Abdel-Rahman Omar
Department of Oncology, University of Alberta, Cross Cancer Institute, Edmonton, Alberta, T4G1Z2, Canada.
J Cancer Surviv. 2023 Feb;17(1):130-138. doi: 10.1007/s11764-021-00992-1. Epub 2021 Jan 24.
To evaluate the patterns of cigarette smoking and alcohol drinking among Canadian adults with cancer in a contemporary national cohort.
Canadian Community Health Survey (CCHS) annual surveys (2007-2016) were accessed, and cancer patients (identified by the question: Do you have cancer?) with complete information regarding smoking and alcohol drinking were included in the current analysis. Multivariable logistic regression analyses were conducted to evaluate factors associated with current smoking and alcohol drinking habits.
A total of 15,168 adult patients with cancer with complete information about smoking history and alcohol drinking in the past 12 months were included in the current analysis. Fifteen percent of patients were current smokers at the time of survey completion, and 3.2% exceed national limits for alcohol drinking. The following factors were associated with current smoking: younger age (OR: 2.42; 95% CI: 1.54-3.82), common-law partnership (OR versus single status: 2.61; 95% CI: 1.62-4.18), lower income (OR for patients with income <20,000 versus patients with income >80,000: 3.19; 95% CI: 2.26-4.49), poor self-perceived health (OR for excellent versus poor self-perceived health: 0.52; 95% CI: 0.33-0.83), poor self-perceived mental health (OR for excellent versus poor self-perceived mental health: 0.47; 95% CI: 0.29-0.78), heavy alcohol drinking (OR for no heavy alcohol drinking versus heavy alcohol drinking: 0.41; 95% CI: 0.29-0.58), and illicit drug use (OR: 2.42; 95% CI: 1.96-2.98). The following factors are associated with alcohol drinking beyond recommended levels: male sex (OR: 1.59; 95% CI: 1.18-2.14), heavy smoking status (OR for non-smokers versus heavy smokers: 0.30; 95% CI: 0.19-0.48), and illicit drug use (OR: 2.71; 95% CI: 1.96-3.74).
Current smoking and alcohol drinking are not uncommon among Canadian adults with cancer. Further efforts focusing on smoking cessation and alcohol moderation are needed.
Coordinated national and provincial efforts are needed to address cigarette smoking and heavy alcohol drinking among individuals with history of cancer.
在一个当代全国队列中评估加拿大成年癌症患者的吸烟和饮酒模式。
获取加拿大社区健康调查（CCHS）年度调查（2007 - 2016年）的数据，纳入那些在吸烟和饮酒方面信息完整且被问及“你是否患有癌症？”的癌症患者进行当前分析。进行多变量逻辑回归分析以评估与当前吸烟和饮酒习惯相关的因素。
本分析纳入了15168名成年癌症患者，他们在过去12个月中有关于吸烟史和饮酒的完整信息。在调查完成时，15%的患者为当前吸烟者，3.2%的患者饮酒量超过国家限量。以下因素与当前吸烟相关：年龄较小（比值比[OR]：2.42；95%置信区间[CI]：1.54 - 3.82）、同居伴侣关系（与单身状态相比的OR：2.61；95% CI：1.62 - 4.18）、收入较低（收入<20000加元的患者与收入>80000加元的患者相比的OR：3.19；95% CI：2.26 - 4.49）、自我感觉健康状况差（自我感觉健康状况极佳与差相比的OR：0.52；95% CI：0.33 - 0.83）、自我感觉心理健康状况差（自我感觉心理健康状况极佳与差相比的OR：0.47；95% CI：0.29 - 0.78）、大量饮酒（不大量饮酒与大量饮酒相比的OR：0.41；95% CI：0.29 - 0.58）以及使用非法药物（OR：2.42；95% CI：1.96 - 2.98）。以下因素与饮酒超过推荐水平相关：男性（OR：1.59；95% CI：1.18 - 2.14）、重度吸烟状态（非吸烟者与重度吸烟者相比的OR：0.30；95% CI：0.19 - 0.48）以及使用非法药物（OR：2.71；95% CI：1.96 - 3.74）。
在加拿大成年癌症患者中，当前吸烟和饮酒现象并不罕见。需要进一步努力关注戒烟和适度饮酒。
需要国家和省级协同努力，解决有癌症病史者的吸烟和大量饮酒问题。
