在宫癌幸存者的癌症治疗状态下戒烟
Cherell Cottrell-Daniels1, Charles E Hoogland1, Bethany Shorey Fennell2
1Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida.
American journal of preventive medicine
|February 11, 2024
概括
接受活跃癌症治疗的妇女与未接受活跃治疗的妇女相比,长期戒烟率明显较低. 需要进一步的研究,以改善癌症幸存者在积极治疗中的禁欲.
科学领域:
- 在瘤学瘤学.
- 行为科学 行为科学
- 公共卫生 公共卫生
背景情况:
- 癌症诊断后继续吸烟会使治疗结果和生存率恶化.
- 癌症治疗状态对戒烟的影响还没有得到充分研究.
- 接受治疗的宫癌患者面临着独特的戒烟挑战.
研究的目的:
- 为了比较宫癌患者在积极治疗中的12个月戒烟结果与在入学时未接受积极治疗的宫癌患者.
- 确定影响癌症患者长期戒烟的因素.
主要方法:
- 一项随机对照试验 (RCT) 涉及194名患有宫癌或宫内皮质瘤 (CIN) 的妇女.
- 参与者被随机分配到标准治疗 (ST) 或ST加动机和问题解决 (MAPS) 电话咨询.
- 后勤回归分析了12个月的戒断率,并根据年龄,教育和治疗状况等共变量进行调整.
主要成果:
- 积极治疗的参与者更年轻,受教育程度更低.
- 招生时的积极治疗状态与12个月禁烟的几率明显降低 (5%对20%,aOR=0.22).
- 尼古丁依赖和治疗状况在各组之间没有显著差异.
结论:
- 在入学时的积极癌症治疗预测了更差的长期戒烟结果.
- 活跃治疗中的癌症幸存者的禁欲障碍需要进一步调查.
- 针对性干预可能是必要的,以支持在这个脆弱的人群中戒烟.
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