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Receipt of Provider Advice for Smoking Cessation and Use of Smoking Cessation Treatments Among Cancer Survivors

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ABSTRACT

BACKGROUND

As the number of cancer survivors increases, the assessment and intervention for smoking among survivors are increasingly important.

OBJECTIVE

This study examined the extent to which cancer survivors reported being asked and advised about smoking by health-care providers and their use of smoking cessation treatments during quit attempts.

DESIGN

The data were drawn from the 2005 National Health Interview Survey, an annual health survey of US adults.

PARTICIPANTS

The participants were 1,825 individuals who reported being diagnosed with cancer at least 1 year previously and provided data regarding their current smoking status.

MEASUREMENTS

Participants completed items assessing demographics, health and health-care factors, and smoking-related variables.

MAIN RESULTS

More than three-quarters of participants (81.0%) reported that their smoking status was known by a health-care provider. Among current smokers (17.6%) who visited a health-care provider in the past year, 72.2% reported being advised to quit smoking by a provider. Factors associated with a higher rate of receiving advice to quit included greater cigarette consumption (P=0.008), more medical comorbidities (P= 0.001), high psychological distress (P= 0.003), and lack of health-care insurance (P = 0.03). Among current smokers who tried to quit in the last year, 33.5% used pharmacotherapy cessation treatment and 3.8% used an evidence-based behavioral treatment.

CONCLUSIONS

This study reveals considerable missed opportunities for health-care providers to advise cancer survivors about smoking and provide evidence-based interventions. Systematic efforts are needed to increase the provision of smoking cessation advice and use of cessation treatments among cancer survivors.

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Acknowledgments

This research was supported by National Cancer Institute grants 1K07CA133100–01A1 (Coups), 5K07CA108685–04 (Heckman), 1K05CA109008–05 (Manne), and P30CA006927 (Fox Chase Cancer Center Core Grant), and by the Beth Israel Medical Center Head and Neck and Thyroid Cancer Institute (Dhingra). We thank Lauren Greenberg for her valuable assistance with literature searches. This research was presented at the annual meeting of the American Society of Preventive Oncology, March 2009.

Conflict of Interest

None of the authors have any conflict of interest associated with this research.

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Authors and Affiliations

  1. Cancer Prevention and Control Program, Fox Chase Cancer Center, 510 Township Line Road, 1st floor, Philadelphia, PA, 19012, USA

    Elliot J. Coups PhD, Carolyn J. Heckman PhD & Sharon L. Manne PhD

  2. Department of Pain Medicine and Palliative Care, Beth Israel Medical Center, New York, NY, USA

    Lara K. Dhingra PhD

  3. Department of Neurology, Albert Einstein College of Medicine, New York, NY, USA

    Lara K. Dhingra PhD

  4. Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, New York, NY, USA

    Lara K. Dhingra PhD

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  1. Elliot J. Coups PhD
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  2. Lara K. Dhingra PhD
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  3. Carolyn J. Heckman PhD
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  4. Sharon L. Manne PhD
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Correspondence to Elliot J. Coups PhD.

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Coups, E.J., Dhingra, L.K., Heckman, C.J. et al. Receipt of Provider Advice for Smoking Cessation and Use of Smoking Cessation Treatments Among Cancer Survivors. J GEN INTERN MED 24 (Suppl 2), 480–486 (2009). https://doi.org/10.1007/s11606-009-0978-9

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  • DOI: https://doi.org/10.1007/s11606-009-0978-9

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