Smoking status among cancer patients by medical specialty: A U.S. nationwide representative analysis
Abstract Background Persistence in tobacco use among cancer survivors has been associated with a multitude of clinicodemographic factors. However, there is a paucity of understanding regarding the role the healthcare professional's specialty plays in tobacco cessation in tobacco‐related cancer...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-12-01
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| Series: | Cancer Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/cam4.6684 |
| _version_ | 1827260335163179008 |
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| author | José Ignacio Nolazco Yuzhe Tang Khalid Y. Alkhatib Andrew J. King Matthew Mossanen Steven Lee Chang |
| author_facet | José Ignacio Nolazco Yuzhe Tang Khalid Y. Alkhatib Andrew J. King Matthew Mossanen Steven Lee Chang |
| author_sort | José Ignacio Nolazco |
| collection | DOAJ |
| description | Abstract Background Persistence in tobacco use among cancer survivors has been associated with a multitude of clinicodemographic factors. However, there is a paucity of understanding regarding the role the healthcare professional's specialty plays in tobacco cessation in tobacco‐related cancer survivors. Methods We conducted a cross‐sectional analysis of data from cancer survivors with a smoking history using the Behavioral Risk Factor Surveillance System (BRFSS) database to examine differences in the proportion of patients continuing tobacco use among patients with a diagnosis of cancer segregated by cancer site specialty over the 2016–2020 period. We accounted for complex survey design and used sampling weights to obtain a nationwide representative sample. We employed modified Poisson regression adjusting for age, gender, education, income, race, marital status, and medical specialty. Results We analyzed 19,855 cancer survivors with a current or past history of tobacco use, of whom 5222 (26,3%) self‐reported to be current smokers. Patients with urological and gynecological tobacco‐related malignancies had a higher relative risk (RR) of being current smokers with a RR of 1.30 (95% confidence interval, 1.12–1.51) and 1.25 (95% confidence interval, 1.12–1.39) respectively. Malignant Hematology had the lowest RR of smoking status among all other specialties RR 0.85 (95% confidence interval, 0.59–1.21). Conclusions Continuing smoking rates among tobacco‐related cancer survivors were different between specialties. One in four cancer survivors were current smokers; this emphasizes health professionals' paramount role in tobacco cessation counseling. |
| first_indexed | 2024-03-08T22:19:04Z |
| format | Article |
| id | doaj.art-274bdb39930d4718ad80429094eaa773 |
| institution | Directory Open Access Journal |
| issn | 2045-7634 |
| language | English |
| last_indexed | 2025-03-22T02:40:51Z |
| publishDate | 2023-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cancer Medicine |
| spelling | doaj.art-274bdb39930d4718ad80429094eaa7732024-05-03T10:01:16ZengWileyCancer Medicine2045-76342023-12-011223213892139910.1002/cam4.6684Smoking status among cancer patients by medical specialty: A U.S. nationwide representative analysisJosé Ignacio Nolazco0Yuzhe Tang1Khalid Y. Alkhatib2Andrew J. King3Matthew Mossanen4Steven Lee Chang5Division of Urological Surgery Brigham and Women's Hospital, Harvard Medical School Boston Massachusetts USADivision of Urological Surgery Brigham and Women's Hospital, Harvard Medical School Boston Massachusetts USACenter for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School Boston Massachusetts USADepartment of Health Care Policy Harvard Medical School Boston Massachusetts USADivision of Urological Surgery Brigham and Women's Hospital, Harvard Medical School Boston Massachusetts USADivision of Urological Surgery Brigham and Women's Hospital, Harvard Medical School Boston Massachusetts USAAbstract Background Persistence in tobacco use among cancer survivors has been associated with a multitude of clinicodemographic factors. However, there is a paucity of understanding regarding the role the healthcare professional's specialty plays in tobacco cessation in tobacco‐related cancer survivors. Methods We conducted a cross‐sectional analysis of data from cancer survivors with a smoking history using the Behavioral Risk Factor Surveillance System (BRFSS) database to examine differences in the proportion of patients continuing tobacco use among patients with a diagnosis of cancer segregated by cancer site specialty over the 2016–2020 period. We accounted for complex survey design and used sampling weights to obtain a nationwide representative sample. We employed modified Poisson regression adjusting for age, gender, education, income, race, marital status, and medical specialty. Results We analyzed 19,855 cancer survivors with a current or past history of tobacco use, of whom 5222 (26,3%) self‐reported to be current smokers. Patients with urological and gynecological tobacco‐related malignancies had a higher relative risk (RR) of being current smokers with a RR of 1.30 (95% confidence interval, 1.12–1.51) and 1.25 (95% confidence interval, 1.12–1.39) respectively. Malignant Hematology had the lowest RR of smoking status among all other specialties RR 0.85 (95% confidence interval, 0.59–1.21). Conclusions Continuing smoking rates among tobacco‐related cancer survivors were different between specialties. One in four cancer survivors were current smokers; this emphasizes health professionals' paramount role in tobacco cessation counseling.https://doi.org/10.1002/cam4.6684cancer survivorsphysicianssmoking cessationtobacco |
| spellingShingle | José Ignacio Nolazco Yuzhe Tang Khalid Y. Alkhatib Andrew J. King Matthew Mossanen Steven Lee Chang Smoking status among cancer patients by medical specialty: A U.S. nationwide representative analysis Cancer Medicine cancer survivors physicians smoking cessation tobacco |
| title | Smoking status among cancer patients by medical specialty: A U.S. nationwide representative analysis |
| title_full | Smoking status among cancer patients by medical specialty: A U.S. nationwide representative analysis |
| title_fullStr | Smoking status among cancer patients by medical specialty: A U.S. nationwide representative analysis |
| title_full_unstemmed | Smoking status among cancer patients by medical specialty: A U.S. nationwide representative analysis |
| title_short | Smoking status among cancer patients by medical specialty: A U.S. nationwide representative analysis |
| title_sort | smoking status among cancer patients by medical specialty a u s nationwide representative analysis |
| topic | cancer survivors physicians smoking cessation tobacco |
| url | https://doi.org/10.1002/cam4.6684 |
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