Skip to main content

Advertisement

SpringerLink
Log in

Associations between Cigarette Smoking and Health-Related Quality of Life in Adult Survivors of Adolescent and Young Adult Cancer

  • Published:
Journal of Cancer Education Aims and scope Submit manuscript

Abstract

This cross-sectional, secondary data analysis examines the association between cigarette smoking and self-reported health-related quality of life (HRQoL) in adult survivors of Adolescent and Young Adult Cancer. Pooled data for survivors of Adolescent and Young Adult Cancer (N = 1495) were drawn from the 2016 and 2017 Behavioral Risk Factor Surveillance Survey. Binary logistic regression models were utilized to examine independent associations between each of the four HRQoL domains (i.e., self-related general health, activity limitation days, poor physical, and mental health days) and cigarette smoking. Of the 1495 Adolescent and Young Adult Onset Cancer Survivors (AYAO-CS) in this study, approximately 30% reported currently smoking cigarettes. Relative to never smokers, the odds of reporting fair/poor general health were significantly higher for current and former smokers: (OR = 3.95, 95% CI: 2.08–7.50) and (OR = 2.51, 95% CI: 1.46–4.32), respectively. Likewise, current smokers were significantly more likely to report frequent days of poor physical health (OR = 2.79, 95% CI: 1.38–5.65). The study findings suggest a significant cross-sectional association between cigarette smoking and poor health-related quality of life in adult survivors of adolescent and young adult cancer. These findings, although cross-sectional, underscore the need for prospective studies to examine the longitudinal association between HRQoL and cigarette smoking among cancer survivors. Findings also help establish both the need for smoking cessation programs and the importance of effective strategies for addressing HRQoL issues among cancer survivors.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Projections based on data from Figure 1 in Bluethmann SM, Mariotto AB, Rowland, JH (2016) Anticipating the “Silver Tsunami”: Prevalence Trajectories and Comorbidity Burden among Older Cancer Survivors in the United States. Cancer Epidemiol Biomarkers Prev;25:1029–1036

  2. National Cancer Institute. Adolescents and Young Adults with Cancer. https://www.cancer.gov/types/aya. Accessed March 4, 2019

  3. Quinn GP, Goncalves V, Sehovic I, Bowman ML, Reed DR (2015) Quality of life in adolescent and young adult cancer patients: a systematic review of the literature. Patient Related Outcome Measures 6:19–51. https://doi.org/10.2147/prom.s51658

  4. Bellizzi K, Smith A, Schmidt S et al (2012) Positive and negative psychosocial impact of being diagnosed with cancer as an adolescent or young adult. Cancer. 118(20):5155–5162. https://doi.org/10.1002/cncr.27512

    Article  PubMed  Google Scholar 

  5. Kwak M, Zebrack BJ, Meeske KA, Embry L, Aguilar C, Block R, Hayes-Lattin B, Li Y, Butler M, Cole S (2013) Trajectories of psychological distress in adolescent and young adult patients with Cancer: a 1-year longitudinal study. J Clin Oncol 31(17):2160–2166. https://doi.org/10.1200/jco.2012.45.9222

    Article  PubMed  Google Scholar 

  6. Smith AW, Bellizzi KM, Keegan TH et al (2013) Health-related quality of life of adolescent and young adult patients with cancer in the United States: the adolescent and young adult health outcomes and patient experience study. J Clin Oncol 31(17):2136–2145. https://doi.org/10.1200/jco.2012.47.3173

    Article  PubMed  PubMed Central  Google Scholar 

  7. Heikkinen H, Jallinoja P, Saarni S, Patja K (2008) The impact of smoking on health-related and overall quality of life: a general population survey in Finland. Nicotine Tob Res 10(7):1199–1207. https://doi.org/10.1080/14622200802163142

    Article  PubMed  Google Scholar 

  8. Ruiz ME, Sender L, Torno L, Fortier MA (2016) The associations of age and ethnicity on substance use behaviors of adolescent and young adult childhood cancer survivors. Psycho-Oncology. 25(10):1229–1236. https://doi.org/10.1002/pon.4225

    Article  PubMed  Google Scholar 

  9. Dube S, Thompson W, Homa D, Zack M (2012) Smoking and health-related quality of life among U.S. adolescents. Nicotine Tob Res 15(2):492–500. https://doi.org/10.1093/ntr/nts163

    Article  PubMed  Google Scholar 

  10. Kaul S, Veeranki SP, Rodriguez AM, Kuo Y-F (2016) Cigarette smoking, comorbidity, and general health among survivors of adolescent and young adult cancer. Cancer. 122(18):2895–2905. https://doi.org/10.1002/cncr.30086

    Article  PubMed  Google Scholar 

  11. Adolescent and Young Adult Oncology Progress Review Group. Closing the Gap: Research and Care Imperatives for Adolescents and Young Adults with Cancer. NIH Pub. No. 06–6067. Bethesda, MD: National Cancer Institute, National Institutes of Health, and the LIVESTRONG Young Adult Alliance; 2006

  12. Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System OVERVIEW: BRFSS 2016. July 2017. https://www.cdc.gov/brfss/annual_data/2016/pdf/overview_2016.pdf. Accessed September 20, 2018.65

  13. Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System OVERVIEW: BRFSS 2017. July 2018.https://www.cdc.gov/brfss/annual_data/2017/pdf/overview-2017-508.pdf. Accessed September 20, 2018

  14. Andresen E, Catlin T, Wyrwich K, Jackson-Thompson J (2003) Retest reliability of surveillance questions on health related quality of life. J Epidemiol Community Health 57(5):339–343. https://doi.org/10.1136/jech.57.5.339

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Moriarty DG, Zack MM, Kobau R (2003) The Centers for Disease Control and Prevention’s healthy days measures – population tracking of perceived physical and mental health over time. Health Qual Life Outcomes 1:37. https://doi.org/10.1186/1477-7525-1-37

    Article  PubMed  PubMed Central  Google Scholar 

  16. Danson S, Rowland C, Rowe R et al (2015) The relationship between smoking and quality of life in advanced lung cancer patients: a prospective longitudinal study. Support Care Cancer 24(4):1507–1516. https://doi.org/10.1007/s00520-015-2928-x

    Article  PubMed  Google Scholar 

  17. Myrdal G, Valtysdottir S, Lambe M, Ståhle E (2003) Quality of life following lung cancer surgery. Thorax. 58(3):194–197

    Article  CAS  Google Scholar 

  18. Rowland C, Eiser C, Rowe R, Danson S (2012) The effect of smoking on health-related quality of life in lung cancer patients: a systematic review. BMJ Support Palliat Care 2(4):312–318. https://doi.org/10.1136/bmjspcare-2011-000186

    Article  PubMed  Google Scholar 

  19. National Cancer Institute (2020). Cancer Survivors and Smoking | Cancer Trends Progress Report. [Online] Progressreport.cancer.gov. Available at: https://progressreport.cancer.gov/after/smoking. Accessed 26 May 2020

  20. American Cancer Society. “Cancer survivors who smoke perceive less risk from tobacco: Exposure to other smokers may contribute to continued smoking.” ScienceDaily. www.sciencedaily.com/releases/2015/07/150702131518.htm Accessed May 26, 2020

  21. Westmaas JL, Berg CJ, Alcaraz KI, Stein K (2015) Health behavior theory constructs and smoking and cessation-related behavior among survivors of ten cancers nine years after diagnosis: a report from the American Cancer Society study of cancer survivors-I. Psycho-Oncology. 24(10):1286–1294. https://doi.org/10.1002/pon.3885

    Article  Google Scholar 

  22. Creamer MR, Wang TW, Babb S et al (2019) Tobacco product use and cessation indicators among adults — United States, 2018. MMWR Morbidity and Mortality Weekly Report 68(45):1013–1019. https://doi.org/10.15585/mmwr.mm6845a2

    Article  PubMed  PubMed Central  Google Scholar 

  23. Cancer Trends Progress Report – 2011/2012 Update NCI, NIH, DHHS from http://progressreport.cancer.gov

  24. Salloum RG, Huo J, Lee J-H, et al. (2019) Tobacco and E-cigarette use among cancer survivors in the United States. Plos One;14(12). doi:https://doi.org/10.1371/journal.pone.0226110

  25. Antwi GO, Lohrmann DK, Jayawardene W, Chow A, Obeng CS, Sayegh AM (2019) Associations between e-cigarette and combustible cigarette use among U.S. cancer survivors: implications for research and practice. J Cancer Surviv 13(2):316–325. https://doi.org/10.1007/s11764-019-00753-1

    Article  PubMed  Google Scholar 

  26. Kim H, Kim MH, Park YS, Shin JY, Song YM (2015) Factors that predict persistent smoking of cancer survivors. J Korean Med Sci 30(7):853–859. https://doi.org/10.3346/jkms.2015.30.7.853

    Article  PubMed  PubMed Central  Google Scholar 

  27. Little MA, Klesges RC, Bursac Z et al (2018) Why don’t cancer survivors quit smoking? An Evaluation of Readiness for Smoking Cessation in Cancer Survivors. J Cancer Prev 23(1):44–50. https://doi.org/10.15430/JCP.2018.23.1.44

    Article  PubMed  PubMed Central  Google Scholar 

  28. Nayan S, Gupta MK, Strychowsky JE, Sommer DD (2013) Smoking cessation interventions and cessation rates in the oncology population: an updated systematic review and meta-analysis. Otolaryngol Head Neck Surg 149:200–11.10.1177/0194599813490886

    Article  Google Scholar 

  29. Klesges RC, Krukowski RA, Klosky JL, Liu W, Srivastava DK, Boyett JM, Lanctot JQ, Hudson MM, Folsom C, Lando H, Robison LL (2015) Efficacy of a tobacco quitline among adult cancer survivors. Prev Med 73:22–27. https://doi.org/10.1016/j.ypmed.2014.12.019

    Article  PubMed  PubMed Central  Google Scholar 

  30. Yi JC, Syrjala KL (2017) Anxiety and depression in Cancer survivors. Med Clin North Am 101(6):1099–1113. https://doi.org/10.1016/j.mcna.2017.06.005

    Article  PubMed  PubMed Central  Google Scholar 

  31. Fluharty M, Taylor AE, Grabski M, Munafò MR (2016) The association of cigarette Smoking with depression and anxiety: a systematic review. Nicotine Tob Res 19(1):3–13. https://doi.org/10.1093/ntr/ntw140

    Article  PubMed  PubMed Central  Google Scholar 

  32. de la Torre-Luque A, Gambara H, López E, Cruzado JA (2016) Psychological treatments to improve quality of life in cancer contexts: a meta-analysis. Int J Clin Health Psychol 16(2):211–219. https://doi.org/10.1016/j.ijchp.2015.07.005

    Article  PubMed  Google Scholar 

  33. Mann E, Smith MJ, Hellier J, Balabanovic JA, Hamed H, Grunfeld EA, Hunter MS (2012) Cognitive behavioural treatment for women who have menopausal symptoms after breast cancer treatment (MENOS 1): a randomised controlled trial. Lancet Oncol 13(3):309–318. https://doi.org/10.1016/S1470-2045(11)70364-3

    Article  PubMed  PubMed Central  Google Scholar 

  34. Ye M, Du K, Zhou J et al (2018) A meta-analysis of the efficacy of cognitive behavior therapy on quality of life and psychological health of breast cancer survivors and patients. Psycho-Oncology. 27(7):1695–1703. https://doi.org/10.1002/pon.4687

    Article  PubMed  Google Scholar 

  35. Duffy SA, Louzon SA, Gritz ER (2012) Why do cancer patients smoke and what can providers do about it? Community Oncol 9(11):344–352. https://doi.org/10.1016/j.cmonc.2012.10.003

    Article  PubMed  PubMed Central  Google Scholar 

  36. Stead LF, Perera R, Bullen C et al (2012) Nicotine replacement therapy for smoking cessation. Cochrane Database Syst Rev 11:CD000146

    PubMed  Google Scholar 

  37. Penson D, Stoddard M, Pasta D et al (2001) The association between socioeconomic status, health insurance coverage, and quality of life in men with prostate cancer. J Clin Epidemiol 54(350):2001–358

  38. Blanchard CM, Courneya KS, Stein K (2008) Cancer survivors’ adherence to lifestyle behavior recommendations and associations with health-related quality of life: results from the American Cancer Societys SCS-II. J Clin Oncol 26(13):2198–2204. https://doi.org/10.1200/jco.2007.14.6217

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Public Health and Health Education, The College at Brockport, State University of New York, Brockport, NY, 14420, USA

    Godfred O. Antwi

  2. Department of Applied Heath Science, Indiana University School of Public Health Bloomington, Bloomington, IN, 47405, USA

    David K. Lohrmann, Wasantha Jayawardene, Angela Chow & Cecilia S. Obeng

  3. Institute for Research on Addictive Behavior, Indiana University School of Public Health Bloomington, Bloomington, IN, USA

    Wasantha Jayawardene

  4. Department of Epidemiology and Biostatistics, Indiana University School of Public Health, Bloomington, IN, 47405, USA

    Aaron M. Sayegh

Authors
  1. Godfred O. Antwi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. David K. Lohrmann
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Wasantha Jayawardene
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Angela Chow
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Cecilia S. Obeng
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Aaron M. Sayegh
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Godfred O. Antwi.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Antwi, G.O., Lohrmann, D.K., Jayawardene, W. et al. Associations between Cigarette Smoking and Health-Related Quality of Life in Adult Survivors of Adolescent and Young Adult Cancer. J Canc Educ 37, 508–516 (2022). https://doi.org/10.1007/s13187-020-01837-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13187-020-01837-8

Keywords

Search

Navigation