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Tobacco Use, Knowledge of Harms, and Treatment Support Among Patients With Non-Tobacco-Related Cancers: A
Raul Gregg-Garcia1, Vidya Dandu1, Laura B Vater1,2
1Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Purpose:
Tobacco smoking adversely affects cancer outcomes; yet tobacco treatment for patients with non-tobacco-related cancers (non-TRCs) remains understudied. This study evaluated smoking behaviors, harm perceptions, and cessation support in this population.
Methods:
We conducted a cross-sectional survey of 124 adults who reported smoking within the past 30 days and were diagnosed with non-TRCs at two medical centers between 2018 and 2022. Data collected included demographics, smoking behaviors, harm perceptions, quit attempts, and receipt of cessation support from oncology providers.
Results:
Most participants (88%) recognized that continued smoking may shorten life expectancy; however, fewer recognized its impact on cancer recurrence (44%), treatment efficacy (46%), and treatment-related side effects (46%). Although 81% reported prior quit attempts, only 33% received prescription medication and 22% received counseling. Follow-up support from oncology teams was reported by 42% of participants.
Conclusion:
Patients with non-TRCs demonstrate substantial gaps in awareness of the cancer-specific harms of continued smoking and report inconsistent receipt of evidence-based cessation support. Targeted education and systematic integration of tobacco treatment into oncology care are needed to improve outcomes in this population.
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