Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA.
J Cancer Surviv. 2012 Sep;6(3):333-44. doi: 10.1007/s11764-012-0230-1. Epub 2012 Jun 16.
People who continue to smoke after a cancer diagnosis have an increased risk for recurrences or development of new malignancies. These risks may be even higher among tobacco-related cancer survivors (TRCS). We describe tobacco use behaviors among TRCS, other cancer survivors, and people without a history of cancer.
We used 2009 Behavioral Risk Factor Surveillance System data to describe demographic characteristics, smoking history, current smoking prevalence, and smokeless tobacco use among TRCS, other cancer survivors, and people without a history of cancer (cigarette smoking and smokeless tobacco use were calculated after adjusting for age, sex, race, and insurance status). Tobacco-related cancers were defined as lung/bronchial, pharyngeal, laryngeal, esophageal, stomach, pancreatic, kidney/renal, urinary bladder, cervical, and acute myeloid leukemia.
A total of 20 % of all cancer survivors were TRCS. TRCS were primarily female (68 %) and white (78 %). Smoking prevalence was higher among TRCS (27 %) compared with other cancer survivors (16 %) and respondents without a history of cancer (18 %). Smokeless tobacco use was higher among respondents without a history of cancer (4 %) compared with TRCS (3 %) and other cancer survivors (3 %).
The self-reported smoking prevalence among TRCS is higher than among other cancer survivors and people without a history of cancer. Targeted smoking prevention and cessation interventions are needed for cancer survivors, especially those diagnosed with a tobacco-related cancer.
We recommend all cancer survivors be made aware of the health risks associated with smoking after a cancer diagnosis, and smoking cessation services be offered to those who currently smoke. We provide the first population-based report on demographic characteristics and tobacco use behaviors among self-reported tobacco-related cancer survivors.
癌症诊断后继续吸烟的人复发或新发恶性肿瘤的风险增加。这些风险在与烟草相关的癌症幸存者（TRCS）中可能更高。我们描述了 TRCS、其他癌症幸存者和没有癌症史的人群中的烟草使用行为。
我们使用 2009 年行为风险因素监测系统的数据，描述了 TRCS、其他癌症幸存者和没有癌症史的人群的人口统计学特征、吸烟史、当前吸烟流行率和无烟烟草使用情况（吸烟和无烟烟草使用在调整年龄、性别、种族和保险状况后进行计算）。与烟草相关的癌症定义为肺癌/支气管癌、咽癌、喉癌、食管癌、胃癌、胰腺癌、肾癌/肾细胞癌、膀胱癌、宫颈癌和急性髓性白血病。
所有癌症幸存者中有 20%是 TRCS。TRCS 主要为女性（68%）和白人（78%）。与其他癌症幸存者（16%）和没有癌症史的人群（18%）相比，TRCS 的吸烟率更高（27%）。与 TRCS（3%）和其他癌症幸存者（3%）相比，没有癌症史的人群中使用无烟烟草的比例更高（4%）。
TRCS 的自我报告吸烟率高于其他癌症幸存者和没有癌症史的人群。需要针对癌症幸存者，特别是那些被诊断为与烟草相关的癌症的幸存者，开展有针对性的预防和戒烟干预措施。
我们建议所有癌症幸存者都了解癌症诊断后吸烟与健康风险之间的关联，并向目前吸烟的幸存者提供戒烟服务。我们提供了第一份基于人群的关于自我报告的与烟草相关的癌症幸存者的人口统计学特征和烟草使用行为的报告。
