Receipt of Provider Advice for Smoking Cessation and Use of Smoking Cessation Treatments Among Cancer Survivors
- 196 Downloads
As the number of cancer survivors increases, the assessment and intervention for smoking among survivors are increasingly important.
This study examined the extent to which cancer survivors reported being asked and advised about smoking by health-care providers and their use of smoking cessation treatments during quit attempts.
The data were drawn from the 2005 National Health Interview Survey, an annual health survey of US adults.
The participants were 1,825 individuals who reported being diagnosed with cancer at least 1 year previously and provided data regarding their current smoking status.
Participants completed items assessing demographics, health and health-care factors, and smoking-related variables.
More than three-quarters of participants (81.0%) reported that their smoking status was known by a health-care provider. Among current smokers (17.6%) who visited a health-care provider in the past year, 72.2% reported being advised to quit smoking by a provider. Factors associated with a higher rate of receiving advice to quit included greater cigarette consumption (P=0.008), more medical comorbidities (P= 0.001), high psychological distress (P= 0.003), and lack of health-care insurance (P = 0.03). Among current smokers who tried to quit in the last year, 33.5% used pharmacotherapy cessation treatment and 3.8% used an evidence-based behavioral treatment.
This study reveals considerable missed opportunities for health-care providers to advise cancer survivors about smoking and provide evidence-based interventions. Systematic efforts are needed to increase the provision of smoking cessation advice and use of cessation treatments among cancer survivors.
KEY WORDSsmoking tobacco use counseling smoking cessation cancer survivors
This research was supported by National Cancer Institute grants 1K07CA133100–01A1 (Coups), 5K07CA108685–04 (Heckman), 1K05CA109008–05 (Manne), and P30CA006927 (Fox Chase Cancer Center Core Grant), and by the Beth Israel Medical Center Head and Neck and Thyroid Cancer Institute (Dhingra). We thank Lauren Greenberg for her valuable assistance with literature searches. This research was presented at the annual meeting of the American Society of Preventive Oncology, March 2009.
Conflict of Interest
None of the authors have any conflict of interest associated with this research.
- 1.Ries LAG, Melbert D, Krapcho M, Stinchcomb DG, Howlader N, Horner MJ, et al. SEER Cancer Statistics Review, 1975–2005. National Cancer Institute: Bethesda, MD. Available at: http://seer.cancer.gov/csr/1975_2005. Accessed March 3, 2009.
- 2.Edwards BK, Howe HL, Ries LA, et al. Annual report to the nation on the status of cancer, 1973–1999, featuring implications of age and aging on U.S. cancer burden. Cancer. 2002;94:2766–92.Google Scholar
- 3.American Cancer Society. Cancer Facts and Figures 2008. Atlanta: American Cancer Society; 2008.Google Scholar
- 4.Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual causes of death in the United States, 2000. JAMA. 2004;291:1238–45.Google Scholar
- 10.Gritz ER, Vidrine DJ, Lazev AB. Smoking cessation in cancer patients: never too late to quit. In: Given CW, Given B, Champion VL, Kozachik S, Devoss DN, eds. Evidence-Based Cancer Care and Prevention: Behavioral Interventions. New York: Springer; 2003:107–40.Google Scholar
- 12.U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. The health consequences of smoking: a report of the Surgeon General. Washington, D.C., 2004. Available at http://www.cdc.gov/tobacco/data_statistics/sgr/sgr_2004. Accessed March 3, 2009.
- 16.Fiore MC, Jaén CR, Baker TB, et al. Treating Tobacco Use and Dependence: 2008 Update. Clinical Practice Guideline. Rockville, MD: U.S. Department of Health and Human Services. Public Health Service. May 2008.Google Scholar
- 18.Stead LF, Bergson G, Lancaster T. Physician advice for smoking cessation. Cochrane Database Syst Rev 2008(2):CD000165.Google Scholar
- 19.National Center for Health Statistics (NCHS). NHIS survey description. Hyattsville MD: NCHS, Centers for Disease Control and Prevention (CDC), 2006. Available at http://www.cdc.gov/nchs/about/major/nhis/quest_data_related_1997_forward.htm. Accessed March 3, 2009.
- 26.National Center for Health Statistics. The National Health Interview Survey Tobacco Information Web Site. Available at http://www.cdc.gov/nchs/about/major/nhis/tobacco/nhis_tobhoma.htm. Accessed March 3, 2009.
- 28.Agency for Healthcare Research and Quality. Treating Tobacco Use and Dependence: 2008 Update. Available at http://www.ahrq.gov/path/tobacco.htm. Accessed March 3, 2009.
- 30.Hewitt M, Greenfield S, Stovall E, eds. From Cancer Patient to Cancer Survivor: Lost in Transition. Washington, DC: National Academies Press; 2006.Google Scholar