Abstract
Purpose: Cancer survivors comprise a vulnerable population for exposure to secondhand smoke (SHS). This study examined and compared the prevalence, time trends, and predictors of SHS exposure between nonsmoking adult cancer survivors and nonsmoking adults without cancer history (control group). Methods: Data were obtained from the 2001–2012 National Health and Nutrition Examination Survey (survivors: n = 2168; controls: n = 19,436). All adults ≥20 years of age who reported not smoking and had a serum cotinine level of 0.015–10 ng/mL were included in the study. Prevalence and 95% confidence intervals, weighted linear regression of prevalence on year for trend analysis, and logistic regression analysis were performed with adjustments made for the complex survey design. Results: Survivors were significantly less likely to be exposed to SHS (65.4 vs. 70.6%, respectively). Exposure over time decreased by 16% (from 67.1% in 2001 to 53.3% in 2012) among survivors and by 24% (from 72% in 2001 to 56% in 2012) among controls. Exposed survivors were more likely to be young (OR = 0.98 [95% CI = 0.97–0.99]), non-Hispanic Black (2.51 [1.49–4.26]), with some college education (2.47 [1.56–3.93]), a high school education (2.72 [1.76–4.19]), less than a high school education (2.49 [1.58–3.91]), and poor (1.80 [1.10–2.96]). Conclusion: Considerable numbers of US cancer survivors are exposed to SHS and exposure disparities persist. Implications for Cancer Survivors: More efforts are needed to develop and test population policies and clinical-based interventions targeting cancer survivors.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1-8 |
| Number of pages | 8 |
| Journal | Journal of Cancer Survivorship |
| DOIs | |
| State | Accepted/In press - Feb 21 2017 |
Fingerprint
Keywords
- Cancer survivors
- Exposure to secondhand smoke
- Health disparities
- Predictors of exposure to SHS
- Time-trend analysis
ASJC Scopus subject areas
- Oncology
- Oncology(nursing)
Cite this
National estimates and correlates of secondhand smoke exposure in US cancer survivors. / Asfar, Taghrid; Arheart, Kristopher; Sengul, Tulay; Byrne, Margaret M; Dietz, Noella; Chen, Charles Jeng; Lee, David J.
In: Journal of Cancer Survivorship, 21.02.2017, p. 1-8.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - National estimates and correlates of secondhand smoke exposure in US cancer survivors
AU - Asfar, Taghrid
AU - Arheart, Kristopher
AU - Sengul, Tulay
AU - Byrne, Margaret M
AU - Dietz, Noella
AU - Chen, Charles Jeng
AU - Lee, David J
PY - 2017/2/21
Y1 - 2017/2/21
N2 - Purpose: Cancer survivors comprise a vulnerable population for exposure to secondhand smoke (SHS). This study examined and compared the prevalence, time trends, and predictors of SHS exposure between nonsmoking adult cancer survivors and nonsmoking adults without cancer history (control group). Methods: Data were obtained from the 2001–2012 National Health and Nutrition Examination Survey (survivors: n = 2168; controls: n = 19,436). All adults ≥20 years of age who reported not smoking and had a serum cotinine level of 0.015–10 ng/mL were included in the study. Prevalence and 95% confidence intervals, weighted linear regression of prevalence on year for trend analysis, and logistic regression analysis were performed with adjustments made for the complex survey design. Results: Survivors were significantly less likely to be exposed to SHS (65.4 vs. 70.6%, respectively). Exposure over time decreased by 16% (from 67.1% in 2001 to 53.3% in 2012) among survivors and by 24% (from 72% in 2001 to 56% in 2012) among controls. Exposed survivors were more likely to be young (OR = 0.98 [95% CI = 0.97–0.99]), non-Hispanic Black (2.51 [1.49–4.26]), with some college education (2.47 [1.56–3.93]), a high school education (2.72 [1.76–4.19]), less than a high school education (2.49 [1.58–3.91]), and poor (1.80 [1.10–2.96]). Conclusion: Considerable numbers of US cancer survivors are exposed to SHS and exposure disparities persist. Implications for Cancer Survivors: More efforts are needed to develop and test population policies and clinical-based interventions targeting cancer survivors.
AB - Purpose: Cancer survivors comprise a vulnerable population for exposure to secondhand smoke (SHS). This study examined and compared the prevalence, time trends, and predictors of SHS exposure between nonsmoking adult cancer survivors and nonsmoking adults without cancer history (control group). Methods: Data were obtained from the 2001–2012 National Health and Nutrition Examination Survey (survivors: n = 2168; controls: n = 19,436). All adults ≥20 years of age who reported not smoking and had a serum cotinine level of 0.015–10 ng/mL were included in the study. Prevalence and 95% confidence intervals, weighted linear regression of prevalence on year for trend analysis, and logistic regression analysis were performed with adjustments made for the complex survey design. Results: Survivors were significantly less likely to be exposed to SHS (65.4 vs. 70.6%, respectively). Exposure over time decreased by 16% (from 67.1% in 2001 to 53.3% in 2012) among survivors and by 24% (from 72% in 2001 to 56% in 2012) among controls. Exposed survivors were more likely to be young (OR = 0.98 [95% CI = 0.97–0.99]), non-Hispanic Black (2.51 [1.49–4.26]), with some college education (2.47 [1.56–3.93]), a high school education (2.72 [1.76–4.19]), less than a high school education (2.49 [1.58–3.91]), and poor (1.80 [1.10–2.96]). Conclusion: Considerable numbers of US cancer survivors are exposed to SHS and exposure disparities persist. Implications for Cancer Survivors: More efforts are needed to develop and test population policies and clinical-based interventions targeting cancer survivors.
KW - Cancer survivors
KW - Exposure to secondhand smoke
KW - Health disparities
KW - Predictors of exposure to SHS
KW - Time-trend analysis
UR - http://www.scopus.com/inward/record.url?scp=85013384894&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85013384894&partnerID=8YFLogxK
U2 - 10.1007/s11764-017-0605-4
DO - 10.1007/s11764-017-0605-4
M3 - Article
C2 - 28224453
AN - SCOPUS:85013384894
SP - 1
EP - 8
JO - Journal of Cancer Survivorship
JF - Journal of Cancer Survivorship
SN - 1932-2259
ER -