E-cigarette and cigarette use among cancer survivors versus general population: a case-control study in Korea
- Authors
- Paek, Jeongki; Son, Serhim; Choi, Yoon Ji
- Issue Date
- 8월-2022
- Publisher
- SPRINGER
- Keywords
- Korea National Health and Nutrition Examination Survey; Cancer survivors; Smoking; E-cigarettes; Cessation
- Citation
- JOURNAL OF CANCER SURVIVORSHIP, v.16, no.4, pp.741 - 750
- Indexed
- SCIE
SSCI
SCOPUS
- Journal Title
- JOURNAL OF CANCER SURVIVORSHIP
- Volume
- 16
- Number
- 4
- Start Page
- 741
- End Page
- 750
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/130168
- DOI
- 10.1007/s11764-021-01067-x
- ISSN
- 1932-2259
- Abstract
- Purpose Although successful smoking cessation after cancer diagnosis is important, research on e-cigarette use and smoking behavior among cancer survivors (CS) is limited. This study compared cigarette and e-cigarette use among CS and non-cancer populations in Korea. Methods This study analyzed the 2013-2018 National Health and Nutrition Survey data to investigate e-cigarette use and smoking behavior among Korean CS. The data were categorized into 1260 CS and 5040 non-cancer populations using the propensity score matching method. A multiple logistic regression was conducted among CS who previously used cigarettes or e-cigarettes to evaluate factors influencing successful cessation. Results Regarding conventional smoking, the proportion of ex-smokers was higher (25.2% versus 19.9%) than current smokers (6.7% versus 10.6%) in the CS group than in the propensity matched non-cancer population (PMNCP) (p < 0.001). However, ever use of e-cigarettes did not differ between them (2.4% versus 2.7%, p = 0.529). Successful cessation, defined as not using either cigarettes or e-cigarettes, correlated with problem drinking (OR 0.442, 95% CI 0.207-0.940), depression (OR 0.276, 95% CI 0.087-0.872), and cancer sites. CS of stomach, liver, colorectal, and lung cancer maintained higher successful smoking cessation rates than PMNCP. Conclusions Korean CS had a higher cessation rate than PMNCP regarding conventional smoking; however, there was no difference in e-cigarette use. Implications for Cancer Survivors In Korea, some CS continue to use e-cigarettes, and physicians should focus on helping them quit. Individualized and timely interventions should be provided for both cigarette and e-cigarette users, considering factors influencing successful cessation.
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Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
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