Smoking status, service use and associated factors among Japanese cancer survivors—a web-based survey
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This study aims to investigate smoking status and its associated factors among Japanese cancer survivors. We stretched our focus on association with health-related behaviors other than smoking (alcohol intake, physical exercise, and social activity) and the smoking cessation strategies used by cancer survivors.
An anonymous cross-sectional web-based survey was conducted, enrolling survivors of various types of cancer up to 10 years after diagnosis. Smoking status, socioeconomic status, health-related behaviors other than smoking, and smoking cessation resource that the participants used were evaluated. Factors associated with continuous smoking after cancer diagnosis were explored using multivariate analysis.
Among 168 participants who were smoking at the time of cancer diagnosis, 96 participants (57.1 %) continued smoking. Sixty-seven survivors (69.8 %) were willing to reduce or quit smoking, however, only 39 survivors (40.6 %) were provided with counseling or intervention on smoking cessation. Male gender, shorter time after cancer diagnosis, and lack of regular physical exercise associated with continuous smoking. Higher level of fear of cancer recurrence had trend-level significance of association with smoking cessation.
Substantial proportions of Japanese cancer survivors continue smoking after diagnosis of cancer. The majority of them are not provided with relevant information or support, despite their willingness of reducing or quitting smoking. Smoking cessation is associated with other health behaviors (i.e., physical exercise). This suggests considerable missed opportunities for health-care providers to provide cancer survivors with counseling and evidence-based interventions. Promotion of professional support on smoking cessation and education to encourage healthy behaviors are needed.
KeywordsCancer survivor Smoking cessation Risk factor Health behavior Exercise
- 11.Kawahara M, Ushijima S, Kamimori T, Kodama N, Ogawara M, Matsui K, Masuda N, Takada M, Sobue T, Furuse K (1998) Second primary tumours in more than 2-year disease-free survivors of small-cell lung cancer in Japan: the role of smoking cessation. Br J Cancer 78(3):409–412PubMedCentralPubMedCrossRefGoogle Scholar
- 12.Inoue M, Sawada N, Matsuda T, Iwasaki M, Sasazuki S, Shimazu T, Shibuya K, Tsugane S (2012) Attributable causes of cancer in Japan in 2005—systematic assessment to estimate current burden of cancer attributable to known preventable risk factors in Japan. Ann Oncol 23(5):1362–1369. doi:10.1093/annonc/mdr437 PubMedCrossRefGoogle Scholar
- 20.Bidstrup PE, Dalton SO, Christensen J, Tjonneland A, Larsen SB, Karlsen R, Brewster A, Bondy M, Johansen C (2013) Changes in body mass index and alcohol and tobacco consumption among breast cancer survivors and cancer-free women: a prospective study in the Danish Diet, Cancer and Health Cohort. Acta Oncol 52(2):327–335. doi:10.3109/0284186x.2012.746466 PubMedCrossRefGoogle Scholar
- 27.Statistics and Information Department MsS, Ministry of Health, Labour and Welfare (2009) Comprehensive survey of living conditions. Health and Welfare Statistics AssociationGoogle Scholar
- 29.Furukawa TA, Kawakami N, Saitoh M, Ono Y, Nakane Y, Nakamura Y, Tachimori H, Iwata N, Uda H, Nakane H, Watanabe M, Naganuma Y, Hata Y, Kobayashi M, Miyake Y, Takeshima T, Kikkawa T (2008) The performance of the Japanese version of the K6 and K10 in the World Mental Health Survey Japan. Int J Methods Psychiatr Res 17(3):152–158. doi:10.1002/mpr.257 PubMedCrossRefGoogle Scholar
- 33.Iwasa H, Gondo K, Masui S (2007) Reliability and validity of the Japanese version of the multidimensional scale of perceived social support in the middle-aged and elderly population. Kosei-no-sihyo 54:26–33Google Scholar
- 38.Martinez E, Tatum KL, Weber DM, Kuzla N, Pendley A, Campbell K, Ridge JA, Langer C, Miyamoto C, Schnoll RA (2009) Issues related to implementing a smoking cessation clinical trial for cancer patients. Cancer Causes Control 20(1):97–104. doi:10.1007/s10552-008-9222-x PubMedCentralPubMedCrossRefGoogle Scholar
- 50.National Cancer Center Indormation Service website. http://ganjoho.jp/professional/statistics/statistics.html. Accessed 28 April 2014