Nicotine dependence and smoking habits in patients with head and neck cancer

Objective: To assess smoking habits and nicotine dependence (ND) in patients with head and neck cancer Methods: This study involved 71 smokers or former smokers with squamous cell carcinoma in the oral cavity, pharynx, or larynx who were treated at a university hospital in the city of São Paulo...

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Main Authors: Adriana Ávila de Almeida, Celso Muller Bandeira, Antonio José Gonçalves, Alberto José Araújo
Format: Article
Language:English
Published: Sociedade Brasileira de Pneumologia e Tisiologia 2014-06-01
Series:Jornal Brasileiro de Pneumologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132014000300286&lng=en&tlng=en
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author Adriana Ávila de Almeida
Celso Muller Bandeira
Antonio José Gonçalves
Alberto José Araújo
author_facet Adriana Ávila de Almeida
Celso Muller Bandeira
Antonio José Gonçalves
Alberto José Araújo
author_sort Adriana Ávila de Almeida
collection DOAJ
description Objective: To assess smoking habits and nicotine dependence (ND) in patients with head and neck cancer Methods: This study involved 71 smokers or former smokers with squamous cell carcinoma in the oral cavity, pharynx, or larynx who were treated at a university hospital in the city of São Paulo between January and May of 2010. We used the Fagerström Test for Nicotine Dependence to evaluate smoking habits and ND in the sample. Data regarding cancer treatment were collected from medical records. Depending on the variables studied, we used the chi-square test, Fisher's exact test, Student's t-test, or Spearman's correlation test. Results: Of the 71 patients, 47 (66.2%) presented with high or very high ND, 40 (56.3%) smoked more than 20 cigarettes/day, and 32 (45.1%) smoked their first cigarette within 5 min of awakening. Advanced disease stage correlated significantly with the number of cigarettes smoked per day (p = 0.011) and with smoking history (p = 0.047). We found that ND did not correlate significantly with gender, disease stage, smoking cessation, or number of smoking cessation attempts, nor did the number of cigarettes smoked per day correlate with smoking cessation or gender. Treatment for smoking cessation was not routinely offered. Conclusions: In most of the patients studied, the level of ND was high or very high. The prevalence of heavy smoking for long periods was high in our sample. A diagnosis of cancer is a motivating factor for smoking cessation. However, intensive smoking cessation treatment is not routinely offered to smoking patients diagnosed with cancer.
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spelling doaj.art-6362cfcd306049d495de6e98d720f5a02022-12-22T02:54:29ZengSociedade Brasileira de Pneumologia e TisiologiaJornal Brasileiro de Pneumologia1806-37562014-06-0140328629310.1590/S1806-37132014000300012S1806-37132014000300286Nicotine dependence and smoking habits in patients with head and neck cancerAdriana Ávila de AlmeidaCelso Muller BandeiraAntonio José GonçalvesAlberto José AraújoObjective: To assess smoking habits and nicotine dependence (ND) in patients with head and neck cancer Methods: This study involved 71 smokers or former smokers with squamous cell carcinoma in the oral cavity, pharynx, or larynx who were treated at a university hospital in the city of São Paulo between January and May of 2010. We used the Fagerström Test for Nicotine Dependence to evaluate smoking habits and ND in the sample. Data regarding cancer treatment were collected from medical records. Depending on the variables studied, we used the chi-square test, Fisher's exact test, Student's t-test, or Spearman's correlation test. Results: Of the 71 patients, 47 (66.2%) presented with high or very high ND, 40 (56.3%) smoked more than 20 cigarettes/day, and 32 (45.1%) smoked their first cigarette within 5 min of awakening. Advanced disease stage correlated significantly with the number of cigarettes smoked per day (p = 0.011) and with smoking history (p = 0.047). We found that ND did not correlate significantly with gender, disease stage, smoking cessation, or number of smoking cessation attempts, nor did the number of cigarettes smoked per day correlate with smoking cessation or gender. Treatment for smoking cessation was not routinely offered. Conclusions: In most of the patients studied, the level of ND was high or very high. The prevalence of heavy smoking for long periods was high in our sample. A diagnosis of cancer is a motivating factor for smoking cessation. However, intensive smoking cessation treatment is not routinely offered to smoking patients diagnosed with cancer.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132014000300286&lng=en&tlng=enNeoplasias de cabeça e pescoçoTranstorno por uso de tabacoAbandono do hábito de fumar
spellingShingle Adriana Ávila de Almeida
Celso Muller Bandeira
Antonio José Gonçalves
Alberto José Araújo
Nicotine dependence and smoking habits in patients with head and neck cancer
Jornal Brasileiro de Pneumologia
Neoplasias de cabeça e pescoço
Transtorno por uso de tabaco
Abandono do hábito de fumar
title Nicotine dependence and smoking habits in patients with head and neck cancer
title_full Nicotine dependence and smoking habits in patients with head and neck cancer
title_fullStr Nicotine dependence and smoking habits in patients with head and neck cancer
title_full_unstemmed Nicotine dependence and smoking habits in patients with head and neck cancer
title_short Nicotine dependence and smoking habits in patients with head and neck cancer
title_sort nicotine dependence and smoking habits in patients with head and neck cancer
topic Neoplasias de cabeça e pescoço
Transtorno por uso de tabaco
Abandono do hábito de fumar
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132014000300286&lng=en&tlng=en
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AT celsomullerbandeira nicotinedependenceandsmokinghabitsinpatientswithheadandneckcancer
AT antoniojosegoncalves nicotinedependenceandsmokinghabitsinpatientswithheadandneckcancer
AT albertojosearaujo nicotinedependenceandsmokinghabitsinpatientswithheadandneckcancer