Smoking Cessation after a Cancer Diagnosis: A Cross-Sectional Analysis in the Setting of a Developing Country

Since smoking accounts for around 30% of all cancer deaths, public health campaigns often focus on smoking cessation as a means of primary prevention. However, smoking after cancer diagnosis is also associated with a higher symptom burden and lower survival rate. As data regarding smoking cessation...

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Main Authors: Marin Golčić, Ilijan Tomaš, Aleksandra Stevanović, Goran Golčić, Renata Dobrila-Dintinjana, Suzana Erić, Mirela Šambić-Penc, Martina Baretić Marinac, Lidija Gović-Golčić, Tea Majnarić
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Clinics and Practice
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Online Access:https://www.mdpi.com/2039-7283/11/3/67
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author Marin Golčić
Ilijan Tomaš
Aleksandra Stevanović
Goran Golčić
Renata Dobrila-Dintinjana
Suzana Erić
Mirela Šambić-Penc
Martina Baretić Marinac
Lidija Gović-Golčić
Tea Majnarić
author_facet Marin Golčić
Ilijan Tomaš
Aleksandra Stevanović
Goran Golčić
Renata Dobrila-Dintinjana
Suzana Erić
Mirela Šambić-Penc
Martina Baretić Marinac
Lidija Gović-Golčić
Tea Majnarić
author_sort Marin Golčić
collection DOAJ
description Since smoking accounts for around 30% of all cancer deaths, public health campaigns often focus on smoking cessation as a means of primary prevention. However, smoking after cancer diagnosis is also associated with a higher symptom burden and lower survival rate. As data regarding smoking cessation vary dramatically between different populations, we aimed to analyze smoking prevalence in cancer patients, smoking cessation after cancer diagnosis, and the factors associated with smoking cessation in the setting of a developing country. We performed a cross-sectional survey on 695 patients in two clinical hospital centers. After cancer diagnosis, 15.6% of cancer patients stopped smoking. Male gender, younger age, and smoking-related cancer were the main factors associated with greater smoking cessation (<i>p</i> < 0.05). A total of 96% of breast cancer patients continued to smoke after cancer diagnosis and, compared to lung and colorectal cancer patients, exhibited a lower reduction in the number of cigarettes smoked (<i>p</i> = 0.023). An alarming rate of smoking prevalence was recorded in younger patients (45.6% at the time of cancer diagnosis) suggesting a future rise in smoking-related cancers and complications. These results should guide anti-smoking public health campaigns in transitional countries with a critical focus on younger and breast cancer patients.
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spelling doaj.art-be7165f47d2043b2a428d0b2ac7954302023-11-22T12:32:19ZengMDPI AGClinics and Practice2039-72832021-08-0111350951910.3390/clinpract11030067Smoking Cessation after a Cancer Diagnosis: A Cross-Sectional Analysis in the Setting of a Developing CountryMarin Golčić0Ilijan Tomaš1Aleksandra Stevanović2Goran Golčić3Renata Dobrila-Dintinjana4Suzana Erić5Mirela Šambić-Penc6Martina Baretić Marinac7Lidija Gović-Golčić8Tea Majnarić9Clinical Hospital Center Rijeka, Department of Radiotherapy and Oncology, 51000 Rijeka, CroatiaClinical Hospital Center Osijek, Department of Radiotherapy and Oncology, 31000 Osijek, CroatiaDepartment of Basic Medical Sciences, Faculty of Health Studies, University of Rijeka, 51000 Rijeka, CroatiaClinical Hospital Center Rijeka, Department of Radiotherapy and Oncology, 51000 Rijeka, CroatiaClinical Hospital Center Rijeka, Department of Radiotherapy and Oncology, 51000 Rijeka, CroatiaClinical Hospital Center Osijek, Department of Radiotherapy and Oncology, 31000 Osijek, CroatiaClinical Hospital Center Osijek, Department of Radiotherapy and Oncology, 31000 Osijek, CroatiaFamily Medicine Practice, Community Health Center of Primorsko-Goranska County, 51000 Rijeka, CroatiaFamily Medicine Practice, Community Health Center of Primorsko-Goranska County, 51000 Rijeka, CroatiaInstitute of Emergency Medicine of Primorsko-Goranska County, 51000 Rijeka, CroatiaSince smoking accounts for around 30% of all cancer deaths, public health campaigns often focus on smoking cessation as a means of primary prevention. However, smoking after cancer diagnosis is also associated with a higher symptom burden and lower survival rate. As data regarding smoking cessation vary dramatically between different populations, we aimed to analyze smoking prevalence in cancer patients, smoking cessation after cancer diagnosis, and the factors associated with smoking cessation in the setting of a developing country. We performed a cross-sectional survey on 695 patients in two clinical hospital centers. After cancer diagnosis, 15.6% of cancer patients stopped smoking. Male gender, younger age, and smoking-related cancer were the main factors associated with greater smoking cessation (<i>p</i> < 0.05). A total of 96% of breast cancer patients continued to smoke after cancer diagnosis and, compared to lung and colorectal cancer patients, exhibited a lower reduction in the number of cigarettes smoked (<i>p</i> = 0.023). An alarming rate of smoking prevalence was recorded in younger patients (45.6% at the time of cancer diagnosis) suggesting a future rise in smoking-related cancers and complications. These results should guide anti-smoking public health campaigns in transitional countries with a critical focus on younger and breast cancer patients.https://www.mdpi.com/2039-7283/11/3/67breast cancercancerpublic healthsmokingsmoking cessation
spellingShingle Marin Golčić
Ilijan Tomaš
Aleksandra Stevanović
Goran Golčić
Renata Dobrila-Dintinjana
Suzana Erić
Mirela Šambić-Penc
Martina Baretić Marinac
Lidija Gović-Golčić
Tea Majnarić
Smoking Cessation after a Cancer Diagnosis: A Cross-Sectional Analysis in the Setting of a Developing Country
Clinics and Practice
breast cancer
cancer
public health
smoking
smoking cessation
title Smoking Cessation after a Cancer Diagnosis: A Cross-Sectional Analysis in the Setting of a Developing Country
title_full Smoking Cessation after a Cancer Diagnosis: A Cross-Sectional Analysis in the Setting of a Developing Country
title_fullStr Smoking Cessation after a Cancer Diagnosis: A Cross-Sectional Analysis in the Setting of a Developing Country
title_full_unstemmed Smoking Cessation after a Cancer Diagnosis: A Cross-Sectional Analysis in the Setting of a Developing Country
title_short Smoking Cessation after a Cancer Diagnosis: A Cross-Sectional Analysis in the Setting of a Developing Country
title_sort smoking cessation after a cancer diagnosis a cross sectional analysis in the setting of a developing country
topic breast cancer
cancer
public health
smoking
smoking cessation
url https://www.mdpi.com/2039-7283/11/3/67
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