Tobacco and E-cigarette use among cancer survivors in the United States.
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:Sociodemograph...
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doaj-fa090b8d56f140e5858a3ed967e0c7e52021-03-03T21:18:36ZengPublic Library of Science (PLoS)PLoS ONE1932-62032019-01-011412e022611010.1371/journal.pone.0226110Tobacco and E-cigarette use among cancer survivors in the United States.Ramzi G SalloumJinhai HuoJi-Hyun LeeJuhan LeeJesse DalleryThomas GeorgeGraham WarrenBACKGROUND: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.https://doi.org/10.1371/journal.pone.0226110 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ramzi G Salloum Jinhai Huo Ji-Hyun Lee Juhan Lee Jesse Dallery Thomas George Graham Warren |
spellingShingle |
Ramzi G Salloum Jinhai Huo Ji-Hyun Lee Juhan Lee Jesse Dallery Thomas George Graham Warren Tobacco and E-cigarette use among cancer survivors in the United States. PLoS ONE |
author_facet |
Ramzi G Salloum Jinhai Huo Ji-Hyun Lee Juhan Lee Jesse Dallery Thomas George Graham Warren |
author_sort |
Ramzi G Salloum |
title |
Tobacco and E-cigarette use among cancer survivors in the United States. |
title_short |
Tobacco and E-cigarette use among cancer survivors in the United States. |
title_full |
Tobacco and E-cigarette use among cancer survivors in the United States. |
title_fullStr |
Tobacco and E-cigarette use among cancer survivors in the United States. |
title_full_unstemmed |
Tobacco and E-cigarette use among cancer survivors in the United States. |
title_sort |
tobacco and e-cigarette use among cancer survivors in the united states. |
publisher |
Public Library of Science (PLoS) |
series |
PLoS ONE |
issn |
1932-6203 |
publishDate |
2019-01-01 |
description |
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. |
url |
https://doi.org/10.1371/journal.pone.0226110 |
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