Correlates of Continued Tobacco Use and Intention to Quit Smoking Among Russian Cancer Patients

Abstract

Background-Tobacco use among cancer patients is associated with adverse health outcomes. Little attention has been paid to tobacco use among cancer patients in developing countries, including Russia, where tobacco use is extremely high, and there is little public health infrastructure to address this issue.

Systematic Review of Tobacco Use after Lung or Head/Neck Cancer Diagnosis: Results and Recommendations for Future Research

“…Lifetime history of tobacco use was the most frequently measured tobacco use history variable (compared to pack years, for example), with 80.1% ( n =105) of studies reporting such data. We found 51.3% (48) to 100.0% (31, 36, 42, 44, 51, 54, 72, 73, 76, 80, 84, 117, 129-132, 135, 145, 147-149) of participants had a positive lifetime history, with nearly half of all relevant studies (47.6%, n =50/105) classifying ≥ 90.0% of participants as current or former smokers.…”

“…Ns denote number of studies in the analysis for Full Sample/Current Smokers at Cancer Diagnosis. Full Sample: 0-3 includes data from (4, 10, 34, 40, 42, 54, 63, 73, 80, 84, 110, 127, 132, 134, 135, 143, 145, 147, 154); 4-6 includes data from (51, 131, 153); 7-11 includes data from (49, 133); 12-59 includes data from (59, 79, 85, 86, 88, 91, 97, 100, 141, 152); 60+ includes data from (67, 70, 128); and Mixed includes data from (5, 29-31, 46, 52, 56, 62, 69, 90, 94, 95, 98, 103, 112, 115, 120-122, 125, 126, 130, 138). Current Smokers at Cancer Diagnosis: 0-3 includes data from (4, 34, 39, 40, 80, 82, 84, 110, 143, 149); 4-6 includes data from (76, 153); 7-11 includes data from (123); 12-59 includes data from (36, 97); 60+ includes data from (128); and Mixed includes data from (5, 35, 44, 46, 56, 112, 115, 125, 129, 138).…”

Dependence and Withdrawal-Induced Craving Predict Abstinence in an Incentive-Based Model of Smoking Relapse

“…Clinical smoking cessation trials have identifi ed a multitude of variables predicting relapse among dependent smokers including, among other factors, severity of nicotine dependence ( Japuntich et al, 2011 ;Piper et al, 2008 ), impulsivity ( Powell, Dawkins, West, & Pickering, 2010 ;Yoon et al, 2007 ), beliefs and attitudes about smoking ( Chassin, Presson, Sherman, Seo, & Macy, 2010 ;Rose, Chassin, Presson, & Sherman, 1996 ), self-effi cacy ( Cox et al, 2011 ;Schnoll, Subramanian, Martinez, & Engstrom, 2011 ), number of members within the social network providing social support ( Japuntich et al, 2011 ), and psychiatric comorbidity ( Breslau & Johnson, 2000 ;Kenney et al, 2009 ;Piper et al, 2010 ). Such diverse fi ndings underscore the complexity of biological and contextual factors contributing to the persistence of smoking and highlight the need for research to elucidate potential mechanisms that may mediate risk for relapse.…”

Editorial for International Journal of Behavioral Medicine: Special Issue on Cancer

“…These include two studies [4,5] of psychosocial factors underlying cancer screening (secondary prevention) behaviors, three papers focused on tertiary prevention issues in diagnosed patients [6][7][8], and one paper [9] focused on multiple prevention issues in families dealing with cancer.…”

“…Although there is a well-established literature identifying attitudinal processes associated with the maintenance and cessation of cigarette smoking in healthy populations, less is known about the predictors of continued smoking and plans for quitting smoking among diagnosed cancer patients, and even less is known about these associations in developing countries. The paper by Schnoll and colleagues [7] makes the case that such knowledge is critical given the established association between tobacco use and negative outcomes in cancer patients [23][24][25] and the fact that tobacco use is especially prevalent in developing countries such as Russia. They report on a cross-sectional study of attitudinal factors associated with ongoing tobacco use and intentions to quit among 294 current and former smokers newly diagnosed with cancer.…”