- Volume 14 Issue 1
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Smoking Habits of Relatives of Patients with Cancer: Cancer Diagnosis in the Family is an Important Teachable Moment for Smoking Cessation
- Hayran, Mutlu (Department of Preventive Oncology, Hacettepe University Institute of Oncology) ;
- Kilickap, Saadettin (Department of Medical Oncology, Cumhuriyet University Faculty of Medicine) ;
- Elkiran, Tamer (Department of Medical Oncology, Inonu University Faculty of Medicine) ;
- Akbulut, Hakan (Department of Medical Oncology, Ankara University Faculty of Medicine) ;
- Abali, Huseyin (Department of Medical Oncology, Baskent University Faculty of Medicine) ;
- Yuce, Deniz (Department of Preventive Oncology, Hacettepe University Institute of Oncology) ;
- Kilic, Diclehan (Department of Radiation Oncology, Gazi University Faculty of Medicine) ;
- Turhal, Serdar (Department of Medical Oncology, Marmara University Faculty of Medicine)
- Published : 2013.01.31
Background: In this study we aimed to determine the rate and habitual patterns of smoking, intentions of cessation, dependence levels and sociodemographic characteristics of relatives of patients with a diagnosis of cancer. Materials and Methods: This study was designed by the Turkish Oncology Group, Epidemiology and Prevention Subgroup. The relatives of cancer patients were asked to fill a questionnaire and Fagerstrom test of nicotine dependence. Results: The median ages of those with lower and higher Fagerstrom scores were 40 years and 42 years, respectively. We found no evidence of variation between the two groups for the remaining sociodemographic variables, including the subject's medical status, gender, living in the same house with the patient, their educational status, their family income, closeness to their cancer patients or spending time with them or getting any help or wanting to get some help. Only 2% of the subjects started smoking after cancer was diagnosed in their loved ones and almost 20% of subjects had quit smoking during the previous year. Conclusions: The Fagerstrom score is helpful in determining who would be the most likely to benefit from a cigarette smoking cessation program. Identification of these people with proper screening methods might help us to pinpoint who would benefit most from these programs.
- Schilling A, Conaway MR, Wingate PJ, et al. (1997). Recruiting cancer patients to participate in motivating their relatives to quit smoking. A cancer control study of the Cancer and Leukemia Group B (CALGB 9072). Cancer, 79, 152-160. https://doi.org/10.1002/(SICI)1097-0142(19970101)79:1<152::AID-CNCR22>3.0.CO;2-2
- Turkey, The Ministry of Health of Turkey. Global Adult Tobacco Survey, Turkey Report - 2010, P.H.C.G. Director, Editor 2010, The Ministry of Health of Turkey: Ankara. p. 11.
- Baider L, Koch U, Esacson R, De-Nour AK (1998). Prospective study of cancer patients and their spouses: the weakness of marital strength. Psycho Oncol, 7, 49-56. https://doi.org/10.1002/(SICI)1099-1611(199801/02)7:1<49::AID-PON312>3.0.CO;2-Z
- Bousman CA, Madlensky L (2010). Family history of lung cancer and contemplation of smoking cessation. Prev Chronic Dis, 7, 29.
- Butler KM, Rayens MK, Zhang M, Hahn EJ (2011). Motivation to quit smoking among relatives of lung cancer patients. Public Health Nurs, 28, 43-50. https://doi.org/10.1111/j.1525-1446.2010.00916.x
- Center for Disease Control and Prevention (2002). Cigarette smoking among adults- United States, 2000. MMWR Morb Mortal Wkly Rep, 51, 642-5.
- Coleman T, Murphy E, Cheater F (2000). Factors influencing discussion of smoking between general practitioners and patients who smoke: a qualitative study. Br J Gen Pract, 50, 207-10.
- Demark-Wahnefried W, Peterson B, McBride C, Lipkus I, Clipp E (2000). Current health behaviors and readiness to pursue life-style changes among men and women diagnosed with early stage prostate and breast carcinomas. Cancer, 88, 674-84. https://doi.org/10.1002/(SICI)1097-0142(20000201)88:3<674::AID-CNCR26>3.0.CO;2-R
- Fang C, Manne S, Pape S (2001). Functional impairment, marital quality and patient psychological distress as predictors of psychological distress among cancer patients’ spouses. Health Psychol, 20, 452-7. https://doi.org/10.1037/0278-6188.8.131.522
- Fiore M, Bailey W, Cohen S, et al (2000). Treating tobacco use and dependence: Clinical practice guideline. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service.
- Gritz ER, Carr CR, Rapkin D, et al (1993). Predictors of long-term smoking cessation in head and neck cancer patients. Cancer Epidemiol Biomarkers Prev, 2, 261-70.
- Hughes JR, Keely J, Naud S (2004). Shape of the relapse curve and long-term abstinence among untreated smokers. Addiction, 99, 29-38. https://doi.org/10.1111/j.1360-0443.2004.00540.x
- IARC. GLOBOCAN 2008. 2008 14/12/2011]; Available from: http://globocan.iarc.fr/factsheets/populations/factsheet.asp?uno=792.
- Kristeller JL, Hebert J, Edmiston K, et al (1996). Attitudes toward risk factor behavior of relatives of cancer patients. Prev Med, 25, 162-9. https://doi.org/10.1006/pmed.1996.0042
- McBride CM, Pollak KI, Garst J, et al (2003). Distress and motivation for smoking cessation among lung cancer patients’ relatives who smoke. J Cancer Educ, 18, 150-6. https://doi.org/10.1207/S15430154JCE1803_08
- Myung SK, McDonnell DD, Kazinets G, Seo HG, Moskowitz JM (2009). Effects of web- and computer-based smoking cessation programs: meta-analysis of randomized controlled trials. Arch Intern Med, 169, 929-37. https://doi.org/10.1001/archinternmed.2009.109
- Ostroff JS, Buckshee N, Mancuso CA, Yankelevitz DF, Henschke CI (2001). Smoking cessation following CT screening for early detection of lung cancer. Prev Med, 33, 613-21. https://doi.org/10.1006/pmed.2001.0935
- Patterson F, Wileyto EP, Segal J, et al (2010). Intention to quit smoking: role of personal and family member cancer diagnosis. Health Educ Res, 25, 792-802. https://doi.org/10.1093/her/cyq033
- Sarna L (1998). The psychological impact of lung cancer. In J. Holland (Ed.), Textbook of psycho-oncology (pp. 340-348). New York, NY: Oxford University Press.
- An LC, Betzner A, Schillo B, et al (2010). The comparative effectiveness of clinic, work-site, phone, and web-based tobacco treatment programs. Nicotine Tob Res, 12, 989-96. https://doi.org/10.1093/ntr/ntq133