, and dual use compared to survivors of non-tobacco related cancers.•There was a sequential increase in cigarette use during each subsequent year from the time of a new cancer diagnosis.•There remains the need for long term tobacco cessation support among newly diagnosed adults with cancer. Tobacco-use among cancer survivors leads to preventable morbidity, mortality, and increased healthcare costs. We sought to explore the prevalence of smoking and e-cigarette use among survivors of tobacco and non-tobacco related cancers. A cross-sectional analysis was conducted using the 2015–2018 National Health Interview Survey. Our primary outcome was the prevalence of current cigarette smoking or e-cigarette use among adults with self-reported history of tobacco related or non-tobacco related cancer. Logistic regression analysis was to assess the association of reported cancer type with cigarette smoking or e-cigarette use. Secondary outcomes included yearly trends and dual use. A total of 12,984 respondents reported a history of cancer, representing a weighted estimate of 5,060,059 individuals with a history of tobacco-related malignancy and 17,583,788 with a history of a tobacco and non-tobacco related cancer, respectively. Survivors of tobacco-related cancers had a significantly higher prevalence of current cigarette use (18.2 % vs 9.7 %, P &lt; 0.0001), e-cigarette use (2.7 % vs 1.6 %, P &lt; 0.0001) and similar rates of dual use. The prevalence of cigarette smoking among all survivors increased as time increased from the year of diagnosis up to 2 years post-diagnosis (P = 0.047). Odds of reporting current cigarette smoking use was higher for survivors of tobacco-related cancers, adjusted for sociodemographic factors (OR1.69, 95 % CI 1.44−1.99). Survivors of tobacco-related cancers have a higher prevalence of current cigarette smoking and e-cigarette use compared to survivors of non-tobacco related cancers. There was a sequential increase in the prevalence of cigarette use during each subsequent year from the time of a new cancer diagnosis, underscoring the need for long term tobacco cessation support among newly diagnosed adults with cancer.</description><subject>Adult</subject><subject>Adults</subject><subject>Age</subject><subject>Cancer</subject><subject>Cancer Survivors</subject><subject>Cancer therapies</subject><subject>Cigarette smoking</subject><subject>Cross-Sectional Studies</subject><subject>Data collection</subject><subject>Diagnosis</subject><subject>Electronic cigarettes</subject><subject>Electronic Nicotine Delivery Systems</subject><subject>Epidemiology</subject><subject>Ethnicity</subject><subject>Health care</subject><subject>Humans</subject><subject>Malignancy</subject><subject>Medical diagnosis</subject><subject>Melanoma</subject><subject>Morbidity</subject><subject>Neoplasms - epidemiology</subject><subject>Neoplasms - pathology</subject><subject>Persistent cigarette smoking</subject><subject>Population</subject><subject>Prevalence</subject><subject>Regression analysis</subject><subject>Smoking</subject><subject>Smoking Cessation</subject><subject>Sociodemographics</subject><subject>Survival</subject><subject>Tobacco</subject><subject>Tobacco Products</subject><subject>Tobacco related and non-tobacco related cancers</subject><subject>Trends</subject><subject>Vaping</subject><subject>Vaping - adverse effects</subject><subject>Vaping - epidemiology</subject><issn>1877-7821</issn><issn>1877-783X</issn><issn>1877-783X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kc9u1DAQxiNERUvhCZCQJS5csvhPYjtIHKoKClKlcgCJm-V1JpWXJF48yUr7an06ZrNtDz30YNka_74Z-_uK4p3gK8GF_rRZBT_CdiW5FIdKI9SL4kxYY0pj1Z-Xj2cpTovXiBvOtRaiflWcKqVNJStzVtz99NMEeUTmx5Z5xBSin2KiQuoYDulvHG-XO-ghTDmNMbAQb30G0rEZgfkhEYJz3sVdyotuSmsfQmIZej9Bu-jHNJZP6_SBABk_sws2LlN93-_pdpsBYZyotAMWckIskaYvADXz_R4jvilOOt8jvL3fz4vf377-uvxeXt9c_bi8uC6DsmYqhRYNWSCt0eSRltVaWt4qy4Xntml9Jzsw3gbeVHW91sZCCKqqyR2lBC11Xnw89t3m9G8GnNwQMUDfk_tpRierxlbGGlER-uEJuklzpvcSpXVda22UJEodqeVnGTq3zXHwee8Ed4do3cYt0bpDtO4YLane3_ee1wO0j5qHLAn4cgSAzNhFyA5DBDK4jZnMc22Kzw74D7wKuJk</recordid><startdate>202206</startdate><enddate>202206</enddate><creator>Bjurlin, Marc A.</creator><creator>Basak, Ramsankar</creator><creator>Zambrano, Ibardo</creator><creator>Schatz, Daniel</creator><creator>El Shahawy, Omar</creator><creator>Sherman, Scott</creator><creator>Matulewicz, Richard S.</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3342-6377</orcidid><orcidid>https://orcid.org/0000-0003-4384-0969</orcidid><orcidid>https://orcid.org/0000-0003-1752-7303</orcidid></search><sort><creationdate>202206</creationdate><title>Patterns and associations of smoking and electronic cigarette use among survivors of tobacco related and non-tobacco related cancers: A nationally representative cross-sectional analysis</title><author>Bjurlin, Marc A. ; 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Tobacco-use among cancer survivors leads to preventable morbidity, mortality, and increased healthcare costs. We sought to explore the prevalence of smoking and e-cigarette use among survivors of tobacco and non-tobacco related cancers. A cross-sectional analysis was conducted using the 2015–2018 National Health Interview Survey. Our primary outcome was the prevalence of current cigarette smoking or e-cigarette use among adults with self-reported history of tobacco related or non-tobacco related cancer. Logistic regression analysis was to assess the association of reported cancer type with cigarette smoking or e-cigarette use. Secondary outcomes included yearly trends and dual use. A total of 12,984 respondents reported a history of cancer, representing a weighted estimate of 5,060,059 individuals with a history of tobacco-related malignancy and 17,583,788 with a history of a tobacco and non-tobacco related cancer, respectively. Survivors of tobacco-related cancers had a significantly higher prevalence of current cigarette use (18.2 % vs 9.7 %, P &lt; 0.0001), e-cigarette use (2.7 % vs 1.6 %, P &lt; 0.0001) and similar rates of dual use. The prevalence of cigarette smoking among all survivors increased as time increased from the year of diagnosis up to 2 years post-diagnosis (P = 0.047). Odds of reporting current cigarette smoking use was higher for survivors of tobacco-related cancers, adjusted for sociodemographic factors (OR1.69, 95 % CI 1.44−1.99). Survivors of tobacco-related cancers have a higher prevalence of current cigarette smoking and e-cigarette use compared to survivors of non-tobacco related cancers. There was a sequential increase in the prevalence of cigarette use during each subsequent year from the time of a new cancer diagnosis, underscoring the need for long term tobacco cessation support among newly diagnosed adults with cancer.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>33674247</pmid><doi>10.1016/j.canep.2021.101913</doi><orcidid>https://orcid.org/0000-0003-3342-6377</orcidid><orcidid>https://orcid.org/0000-0003-4384-0969</orcidid><orcidid>https://orcid.org/0000-0003-1752-7303</orcidid></addata></record>
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issn 1877-7821
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1877-783X
language eng
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subjects Adult
Adults
Age
Cancer
Cancer Survivors
Cancer therapies
Cigarette smoking
Cross-Sectional Studies
Data collection
Diagnosis
Electronic cigarettes
Electronic Nicotine Delivery Systems
Epidemiology
Ethnicity
Health care
Humans
Malignancy
Medical diagnosis
Melanoma
Morbidity
Neoplasms - epidemiology
Neoplasms - pathology
Persistent cigarette smoking
Population
Prevalence
Regression analysis
Smoking
Smoking Cessation
Sociodemographics
Survival
Tobacco
Tobacco Products
Tobacco related and non-tobacco related cancers
Trends
Vaping
Vaping - adverse effects
Vaping - epidemiology
title Patterns and associations of smoking and electronic cigarette use among survivors of tobacco related and non-tobacco related cancers: A nationally representative cross-sectional analysis
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