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Cited by 97Smoking Behavior and CessationCancer survivorship and careGlobal Cancer Incidence and Screening

Correlates of continued smoking versus cessation among survivors of smoking-related cancers

Open access
Berg, Carla J., Thomas, Akilah N., Mertens, Ann C., Schauer, Gillian L., Pinsker, Erika A., Ahluwalia, Jasjit S., Khuri, Fadlo R.·2013·Psycho-Oncology
DOI 10.1002/pon.3077PMC PMC3425712
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Abstract

Objective: We examined correlates of continued smoking versus cessation among a sample of survivors of smoking‐related cancers who were actively smoking at the time of cancer diagnosis. Methods: Participants with a history of smoking and a smoking‐related cancer diagnosis (lung, oral, pharynx, larynx, esophagus, bladder, stomach, cervix, kidney, pancreas, acute myeloid leukemia) within the past 4 years were identified in the electronic medical record. We recruited 613 individuals to complete a mail‐based survey and received 139 completed surveys (22.7% response rate). We focused on 105 participants who smoked at the time of diagnosis and dichotomized them to having either quit since diagnosis (48.6%;n = 51) or continued smoking (51.4%;n = 54). We assessed sociodemographics, type of cancer and treatment(s), and psychosocial factors (depressive symptoms, social support, hope, quality of life). We then conducted structured interviews with a subset of 21 survey respondents. Results: Binary logistic regression indicated that, controlling for age, gender, ethnicity, marital status, and income, factors associated with continued smoking versus cessation included being diagnosed with other smoking‐related cancers versus lung or head and neck cancer (OR = 11.21, CI 2.85, 44.02) and having significant depressive symptoms (OR = 1.25, CI 1.08, 1.45). Qualitative findings highlighted motivators for cessation (impact of being diagnosed with cancer, doctor advice to quit, social influences) and barriers to cessation (hopelessness, stress, addiction). Conclusions: These findings highlight the need to address depressive symptoms among cancer survivors, particularly those continuing to smoke and the importance of exploring messages cancer survivors are given regarding the need for cessation post cancer diagnosis. Copyright © 2012 John Wiley & Sons, Ltd.

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  • Cancer-related shame, stigma, depression, anxiety, and lack of knowledge about the consequences of continued smoking versus quitting are five core processes that have predicted smoking frequency, cessation, and relapse in cancer patients.

    “These five core processes have predicted smoking frequency,33,34,36 cessation,33,35,36 and relapse in cancer patients.35”

    From Efficacy of smartphone applications to help cancer patients quit smoking: Protocol of the Quit2Heal randomized controlled trial (2023) · cites this paper as [34]

    The Results and Discussion (page not specified) associate depressive symptoms with continued smoking versus cessation among survivors of smoking-related cancers. The Discussion also reports prior research linking depression to smoking intensity and relapse, but does not establish those outcomes for cancer patients. The paper does not show that shame, stigma, anxiety, or lack of knowledge predicted all three outcomes; it says further research is needed on beliefs about smoking as a predictor of cessation. (LLM, conf=0.87)

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  • Higher hope is associated with lower binge drinking and smoking, more exercise, and better nutrition in groups including young adults and cancer survivors.

    “higher hope – in groups including young adults and cancer survivors – is related to lower rates of binge drinking and smoking, more frequent exercising, and better nutrition [28–30]”

    From A Hope-based intervention to address disrupted goal pursuits and quality of life among young adult cancer survivors (2020) · cites this paper as [30]

  • Integrating positive psychology, particularly hope, into YACS patient care might enhance mental health, coping, health behaviors, and overall QOL.

    “Integrating positive psychology – and hope in particular – into YACS patient care might be strategic in the process of enhancing mental health [33], coping [24, 26, 27, 33], health behaviors [28–30], and overall QOL [31, 33].”

    From A Hope-based intervention to address disrupted goal pursuits and quality of life among young adult cancer survivors (2020) · cites this paper as [30]

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  1. [37]Feldman DB Snyder CR Maltby J Lewis CA Hill A The State Hope Scale A handbook of psychological tests 2000 Edwin Mellen Press Lampeter, Wales

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Authors
Berg, C. J., Thomas, A. N., Mertens, A. C., Schauer, G. L., Pinsker, E. A., Ahluwalia, J. S., & Khuri, F. R.
Affiliations
  • Emory University (US)
  • University of Minnesota (US)
Corresponding author
Berg, Carla J.
ORCID
Venue
Psycho-Oncology
Publisher
Wiley
Published
2012-04-09
Volume
22
Issue
4
Pages
799-806
ISSN
  • 1057-9249 (ISSN-L)
  • 1099-1611
DOI
10.1002/pon.3077
PMC
PMC3425712
OpenAlex
W2100641600
Cited by
97
References
55
Citations by year
2026: 3 · 2025: 7 · 2024: 7 · 2023: 7 · 2022: 4 · 2021: 9 · 2020: 4 · 2019: 12 · 2018: 12 · 2017: 8 · 2016: 9 · 2015: 8 · 2014: 4 · 2013: 3
FWCI
3.22
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Psycho-Oncology (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Georgia Cancer Coalition
  • Emory University
  • National Institutes of Health
  • Winship Cancer Institute
  • National Cancer Institute (K07CA139114, L30 CA160889)
  • National Institute on Minority Health and Health Disparities (P60MD003422)
Topics
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
Keywords
smoking cessation, continued smoking, cancer survivors, tobacco-related cancer, depressive symptoms, hopelessness, social support, quality of life, barriers to quitting, lung cancer, head and neck cancer
MeSH terms
Aged, Attitude to Health, Depression, Female, Health Surveys, Humans, Interviews as Topic, Male, Middle Aged, Motivation, Neoplasms, Quality of Life, Smoking, Social Support, Socioeconomic Factors, Survival Rate, Logistic Models, Smoking Cessation, Survivors, Qualitative Research

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