International Journal of Behavioral Medicine

, Volume 18, Issue 4, pp 325–332

Correlates of Continued Tobacco Use and Intention to Quit Smoking Among Russian Cancer Patients

  • Robert A. Schnoll
  • Somasundaram Subramanian
  • Elisa Martinez
  • Paul F. Engstrom

DOI: 10.1007/s12529-010-9131-8

Cite this article as:
Schnoll, R.A., Subramanian, S., Martinez, E. et al. Int.J. Behav. Med. (2011) 18: 325. doi:10.1007/s12529-010-9131-8



Tobacco use among cancer patients is associated with adverse health outcomes. Little attention has been paid to tobacco use among cancer patients in developing countries, including Russia, where tobacco use is extremely high, and there is little public health infrastructure to address this issue.


This study examined medical, socio-demographic, and psychological correlates of smoking status and intention to quit smoking among newly diagnosed Russian cancer patients.


A cross-sectional study was conducted with 294 current or former smokers newly diagnosed with cancer.


Compared with patients who quit smoking, patients who continued to smoke were more likely to report urges to smoke to satisfy positive reinforcing aspects of tobacco use. Compared with patients who were smoking and reported no intention to quit smoking in the next 3 months, patients who were smoking but intended to quit smoking reported higher levels of perceived risks associated with continued smoking and higher levels of self-efficacy to quit smoking.


As commitment to developing smoking cessation treatment programs for cancer patients in Russia emerges, these data can help guide the development of behavioral interventions to assist patients with quitting smoking, enhancing their chances for improved clinical outcomes.


Tobacco Russia Cancer patients Smoking cessation 

Copyright information

© International Society of Behavioral Medicine 2010

Authors and Affiliations

  • Robert A. Schnoll
    • 1
  • Somasundaram Subramanian
    • 2
  • Elisa Martinez
    • 1
  • Paul F. Engstrom
    • 3
  1. 1.Department of PsychiatryUniversity of PennsylvaniaPhiladelphiaUSA
  2. 2.N.N. Blokhin Russian Cancer Research CenterMoscowRussia
  3. 3.Division of Medical Oncology, Extramural Research ProgramFox Chase Cancer CenterPhiladelphiaUSA

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