Leite Raquel Descie Veraldi, Gama Ricardo Ribeiro, Vazquez Fabiana de Lima, Massarão Gabriela Beltrami, Carvalho Raiany, Teixeira Renan de Jesus, Vazquez Vinicius de Lima, Tami-Maury Irene
Hospital de Câncer de Barretos - Barretos (SP), Brazil.
University of Texas Health Science Center at Houston - Houston, Texas, United States.
Rev Bras Epidemiol. 2025 Aug 8;28:e250046. doi: 10.1590/1980-549720250046. eCollection 2025.
The aim of this study was to identify barriers and facilitators to smoking cessation among Brazilian cancer patients, considering the perspectives of both patients and healthcare professionals at a leading oncology center in the country.
A cross-sectional study was conducted, collecting smoking-related data from two groups: cancer patients and healthcare professionals at the Barretos Cancer Hospital (BCH) between 2019 and 2021. The questionnaire for healthcare professionals was adapted from the 2012 International Association for the Study of Lung Cancer and the Global Adult Tobacco Survey. For the cancer patient group, sociodemographic and clinical data were collected, along with the smoking history and consumption patterns of current smokers.
Among oncology patients, the prevalence of former smokers was found to be 37.4%, while current smokers accounted for 16.8%. Most current smokers exhibited low nicotine dependence and high motivation to quit. Key barriers reported by healthcare professionals in providing smoking cessation interventions included patient resistance (86.9%) and lack of training (64.5%). Furthermore, 52.9% of these professionals indicated that they had never discussed cessation strategies during consultations with smoking patients. Regression models revealed that physicians, compared to other professionals, were more likely to address, advise, and offer cessation treatment to smoking patients (p≤0.05).
There is a need to enhance training on smoking cessation for healthcare professionals to improve clinical outcomes and survival rates among cancer patients.
本研究旨在从巴西一家领先肿瘤中心的患者和医护人员的角度，确定巴西癌症患者戒烟的障碍和促进因素。
开展了一项横断面研究，收集了两组与吸烟相关的数据：2019年至2021年期间巴雷托斯癌症医院（BCH）的癌症患者和医护人员。医护人员问卷改编自2012年国际肺癌研究协会和全球成人烟草调查。对于癌症患者组，收集了社会人口学和临床数据，以及当前吸烟者的吸烟史和消费模式。
在肿瘤患者中，发现既往吸烟者的患病率为37.4%，而当前吸烟者占16.8%。大多数当前吸烟者表现出低尼古丁依赖性和高戒烟动机。医护人员在提供戒烟干预措施时报告的主要障碍包括患者抵触（86.9%）和缺乏培训（64.5%）。此外，52.9%的这些专业人员表示，他们在与吸烟患者会诊期间从未讨论过戒烟策略。回归模型显示，与其他专业人员相比，医生更有可能与吸烟患者讨论、建议并提供戒烟治疗（p≤0.05）。
有必要加强医护人员的戒烟培训，以改善癌症患者的临床结局和生存率。
