Patterns and associations of smoking and electronic cigarette use among survivors of tobacco related and non-tobacco related cancers: A nationally representative cross-sectional analysis

Bjurlin, Marc A.; Basak, Ramsankar; Zambrano, Ibardo; Schatz, Daniel; El-Shahawy, Omar; Sherman, Scott E.; Matulewicz, Richard S.

doi:10.1016/j.canep.2021.101913

Cited by 9 publications

(7 citation statements)

References 33 publications

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“…In addition, nearly one half of ecigarette users in the ROCS cohort reported current dual (both traditional and e-cigarette) use. Although seemingly high, this value is considerably less than the 67.3%-81.2% reported by Philip and colleagues and the 62% reported by Bjurlin et al 15,29 Participants in both of those studies were of various racial and ethnic groups, so our data suggest that dual use may be higher in non-Black populations, supporting the conclusion of Philip et al 15 Also concerning are our preliminary data suggesting that ever use of e-cigarettes is associated with later stage at diagnosis for breast and colorectal cancers in our population of AA cancer survivors. Although these findings are based on a small number of participants, evidence exists that ever use of combustible cigarettes is associated with more aggressive disease in prostate cancers 33 and a worse prognosis in those with colorectal cancer.…”

Section: Resultsmentioning

confidence: 54%

“…disease, diabetes, chronic obstructive pulmonary disease, and cancers. 4,29 Previous work in our ROCS cohort suggests that 57% of AA cancer survivors who reported cigarette smoking at diagnosis continued to smoke after diagnosis. 30 In the United States, ecigarette use has become increasingly popular as a nicotine source and had been proposed as a potential mechanism to assist with tobacco cessation.…”

Section: Resultsmentioning

confidence: 99%

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Use of electronic cigarettes among African American cancer survivors

Wharram,

Kyko,

Ruterbusch

et al. 2023

Cancer

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BackgroundThe use of electronic cigarettes (e‐cigarettes) is increasing rapidly in the United States, although the negative health outcomes associated with these products are still unknown. Emerging research has examined the use of e‐cigarettes in the cancer survivor population as a whole, yet none has focused on e‐cigarette use in the African American (AA) cancer survivor population.MethodsThe authors used data from the Detroit Research on Cancer Survivors cohort study, comprised of AA adult cancer survivors. Logistic regression models were used to evaluate factors potentially associated with e‐cigarette ever use and current use.ResultsOf 4443 cancer survivors who completed a baseline interview, 8.3% (n = 370) reported ever using e‐cigarettes, and 16.5% (n = 61) of those reporting ever use also reported current use of e‐cigarettes. Ever users and current users were on average younger than those who did not use e‐cigarettes (57.5 vs. 61.2 years; p < .001). Current cigarette smokers were >20 times more likely (odds ratio, 20.75; 95% confidence interval, 12.84–33.55) and former smokers were almost 10 times more likely (odds ratio, 9.50; 95% confidence interval, 6.03–14.97) to have ever used e‐cigarettes than never‐smokers. Preliminary data suggested that ever use of e‐cigarettes is associated with later stage at diagnosis for breast and colorectal cancers.ConclusionsAs the use of e‐cigarettes increases in the general population, it is important to continue to monitor their use in cancer survivors and to gain more insight as it pertains to the AA cancer survivor population. Elucidation of the factors associated with e‐cigarette use in this population may help inform comprehensive cancer survivorship recommendations and interventions.

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Section: Resultsmentioning

confidence: 54%

Section: Resultsmentioning

confidence: 99%

Use of electronic cigarettes among African American cancer survivors

Wharram,

Kyko,

Ruterbusch

et al. 2023

Cancer

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“…74 Notably, dual use rates were higher in adults who wanted to quit smoking within 6 months (33.1%), compared with 18.7% of those who did not plan to quit smoking. Similar to the general population, adult patients with cancer and survivors who use ENDS are more likely to be under the age of 50 years, 75,76 but patients with cancer who use ENDS are far more likely to be current or former smokers than never-smokers. As presented in Table 1, dual users continue to be exposed to similarly high levels of carcinogens as exclusive users of combustible tobacco, and the current evidence of the efficacy of dual using ENDS to help quit smoking remains unclear.…”

Section: Discussionmentioning

confidence: 99%

Electronic Nicotine Delivery Systems: An Updated Policy Statement From the American Association for Cancer Research and the American Society of Clinical Oncology

Herbst

Hatsukami²,

Acton

et al. 2022

JCO

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Combustible tobacco use has reached historic lows, demonstrating the importance of proven strategies to reduce smoking since publication of the 1964 Surgeon General's report. In contrast, the use of electronic nicotine delivery systems (ENDS), specifically e-cigarettes, has grown to alarming rates and threatens to hinder progress against tobacco use. A major concern is ENDS use by youth and adults who never previously used tobacco. While ENDS emit fewer carcinogens than combustible tobacco, preliminary evidence links ENDS use to DNA damage and inflammation, key steps in cancer development. Furthermore, high levels of nicotine can also increase addiction, raise blood pressure, interfere with brain development, and suppress the immune system. The magnitude of long-term health risks will remain unknown until longitudinal studies are completed. ENDS have been billed as a promising tool for combustible tobacco cessation, but further evidence is needed to assess their potential efficacy for adults who smoke. Of concern, epidemiological studies estimate that approximately 15%-42% of adults who use ENDS have never used another tobacco product, and another 36%-54% dual use both ENDS and combustible tobacco. This policy statement details advances in science related to ENDS and calls for urgent action to end predatory practices of the tobacco industry and protect public health. Importantly, we call for an immediate ban on all non–tobacco-flavored ENDS products that contain natural or synthetic nicotine to reduce ENDS use by youth and adults who never previously used tobacco. Concurrently, evidence-based treatments to promote smoking cessation and prevent smoking relapse to reduce cancer incidence and improve public health remain top priorities for our organizations. We also recognize there is an urgent need for research to understand the relationship between ENDS and tobacco-related disparities.

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“…The covariate of interest is HINTS cycle. Predictors and covariates were selected a priori based on review of existing literature on demographic predictors of cigarette and e-cigarette use [ 24 , 25 , 26 ].…”

Section: Methodsmentioning

confidence: 99%

Perceptions and Patterns of Cigarette and E-Cigarette Use among Hispanics: A Heterogeneity Analysis of the 2017–2019 Health Information National Trends Survey

Cardona

Calixte

Rivera

et al. 2021

IJERPH

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There are documented disparities in smoking behaviors among Hispanic adults in the U.S., but little is known about patterns of e-cigarette use. Using data from the HINTS 5 cycle 1–3, we examined cigarette and e-cigarette history and current use, as well as perceptions of the dangers of e-cigarette use relative to cigarette use. Primary predictors were Hispanic ethnic group, gender, age, education, income, and English language proficiency. Binary outcomes were modeled using the logit link, and multinomial outcome variables were modeled using generalized logit model. Fifty-three percent of participants were Mexican, 8% Puerto Rican, 4% were Cuban, and 35% identified as other Hispanics. Of the 1618 respondents, 23% were former cigarette smokers and 10% were current cigarette smokers. Twenty percent reported history of electronic cigarettes and 4% reported current use. In multivariable models, Hispanic women were significantly less likely to report ever being smokers compared to Hispanic men (aOR = 0.61, 95% CI = 0.42, 0.88). Puerto Ricans were 2.4 times as likely to report being current smokers (95% CI = 1.11, 5.11) compared to Mexicans. Among Hispanics, significant differences in e-cigarette and cigarette use behaviors emerged by gender, age, ethnicity, and cancer history, with implications for tailoring smoking prevention and cessation messages.

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Patterns and associations of smoking and electronic cigarette use among survivors of tobacco related and non-tobacco related cancers: A nationally representative cross-sectional analysis

Cited by 9 publications

References 33 publications

Use of electronic cigarettes among African American cancer survivors

Use of electronic cigarettes among African American cancer survivors

Electronic Nicotine Delivery Systems: An Updated Policy Statement From the American Association for Cancer Research and the American Society of Clinical Oncology

Perceptions and Patterns of Cigarette and E-Cigarette Use among Hispanics: A Heterogeneity Analysis of the 2017–2019 Health Information National Trends Survey

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