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按专业分类的癌症患者吸烟状况:美国全国代表性分析
José Ignacio Nolazco1,2, Yuzhe Tang1,3, Khalid Y Alkhatib4,5
1Division of Urological Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
使用烟草的癌症幸存者根据他们的医学专业有不同的吸烟持久率. 泌尿和妇科癌症幸存者显示继续吸烟的风险更高,突出了针对性戒烟干预措施的必要性.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对癌症幸存者来说,烟草使用的持续性是一个重要的问题.
- 影响烟草使用的临床人口统计因素已知,但医疗保健提供者的专业影响未得到充分研究.
- 了解专业特异性差异对于癌症治疗中有效的戒烟策略至关重要.
研究的目的:
- 研究医疗保健专业专业和癌症幸存者中持续吸烟之间的关联.
- 为了确定特定的癌症部位或特异性,吸烟持久率较高.
- 为癌症患者群体提供有针对性的戒烟干预信息.
主要方法:
- 对行为风险因素监测系统 (BRFSS) 数据库 (2016-2020) 的横截面分析.
- 包括癌症幸存者,有吸烟史的人.
- 修改Poisson回归分析,考虑复杂的调查设计,并根据人口和临床变量进行调整.
主要成果:
- 分析包括19855名癌症幸存者,有吸烟史;26.3%是目前的吸烟者.
- 泌尿 (RR 1.30) 和妇科 (RR 1.25) 癌症的幸存者表现出目前吸烟的相对风险较高.
- 恶性血液学专业显示吸烟状态的相对风险最低 (RR 0.85).
结论:
- 在不同医疗专业的癌症幸存者中,吸烟持续率存在显著差异.
- 大约四分之一的癌症幸存者继续吸烟,这强调了医疗保健专业人员在戒烟咨询中的关键作用.
- 专业特定的数据可以指导针对不同癌症幸存者群体制定量身定制的戒烟计划.
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