Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY, USA.
Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 5799Northwell Health Cancer Institute, Lake Success, NY, USA.
Cancer Control. 2021 Jan-Dec;28:10732748211056691. doi: 10.1177/10732748211056691.
Continued smoking after a cancer diagnosis adversely affects outcomes, including recurrence of the primary cancer and/or the development of second primary cancers. Despite this, prevalence of smoking is high in cancer survivors and higher in survivors of tobacco-related cancers. The diagnosis of cancer provides a teachable moment, and social networks, such as family, friends, and social groups, seem to play a significant role in smoking habits of cancer patients. Interventions that involve members of patients' social network, especially those who also smoke, might improve tobacco cessation rates. Very few studies have been conducted to evaluate and target patients' social networks. Yet, many studies have demonstrated that cancer survivors who received higher levels of social support were less likely to be current smokers. Clinicians should be doing as much as they can to encourage smoking cessation in both patients and relevant family members. Research aimed at influencing smoking behavioral change in the entire family is needed to increase cessation intervention success rate, which can ultimately improve the health and longevity of patients as well as their family members.
癌症诊断后继续吸烟会对预后产生不利影响，包括癌症的复发和/或第二原发癌的发生。尽管如此，癌症幸存者中的吸烟率仍然很高，与烟草相关癌症幸存者的吸烟率更高。癌症的诊断提供了一个可教育的时刻，社交网络，如家庭、朋友和社会团体，似乎在癌症患者的吸烟习惯中起着重要作用。涉及患者社交网络成员的干预措施，特别是那些也吸烟的成员，可能会提高戒烟率。很少有研究评估和针对患者的社交网络。然而，许多研究表明，接受社会支持程度更高的癌症幸存者更不可能成为当前吸烟者。临床医生应该尽其所能，鼓励患者和相关家庭成员戒烟。需要开展旨在影响整个家庭吸烟行为改变的研究，以提高戒烟干预成功率，这最终可以提高患者及其家庭成员的健康和寿命。
