Department of Health Education and Behavior, College of Health and Human Performance, University of Florida, Gainesville, Florida, USA.
Division of Hematology/Oncology, Department of Medicine, College of Medicine, University of Florida, Gainesville, Florida, USA.
Psychooncology. 2021 Jan;30(1):93-102. doi: 10.1002/pon.5543. Epub 2020 Sep 15.
We investigated the patterns of tobacco treatment utilization among US adult smokers with cancer and the role of negative affect as potential individual-level psychosocial barriers and facilitators influencing quit attempts and tobacco treatment utilization.
We analyzed data from the adult sample in Wave 1 (2013-2014) of the Population Assessment of Tobacco and Health (PATH) Study. Using structural equation modeling, we examined (1) the association between cancer diagnosis and negative affect (e.g., depressive mood, anxiety, and distress) and (2) the associations between negative affect and smoking cessation behaviors (i.e., quit attempts and tobacco treatment utilization).
Compared to adults without cancer, cancer survivors were more likely to have attempted to quit tobacco use in the past 12 months (p < 0.05) and experienced increased negative affect (p < 0.01). However, negative affect appeared to be a psychological barrier to quit attempts, as it was associated with lower likelihood of attempting to quit (p < 0.05). On the other hand, among past-12-month quit attempters, negative affect was related to higher likelihood of using any type of tobacco treatment (p < 0.001).
Negative affect may be a potential underlying mechanism in the relationship between cancer diagnosis status and quit attempts and tobacco treatment utilization, influencing the utilization of tobacco treatment among smokers with cancer. Research is needed to investigate whether integrating emotional management in the oncology setting may effectively aid smoking cessation among patients with cancer.
我们调查了美国癌症成年吸烟者使用烟草治疗的模式，以及负性情绪作为潜在的个体心理社会障碍和促进因素，对戒烟尝试和烟草治疗利用的影响。
我们分析了来自成人样本在波 1（2013-2014）的人口烟草和健康评估（PATH）研究。使用结构方程模型，我们检查了（1）癌症诊断与负性情绪（如抑郁情绪、焦虑和痛苦）之间的关联，以及（2）负性情绪与戒烟行为（即戒烟尝试和烟草治疗利用）之间的关联。
与没有癌症的成年人相比，癌症幸存者在过去 12 个月内更有可能尝试戒烟（p<0.05），并且经历了更多的负性情绪（p<0.01）。然而，负性情绪似乎是戒烟尝试的心理障碍，因为它与较低的戒烟尝试可能性相关（p<0.05）。另一方面，在过去 12 个月的戒烟尝试者中，负性情绪与使用任何类型的烟草治疗的可能性更高相关（p<0.001）。
负性情绪可能是癌症诊断状况与戒烟尝试和烟草治疗利用之间关系的潜在机制，影响癌症吸烟者对烟草治疗的利用。需要研究是否在肿瘤学环境中整合情绪管理可以有效地帮助癌症患者戒烟。
