Home > Tobacco and E-cigarette use among cancer survivors in the United States.

Salloum, Ramzi G and Huo, Jinhai and Lee, Ji-Hyun and Lee, Juhan and Dallery, Jesse and George, Thomas and Warren, Graham [PLOS One] . (2019) Tobacco and E-cigarette use among cancer survivors in the United States. PLoS ONE, 14 (12, e0226110) https://doi.org/10.1371/journal.pone.0226110

URL: https://journals.plos.org/plosone/article?id=10.13...

BACKGROUND: Limited information exist on tobacco and e-cigarette use patterns in cancer survivors. The purpose of this study is to report on use patterns in cancer survivors compared with non-cancer participants from the Population Assessment of Tobacco and Health (PATH) Study.

METHODS: Sociodemographic data and tobacco product use were analyzed for 32,244 adult participants from the PATH Study in 2013-2014 by cancer status and age. Logistic regression examined the patterns of and factors associated with tobacco use by cancer status.

RESULTS: Overall, cancer survivors represented 7.1% (n = 1,527) of participants, were older, and had a higher proportion of females and non-Hispanic whites than non-cancer participants. In cancer survivors, current and former cigarette smoking was reported in 12.7% and 32.9% respectively, compared with 18.5% and 19.0% in non-cancer adults. Current e-cigarette use was reported by 3.8% of survivors compared with 5.7% of non-cancer participants. Dual tobacco use was reported by 25.0% and poly use by 6.9% of cancer survivors who currently smoked. All other forms of current tobacco use were individually reported by <5% of survivors. Young adult cancer survivors (aged 18-44) reported the highest rates of current cigarette smoking (27.9%) and current e-cigarette use (11.8%). The effects of age, sex, race/ethnicity, education, and income on tobacco use status were comparable for cancer survivors and non-cancer participants. Cancer survivors who were younger, male, of lower educational attainment, and those diagnosed with a tobacco-related cancer were more likely to report current tobacco use.

CONCLUSIONS: Among cancer survivors, cigarette smoking remains the predominant form of tobacco use, although other tobacco/nicotine use and dual/poly use are common. The PATH Study provides detailed tobacco product use patterns in survivors, including their adoption of emerging alternative tobacco products.

Item Type:Evidence resource
Drug Type:Tobacco
Intervention Type:AOD disorder harm reduction
Source:PLOS One
Page Range:e0226110
Number:12, e0226110
Subjects:B Substances > Tobacco (cigarette smoking)
B Substances > Tobacco (cigarette smoking) > Nicotine product (e-cigarette / vaping)
G Health and disease > Pathologic process > Cancer
VA Geographic area > United States

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