青少年和年轻成人癌症幸存者的吸烟、合并症和总体健康状况
2016/11/09
摘要
背景：我们研究了青少年和年轻成人（AYA）癌症幸存者及其对照组受试者的吸烟、合并症和总的健康状况之间的关系。
方法:从2012到2014年的全国健康访问调查中，我们发现1019例的AYA癌症幸存者，定义为在15岁到39岁之间被诊断患有癌症，并在癌症初诊后至少生存了5年。同时选定一个在年龄、性别、和其他因素相匹配的一个非肿瘤对照组。自我报告的吸烟状况（从不吸烟、以前吸烟、或正在吸烟）、并存病（如哮喘和糖尿病），和总体健康状况（非常好、很好、或好VS差的或一般）在两组之间进行比较。幸存者在诊断之前的吸烟状况与卫生保健专业人员交流的关于戒烟的想法都进行报告。多变量逻辑回归模型用来分析吸烟状况、合并症与总体健康状况的关系。
结果:33%的幸存者当前正在吸烟，对照组22%的受试者当前正在吸烟（P＜.001）。合并症的患病率和一般/健康状况不佳在幸存者中明显较高。幸存者中，与非吸烟者相比，当前吸烟者更可能报告具有更多并发症（比值比[OR]，1.62；95%可信区间[CI]，1.06-2.47；P =. 03），并且不大可能报告是自己至少是处于好的健康状况（OR，0.34；95% CI，0.22-0.54；P <.001）。在当前吸烟的幸存者中，92%的人在被诊断为癌症前就开始吸烟，37%的人报告说，在上一年没有与健康护理专业人员进行有关吸烟的讨论。
结论:在AYA癌症幸存者中吸烟与更多的合并症和更差的健康状况有关。年轻的幸存者可能需要有针对性地进行有效戒烟干预。在医疗访问期间宣讲吸烟可能会鼓励幸存者戒烟。
（苏欣 审校）
Cancer.2016 Sep 15;122(18):2895-905. doi: 10.1002/cncr.30086. Epub 2016 Jun 10.
Cigarette smoking, comorbidity, and general health among survivors of adolescent and young adult cancer.
Kaul S1, Veeranki SP1, Rodriguez AM1, Kuo YF1.
Author information
Abstract
BACKGROUND:We examined the associations between cigarette smoking, comorbidity, and general health among survivors of adolescent and young adult (AYA) cancer and a comparison group.
METHODS:From the 2012 to 2014 National Health Interview Surveys, we identified 1019 survivors of AYA cancer, defined as individuals who had been diagnosed with cancer between 15 and 39 years of age and were at least 5 years after their initial cancer diagnosis. A noncancer comparison group was matched on age, sex, and other factors. Self-reported smoking status (never smoker, former smoker, or current smoker), comorbidities (eg, asthma and diabetes), and general health status (excellent, very good, or good versus poor or fair) were compared among these groups. Survivors' smoking status before diagnosis and interaction with health care professionals regarding smoking cessation were reported. Multivariable logistic regressions modeled the associations between smoking status and comorbidity and general health.
RESULTS:33% of survivors were current smokers compared with 22% in the comparison group (P < .001). Prevalence of comorbidities and fair/poor health was significantly higher among survivors. Current smokers among survivors were more likely to report greater comorbidities (odds ratio [OR], 1.62; 95% confidence interval [CI], 1.06-2.47; P = .03) and less likely to report at least good health (OR, 0.34; 95% CI, 0.22-0.54; P < .001) than never-smokers. Among survivors who smoked currently, 92% started smoking before diagnosis, and 37% reported having no smoking-related discussions with health care professionals in the previous year.
CONCLUSIONS:Smoking among survivors of AYA cancer is associated with greater comorbidities and poorer general health. Younger survivors may need to be targeted for effective smoking cessation interventions. Addressing cigarette smoking during medical visits may encourage survivors to quit smoking. Cancer 2016. © 2016 American Cancer Society. Cancer 2016;122:2895-2905. © 2016 American Cancer Society.
© 2016 American Cancer Society.
KEYWORDS:adolescent and young adult; cancer; cigarette smoking; comorbidity; general health
Cancer.2016 Sep 15;122(18):2895-905. doi: 10.1002/cncr.30086. Epub 2016 Jun 10.
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