National estimates and correlates of secondhand smoke exposure in US cancer survivors

Taghrid Asfar, Kristopher Arheart, Tulay Sengul, Margaret M Byrne, Noella Dietz, Charles Jeng Chen, David J Lee

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)1-8
Number of pages8
JournalJournal of Cancer Survivorship
DOIs
StateAccepted/In press - Feb 21 2017

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Tobacco Smoke Pollution
Survivors
Neoplasms
Education
Social Adjustment
Cotinine
Nutrition Surveys
Vulnerable Populations
Public Policy
Linear Models
Logistic Models
Smoking
Regression Analysis
Confidence Intervals
Control Groups

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 journalArticle

Asfar, Taghrid ; Arheart, Kristopher ; Sengul, Tulay ; Byrne, Margaret M ; Dietz, Noella ; Chen, Charles Jeng ; Lee, David J. / National estimates and correlates of secondhand smoke exposure in US cancer survivors. In: Journal of Cancer Survivorship. 2017 ; pp. 1-8.
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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.",
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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

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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.

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KW - Exposure to secondhand smoke

KW - Health disparities

KW - Predictors of exposure to SHS

KW - Time-trend analysis

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