Yonsei Med J.  2015 Mar;56(2):556-562. 10.3349/ymj.2015.56.2.556.

Prevalence of Cigarette Smoking among Adult Cancer Survivors in Korea

Affiliations
  • 1Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul, Korea.
  • 2Department of Family Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea. drparkhyunah@gmail.com

Abstract

PURPOSE
Cigarette smoking is associated not only with increased risk of cancer incidence, but also influences prognosis, and the quality of life of the cancer survivors. Thus, smoking cessation after cancer diagnosis is necessary. However, smoking behavior among Korean cancer-survivors is yet unknown.
MATERIALS AND METHODS
We investigated the smoking status of 23770 adults, aged 18 years or older, who participated in the Health Interview Survey of the Korea National Health and Nutrition Examination Survey from 2007 to 2010. Data on the cancer diagnosis and smoking history were obtained from an interview conducted by trained personals. "Cancer-survivor" was defined as anyone who has been diagnosed with cancer by a physician regardless of time duration since diagnosis. Smoking status was classified into "never-smoker", "former-smoker", and "current-smoker". Former-smoker was further divided into "cessation before diagnosis" and "cessation after diagnosis".
RESULTS
Overall, 2.1% of Korean adults were cancer-survivors. The smoking rate of Korean cancer-survivors was lower than that of non-cancer controls (7.8+/-1.3% vs. 26.4+/-0.4%, p<0.001). However, 53.4% of the cancer-survivors continued to smoke after their cancer diagnosis. In multivariate analysis, male gender [odds ratio (OR), 6.34; 95% confidence interval (CI), 2.62-15.31], middle-aged group (OR, 2.74; 95% CI, 1.12-6.72), the lowest income (OR, 4.10; 95% CI, 1.19-14.15), living with smoking family member(s) (OR, 5.49; 95% CI, 2.42-12.48), and the poor self-perceived health status (OR, 2.78; 95% CI, 1.01-7.71) were independently associated with persistent smoking among Korean cancer-survivors.
CONCLUSION
The smoking rate among Korean cancer survivors is low. However, the smoking cessation rate after the cancer diagnosis is also low. This mandates comprehensive and systematic intervention for smoking cessation among cancer-survivors.

Keyword

Cancer; survivor; smoking

MeSH Terms

Adolescent
Adult
Aged
Female
Health Status
Health Surveys
Humans
Incidence
Male
Middle Aged
Multivariate Analysis
Neoplasms/chemically induced/*psychology
Nutrition Surveys
Odds Ratio
Prevalence
Prognosis
*Quality of Life
Republic of Korea/epidemiology
Sex Distribution
Smoking/*adverse effects/epidemiology/psychology
Smoking Cessation/*psychology/statistics & numerical data
Socioeconomic Factors
Survivors/*psychology

Figure

  • Fig. 1 Percentage of current smokers among cancer survivors and remaining Korean population by age, 2007-2010. (A) Male. (B) Female.

  • Fig. 2 Cancer site specific smoking rate among Korean cancer survivors, 2007-2010. Only cancer types which had more than 30 cases of prevalence among cancer survivors were presented.


Cited by  2 articles

Effects of Disease Detection on Changes in Smoking Behavior
Jeoung A Kwon, Wooman Jeon, Eun-Cheol Park, Jae-Hyun Kim, Sun Jung Kim, Ki-Bong Yoo, Minjee Lee, Sang Gyu Lee
Yonsei Med J. 2015;56(4):1143-1149.    doi: 10.3349/ymj.2015.56.4.1143.

Management of long-term lung cancer survivors in Korea
Jinyoung Shin, Jae Ill Zo, Jungkwon Lee
J Korean Med Assoc. 2016;59(4):294-299.    doi: 10.5124/jkma.2016.59.4.294.


Reference

1. Gritz ER, Dresler C, Sarna L. Smoking, the missing drug interaction in clinical trials: ignoring the obvious. Cancer Epidemiol Biomarkers Prev. 2005; 14:2287–2293.
Article
2. Browman GP, Wong G, Hodson I, Sathya J, Russell R, McAlpine L, et al. Influence of cigarette smoking on the efficacy of radiation therapy in head and neck cancer. N Engl J Med. 1993; 328:159–163.
Article
3. Johnston-Early A, Cohen MH, Minna JD, Paxton LM, Fossieck BE Jr, Ihde DC, et al. Smoking abstinence and small cell lung cancer survival. An association. JAMA. 1980; 244:2175–2179.
Article
4. Parsons A, Daley A, Begh R, Aveyard P. Influence of smoking cessation after diagnosis of early stage lung cancer on prognosis: systematic review of observational studies with meta-analysis. BMJ. 2010; 340:b5569.
Article
5. Do KA, Johnson MM, Doherty DA, Lee JJ, Wu XF, Dong Q, et al. Second primary tumors in patients with upper aerodigestive tract cancers: joint effects of smoking and alcohol (United States). Cancer Causes Control. 2003; 14:131–138.
6. Gritz ER, Fingeret MC, Vidrine DJ, Lazev AB, Mehta NV, Reece GP. Successes and failures of the teachable moment: smoking cessation in cancer patients. Cancer. 2006; 106:17–27.
7. Burke L, Miller LA, Saad A, Abraham J. Smoking behaviors among cancer survivors: an observational clinical study. J Oncol Pract. 2009; 5:6–9.
Article
8. Ministry of Health and Welfare, National Cancer Center. Cancer Facts & Figures 2013. Korea: Ministry of Health and Welfare, National Cancer Center;2013. Available at: http://ncc.re.kr/pr/issue_list.jsp?schisgubun=A&selSearch=null&txtKeyword=&current_page=2.
9. Ministry of Health and Welfare, Korea Centers for Disease Control & Prevention. Korea Health Statistics 2013: Korea National Health and Nutrition Examination Survey (KNHANES VI-I). 2014. Available at: https://knhanes.cdc.go.kr/knhanes/index.do.
10. American Cancer Society. Cancer Facts & Figures 2012. Atlanta: American Cancer Society;2012.
11. Underwood JM, Townsend JS, Stewart SL, Buchannan N, Ekwueme DU, Hawkins NA, et al. Surveillance of demographic characteristics and health behaviors among adult cancer survivors--Behavioral Risk Factor Surveillance System, United States, 2009. MMWR Surveill Summ. 2012; 61:1–23.
12. Tseng TS, Lin HY, Moody-Thomas S, Martin M, Chen T. Who tended to continue smoking after cancer diagnosis: the national health and nutrition examination survey 1999-2008. BMC Public Health. 2012; 12:784.
Article
13. Bellizzi KM, Rowland JH, Jeffery DD, McNeel T. Health behaviors of cancer survivors: examining opportunities for cancer control intervention. J Clin Oncol. 2005; 23:8884–8893.
Article
14. Hewitt M, Rowland JH, Yancik R. Cancer survivors in the United States: age, health, and disability. J Gerontol A Biol Sci Med Sci. 2003; 58:82–91.
Article
15. Emmons KM, Butterfield RM, Puleo E, Park ER, Mertens A, Gritz ER, et al. Smoking among participants in the childhood cancer survivors cohort: the Partnership for Health Study. J Clin Oncol. 2003; 21:189–196.
Article
16. Schnoll RA, Malstrom M, James C, Rothman RL, Miller SM, Ridge JA, et al. Correlates of tobacco use among smokers and recent quitters diagnosed with cancer. Patient Educ Couns. 2002; 46:137–145.
Article
17. Schnoll RA, Engstrom PF, Subramanian S, Demidov L, Wielt DB, Tighiouart M. Prevalence and correlates of tobacco use among Russian cancer patients: implications for the development of smoking cessation interventions at a cancer center in Russia. Int J Behav Med. 2006; 13:16–25.
Article
18. Kahalley LS, Robinson LA, Tyc VL, Hudson MM, Leisenring W, Stratton K, et al. Risk factors for smoking among adolescent survivors of childhood cancer: a report from the Childhood Cancer Survivor Study. Pediatr Blood Cancer. 2012; 58:428–434.
Article
19. de Moor JS, Elder K, Emmons KM. Smoking prevention and cessation interventions for cancer survivors. Semin Oncol Nurs. 2008; 24:180–192.
Article
20. Coups EJ, Ostroff JS. A population-based estimate of the prevalence of behavioral risk factors among adult cancer survivors and noncancer controls. Prev Med. 2005; 40:702–711.
Article
21. Garces YI, Yang P, Parkinson J, Zhao X, Wampfler JA, Ebbert JO, et al. The relationship between cigarette smoking and quality of life after lung cancer diagnosis. Chest. 2004; 126:1733–1741.
Article
22. Demark-Wahnefried W, Pinto BM, Gritz ER. Promoting health and physical function among cancer survivors: potential for prevention and questions that remain. J Clin Oncol. 2006; 24:5125–5131.
Article
23. Vander Ark W, DiNardo LJ, Oliver DS. Factors affecting smoking cessation in patients with head and neck cancer. Laryngoscope. 1997; 107:888–892.
Article
24. Woodward M, Tunstall-Pedoe H. Biochemical evidence of persistent heavy smoking after a coronary diagnosis despite self-reported reduction: analysis from the Scottish Heart Health Study. Eur Heart J. 1992; 13:160–165.
Article
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