Kathleen Gali , Sita Aryal , Frederike Bokemeyer , Sabine Behrens , Petra Seibold , Nadia Obi , Heiko Becher , Jenny Chang-Claude
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Logistic regression analyses were conducted to examine the association of sociodemographic characteristics, health behaviors, medical factors, and cancer treatment types with persistent smoking behavior. Results: At an average of 5.9 years (SD = 1.2) after diagnosis, 244 (54.2%) breast cancer survivors were still smoking cigarettes at follow-up. A longer duration of smoking (OR = 1.04, 95% CI = 1.01–1.06) and smoking on average ≥10 cigarettes per day (OR = 1.52, 95% CI = 1.02–2.28) increased the likelihood of persistent smoking, whereas increasing age (OR = 0.94, 95% CI = 0.90–0.97) and high engagement in leisure time physical activity (≥62 MET-hrs/wk: OR = 0.55, 95% CI = 0.32–0.98) were associated with quitting. Conclusion: Smoking cessation programs in cancer care are needed. Specifically for breast cancer patients, tobacco treatment plans that include physical activity may be particularly helpful in quitting smoking cigarettes.</div></div>","PeriodicalId":38066,"journal":{"name":"Preventive Medicine Reports","volume":"48 ","pages":"Article 102913"},"PeriodicalIF":2.4000,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Determinants of persistent smoking among breast cancer survivors\",\"authors\":\"Kathleen Gali , Sita Aryal , Frederike Bokemeyer , Sabine Behrens , Petra Seibold , Nadia Obi , Heiko Becher , Jenny Chang-Claude\",\"doi\":\"10.1016/j.pmedr.2024.102913\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Introduction: While quitting cigarette smoking can improve cancer treatment outcomes, many cancer patients continue to smoke post-diagnosis. The aim of this study was to examine factors associated with persistent cigarette use in postmenopausal women diagnosed with breast cancer, a cancer not traditionally thought of as tobacco-related. Methods: We used data of breast cancer patients who were recruited into the MARIE Study (Mamma Carcinoma Risk Factor Investigation) in Germany between 2002 and 2005 and followed up in 2009. This analysis was based on 450 study participants who reported active cigarette smoking at the time of diagnosis and participated in the follow-up interview. Logistic regression analyses were conducted to examine the association of sociodemographic characteristics, health behaviors, medical factors, and cancer treatment types with persistent smoking behavior. Results: At an average of 5.9 years (SD = 1.2) after diagnosis, 244 (54.2%) breast cancer survivors were still smoking cigarettes at follow-up. A longer duration of smoking (OR = 1.04, 95% CI = 1.01–1.06) and smoking on average ≥10 cigarettes per day (OR = 1.52, 95% CI = 1.02–2.28) increased the likelihood of persistent smoking, whereas increasing age (OR = 0.94, 95% CI = 0.90–0.97) and high engagement in leisure time physical activity (≥62 MET-hrs/wk: OR = 0.55, 95% CI = 0.32–0.98) were associated with quitting. Conclusion: Smoking cessation programs in cancer care are needed. Specifically for breast cancer patients, tobacco treatment plans that include physical activity may be particularly helpful in quitting smoking cigarettes.</div></div>\",\"PeriodicalId\":38066,\"journal\":{\"name\":\"Preventive Medicine Reports\",\"volume\":\"48 \",\"pages\":\"Article 102913\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2024-10-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Preventive Medicine Reports\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2211335524003280\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Preventive Medicine Reports","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2211335524003280","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
摘要
导言:虽然戒烟可以改善癌症治疗效果,但许多癌症患者在确诊后仍继续吸烟。本研究旨在探讨绝经后妇女在确诊乳腺癌后继续吸烟的相关因素,传统上认为乳腺癌与烟草无关。研究方法我们使用了 2002 年至 2005 年间德国 MARIE 研究(妈妈癌风险因素调查)中招募的乳腺癌患者的数据,并在 2009 年进行了随访。这项分析基于 450 名在确诊时报告主动吸烟并参加了随访的研究参与者。通过逻辑回归分析,研究了社会人口学特征、健康行为、医疗因素和癌症治疗类型与持续吸烟行为的关系。结果显示在确诊后平均 5.9 年(SD = 1.2)的随访中,有 244 名(54.2%)乳腺癌幸存者仍在吸烟。较长的吸烟时间(OR = 1.04,95% CI = 1.01-1.06)和平均每天吸烟≥10支(OR = 1.52,95% CI = 1.02-2.28)增加了持续吸烟的可能性,而年龄的增加(OR = 0.94,95% CI = 0.90-0.97)和大量参与闲暇时间体育活动(≥62 MET-hrs/周:OR = 0.55,95% CI = 0.32-0.98)与戒烟有关。结论癌症治疗需要戒烟计划。特别是对于乳腺癌患者,包括体育锻炼在内的烟草治疗计划可能对戒烟特别有帮助。
Determinants of persistent smoking among breast cancer survivors
Introduction: While quitting cigarette smoking can improve cancer treatment outcomes, many cancer patients continue to smoke post-diagnosis. The aim of this study was to examine factors associated with persistent cigarette use in postmenopausal women diagnosed with breast cancer, a cancer not traditionally thought of as tobacco-related. Methods: We used data of breast cancer patients who were recruited into the MARIE Study (Mamma Carcinoma Risk Factor Investigation) in Germany between 2002 and 2005 and followed up in 2009. This analysis was based on 450 study participants who reported active cigarette smoking at the time of diagnosis and participated in the follow-up interview. Logistic regression analyses were conducted to examine the association of sociodemographic characteristics, health behaviors, medical factors, and cancer treatment types with persistent smoking behavior. Results: At an average of 5.9 years (SD = 1.2) after diagnosis, 244 (54.2%) breast cancer survivors were still smoking cigarettes at follow-up. A longer duration of smoking (OR = 1.04, 95% CI = 1.01–1.06) and smoking on average ≥10 cigarettes per day (OR = 1.52, 95% CI = 1.02–2.28) increased the likelihood of persistent smoking, whereas increasing age (OR = 0.94, 95% CI = 0.90–0.97) and high engagement in leisure time physical activity (≥62 MET-hrs/wk: OR = 0.55, 95% CI = 0.32–0.98) were associated with quitting. Conclusion: Smoking cessation programs in cancer care are needed. Specifically for breast cancer patients, tobacco treatment plans that include physical activity may be particularly helpful in quitting smoking cigarettes.