Journal of Shandong University (Health Sciences) ›› 2022, Vol. 60 ›› Issue (6): 102-106.doi: 10.6040/j.issn.1671-7554.0.2021.1213

Previous Articles    

Tobacco use status and influencing factors of cancer patients in shandong province

HOU Runan1,2, SHAO Di1,2, QIN Tingting3, SHANG Meimei4, SHEN Yuzhen5, SUN Xiaojie1,2   

  1. 1. Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China;
    2. NHC Key Laboratory of Health Economics and Policy Research(Shandong University), Jinan 250012, Shandong, China;
    3. School of Public Health, Capital Medical University, Beijing 100069, China;
    4. Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan 250117, Shandong, China;
    5. Oncology Department, Taian City Central Hospital, Taian 271099, Shandong, China
  • Published:2022-06-17

Abstract: Objective To analyze the tobacco use status in cancer patients after diagnosis and the influencing factors so as to provide scientific evidence for smoking cessation intervention and prognosis. Methods From July to August 2020, a total of 405 subjects meeting the inclusion criteria were selected from two hospitals in Shandong Province, including 296 males and 109 females aged 18 to 92 years, with an average age of(60.43±11.52)years. Cluster sampling method was adopted to conduct a questionnaire survey. The tobacco use status and influencing factors were analyzed with t-test, Chi-square test and binary Logistic regression analysis. Results Of the 405 subjects, 197 were non-smokers, 208 were smokers, 121 were quitters after diagnosis, and 87 were smokers after diagnosis. The smokers after diagnosis accounted for 21.5% of all respondents and 41.8% of the smokers or ever smokers. The significant influencing factors of smoking after cancer diagnosis included age, time since diagnosis, pathological stage, years of smoking and depression. Conclusion The smoking rate of cancer patients after diagnosis is relatively high. Targeted measures should be taken to help cancer patients quit smoking, so as to improve their prognosis and quality of life.

Key words: Cancer patients, Diagnosed, Tobacco use, Smoking rate, Influencing factors

CLC Number: 

  • R73-31
[1] 姜勇, 王少明. 中国人群癌症归因风险研究[J]. 循证医学, 2012, 12(6): 322. JIANG Yong, WANG Shaoming. Study on attributable causes of cancer in Chinese population [J]. The Journal of Evidence-Based Medicine, 2012, 12(6): 322.
[2] Global Cancer Observatory: Cancer Today. Lyon, France: International Agency for Research on Cancer. 2020. https://gco.iarc.fr/today.
[3] 邹小农, 贾漫漫, 王鑫, 等.《2020全球癌症报告》要点解读[J]. 中国胸心血管外科临床杂志, 2021, 28(1): 11-18. ZOU Xiaonong, JIA Manman, WANG Xin, et al. Interpretation of the World Cancer Report 2020 [J]. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2021, 28(1): 11-18.
[4] Islami F, Chen W, Yu XQ, et al. Cancer deaths and cases attributable to lifestyle factors and infections in China, 2013 [J]. Ann Oncol, 2017, 28(10): 2567-2574.
[5] Burris JL, Studts JL, DeRosa AP, et al. Systematic review of tobacco use after lung or head/neck cancer diagnosis: results and recommendations for future research [J]. Cancer Epidemiol Biomark Prev, 2015, 24(10): 1450-1461.
[6] Bryant J, Boyes AW, Hall A, et al. Prevalence and factors related to smoking and smoking cessation 6 months following a cancer diagnosis: a population-based study [J]. J Cancer Surviv, 2016, 10(4): 645-653.
[7] Fujisawa D, Umezawa S, Basaki-Tange A, et al. Smoking status, service use and associated factors among Japanese cancer survivors: a web-based survey [J]. Support Care Cancer, 2014, 22(12): 3125-3134.
[8] Berg CJ, Thomas AN, Mertens AC, et al. Correlates of continued smoking versus cessation among survivors of smoking-related cancers [J]. Psycho-oncology, 2013, 22(4): 799-806.
[9] Paul CL, Tzelepis F, Boyes AW, et al. Continued smoking after a cancer diagnosis: a longitudinal study of intentions and attempts to quit [J]. J Cancer Surviv, 2019, 13(5): 687-694.
[10] Courtney R. The health consequences of smoking-50 years of progress: a report of the surgeon general, 2014 [J]. Drug And Alcohol Review, 2015, 34(6): 694-695.
[11] Land SR, Toll BA, Moinpour CM, et al. Research priorities, measures, and recommendations for assessment of tobacco use in clinical cancer research [J]. Clinl Cancer Res, 2016, 22(8): 1907-1913.
[12] Land SR, Warren GW, Crafts JL, et al. Cognitive testing of tobacco use items for administration to patients with cancer and cancer survivors in clinical research [J]. Cancer, 2016, 122(11): 1728-1734.
[13] Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure [J]. J Gen Intern Med, 2001, 16(9): 606-613.
[14] Kim H, Kim MH, Park YS, et al. Factors that predict persistent smoking of cancer survivors [J]. Occupation & Environmental Medicine, 2015, 30(7): 853-859.
[15] Gritz ER, Talluri R, Fokom Domgue J, et al. Smoking behaviors in survivors of smoking-related and non-smoking-related cancers [J]. JAMA Netw Open, 2020, 3(7): e209072.
[16] Fujisawa T, Iizasa T, Saitoh Y, et al. Smoking before surgery predicts poor long-term survival in patients with stage I non-small-cell lung carcinomas [J]. J Clin Oncol, 1999, 17(7): 2086-2091.
[17] Hopenhayn C, Christian WJ, Christian A, et al. Factors associated with smoking abstinence after diagnosis of early stage lung cancer [J]. Lung Cancer, 2013, 80(1): 55-61.
[18] Underwood JM, Townsend JS, Tai E, et al. Persistent cigarette smoking and other tobacco use after a tobacco-related cancer diagnosis [J]. J Cancer Surviv, 2012, 6(3): 333-344.
[19] Beynon RA, Lang S, Schimansky S, et al. Tobacco smoking and alcohol drinking at diagnosis of head and neck cancer and all-cause mortality: results from head and neck 5000, a prospective observational cohort of people with head and neck cancer [J]. Int J Cancer, 2018, 143(5): 1114-1127.
[20] Simmons VN, Litvin EB, Jacobsen PB, et al. Predictors of smoking relapse in patients with thoracic cancer or head and neck cancer [J]. Cancer, 2013, 119(7): 1420-1427.
[21] Bluethmann SM, Basen-Engquist K, Vernon SW, et al. Grasping the‘teachable moment’: time since diagnosis, symptom burden and health behaviors in breast, colorectal and prostate cancer survivors [J]. Psycho-oncology, 2015, 24(10): 1250-1257.
[22] Park ER, Japuntich SJ, Rigotti NA, et al. A snapshot of smokers after lung and colorectal cancer diagnosis [J]. Cancer, 2012, 118(12): 3153-3164.
[23] Ostroff JS, Jacobsen PB, Moadel AB, et al. Prevalence and predictors of continued tobacco use after treatment of patients with head and neck cancer [J]. Cancer, 1995, 75(2): 569-576.
[24] Tseng TS, Lin HY, Moody-Thomas S, et al. Who tended to continue smoking after cancer diagnosis: the national health and nutrition examination survey 1999-2008 [J]. BMC Public Health, 2012, 12: 784. doi:10.1186/1471-2458-12-784.
[25] Morrell HER, Cohen LM. Cigarette smoking, anxiety, and depression [J]. J Psychopathol Behav Assess, 2006, 28(4): 283-297.
[1] ZHAO Sibo, PENG Li, LING Hongxiang. Relationship between medical insurance participation and risk of suicide among rural elderly [J]. Journal of Shandong University (Health Sciences), 2022, 60(4): 113-118.
[2] HAN Xuan, SUN Xiubin, LIU Yi, WANG Shukang, LIU Jing, YUAN Zhongshang, ZHANG Tao, LI Xiujun, XUE Fuzhong, LIU Yunxia. Evaluation of learning satisfaction of preventive medicine students with Health Statistics [J]. Journal of Shandong University (Health Sciences), 2022, 60(3): 109-113.
[3] Yonggang SU,Rui WANG,Tongwei YANG. Influencing factors and preventive measures of elderly suicide from the perspective of Healthy China Initiative [J]. Journal of Shandong University (Health Sciences), 2022, 60(2): 8-13.
[4] WANG Chao, ZHANG Yilin, ZOU Guangshun, LYU Juncheng. Suicidal ideation and influencing factors in 686 medical students [J]. Journal of Shandong University (Health Sciences), 2022, 60(1): 78-85.
[5] BI Fengying, YAN Dongqin, CHEN Xi, LUO Dan. Theoretical framework of suicide risk factors among people living with HIV/AIDS: a qualitative study based on grounded theory [J]. Journal of Shandong University (Health Sciences), 2022, 60(1): 109-117.
[6] ZHANG Yilin, WANG Chao, ZOU Guangshun, LYU Juncheng. Relationship between sense of meaning in life and suicidal ideation in medical students [J]. Journal of Shandong University (Health Sciences), 2021, 59(11): 93-99.
[7] LI Xiangyi, WANG Qingliang, ZHANG Yongyuan, LIU Yingjun, FEI Jianchun, YANG Jie, ZHANG Yi. Analysis of influencing factors of prolonged length of stay in a tertiary hospital based on generalized estimation equation [J]. Journal of Shandong University (Health Sciences), 2021, 59(1): 102-107.
[8] WANG Xiaoxuan, ZHU Gaopei, SUN Na, FENG Jianing, XIAO Yufei, SHI Fuyan, WANG Suzhen. Analysis on the health status and influencing factors of poor people in Sanchunji County of Dong ming [J]. Journal of Shandong University (Health Sciences), 2021, 59(1): 108-114.
[9] LIU Yumei, YUAN Zhongshang, SUN Xiubin, LI Xiujun, WANG Shukang, LIU Jing. Survey of medical students attitudes toward statistics and analysis of influencing factors [J]. Journal of Shandong University (Health Sciences), 2020, 58(11): 109-114.
[10] LI Jiangbing, SONG Xinhong, LIN Haiyan, ZHANG Dongzhi, LI Xiangyi, XU Yibo, WANG Li, XUE Fuzhong. The influencing factors of ischemic ECG abnormalities in a large health check-up population [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(6): 77-81.
[11] GAI Linlin, GUAN Lixue, LI Haibo, CHU Jinjin, ZHU Yun, LI Ming. Screening results and influencing factors of T-SPOT.TB assay in patients with autoimmune rheumatic diseases [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(6): 82-86.
[12] HONG Haijie, SUN Wenjuan, ZHANG Yuan, XU Yongping. Influencing factors of adverse outcomesin term neonates delivered by elective caesarean [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(5): 56-61.
[13] DING Lilu, SUN Qiang. Path analysis for influencing factors of the total health expenditure of China [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(12): 86-89.
[14] GUO Bin, WANG Xinhai, XU Lingzhong, GAI Ruoyan. Mental health status and influencing factors in preschoolers in rural areas of Shandong Province [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(1): 87-92.
[15] LI Jianzhuo, JIN Yan, YANG Hui, LI Xinrui, HU Yanxia, ZHANG Changqing, ZHU Yanwen, RUAN Shiman. Influencing factors of drug treatment compliance among patients with HIV/AIDS in Jinan city of China [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(3): 106-110.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!