Cancer Causes & Control

, Volume 23, Issue 4, pp 647–652 | Cite as

Internet use among childhood and young adult cancer survivors who smoke: implications for cessation interventions

  • Rebekah H. Nagler
  • Elaine Puleo
  • Kim Sprunck-Harrild
  • Karen M. Emmons
Brief report



To identify patterns of Internet use among childhood and young adult cancer survivors who smoke.


Baseline assessment data were collected from 2005 to 2008 for the Partnership for Health-2 (PFH-2) study, a web-based smoking cessation intervention for childhood and young adult cancer survivors. Participants were surveyed about their Internet access and use. Sociodemographic, clinical, and psychosocial data also were collected.


Internet access and use was widespread among PFH-2 participants. However, older, less-educated, and female survivors reported less frequent Internet use, even when they had access to the Internet at home and/or at work. These associations were significant in multivariable analyses.


Although the digital divide is narrowing, Internet use and engagement remains socially patterned. web-based prevention interventions are a promising method of reaching this geographically dispersed, high-risk population, but certain subgroups—particularly older and lower socioeconomic status survivors—might be missed by this approach.


Childhood cancer survival Smoking cessation Internet-based interventions Internet use 


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Copyright information

© Springer Science+Business Media B.V. 2012

Authors and Affiliations

  • Rebekah H. Nagler
    • 1
    • 2
  • Elaine Puleo
    • 3
  • Kim Sprunck-Harrild
    • 2
  • Karen M. Emmons
    • 1
    • 2
  1. 1.Department of Society, Human Development and HealthHarvard School of Public HealthBostonUSA
  2. 2.Center for Community-Based ResearchDana-Farber Cancer InstituteBostonUSA
  3. 3.School of Public Health and Health SciencesUniversity of MassachusettsAmherstUSA

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