Article Search
닫기

Journal of Cancer Prevention

Original Article

Journal of Cancer Prevention 2018; 23(1): 44-50

Published online March 30, 2018

https://doi.org/10.15430/JCP.2018.23.1.44

© Korean Society of Cancer Prevention

Why Don’t Cancer Survivors Quit Smoking? An Evaluation of Readiness for Smoking Cessation in Cancer Survivors

Melissa A. Little1, Robert C. Klesges2, Zoran Bursac3, Jon O. Ebbert4, Jennifer P. Halbert2, Andrew N. Dunkle5, Lauren Colvin6, Patricia J. Goedecke3, and Benny Weksler7

1Department of Public Health Sciences, Center for Addiction and Prevention Research, University of Virginia, Lackland AFB, TX, USA, 2Department of Public Health Sciences, Center for Addiction and Prevention Research, University of Virginia, Charlottesville, VA, USA, 3Division of Biostatistics, Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, TN, USA, 4Mayo Clinic, Rochester, MN, USA, 5Wilford Hall Ambulatory Surgical Center, Lackland AFB, TX, USA, 6St. Jude Children’s Hospital, Memphis, TN, USA, 7Department of Surgery, University of Tennessee Health Science Center, Memphis, TN, USA

Correspondence to :
Melissa A. Little, Department of Public Health Sciences, Center for Addiction and Prevention Research, University of Virginia, 59 MDW/59 SGOWMP, 1100 Wilford Hall Loop, Bldg 4554, Lackland AFB, TX 78236, USA, Tel: +1-210-292-5995, Fax: +1-434-924-8437, E-mail: mal7uj@virginia.edu, ORCID: Melissa A. Little, http://orcid.org/0000-0002-0562-4010

Received: February 9, 2018; Revised: March 17, 2018; Accepted: March 19, 2018

Abstract

Background

Cancer survivors have a high rate of participation in cigarette-smoking cessation programs but their smoking-abstinence rates remain low. In the current study, we evaluated the readiness to quit smoking in a cancer-survivor population.

Methods

Cross-sectional data survey conducted among 112 adult cancer survivors who smoked cigarettes in Tennessee. Analyses were conducted using a two-sample t-test, χ2 test, Fishers Exact test, and multivariable logistic regression with smoker’s readiness to quit as the dependent variable. We operationally defined a smoker not ready to quit as anyone interested in quitting smoking beyond the next 6 months or longer (or not at all), as compared to those that are ready to quit within the next 6 months.

Results

Thirty-three percent of participants displayed a readiness to quit smoking in the next 30 days. Smokers ready to quit were more likely to display high confidence in their ability to quit (OR = 4.6; 95% CI, 2.1–9.7; P < 0.0001) than those not ready to quit. Those ready to quit were nearly five times more likely to believe smoking contributed to their cancer diagnosis (OR = 4.9; 95% CI, 1.1–22.6; P = 0.0432). Those ready to quit were also much more likely to attempt smoking cessation when diagnosed with cancer (OR = 8.9; 95% CI, 1.8–44.3; P = 0.0076) than smokers not ready to quit. Finally, those ready to quit were more likely to endorse smoking more in the morning than other times of the day, compared to those not ready to quit (OR = 7.9; 95% CI, 1.5–42,3; P = 0.0148), which increased odds of readiness to quit within the next 6 months.

Conclusions

Despite high participation in smoking-cessation programs for cancer survivors, only one-third of participants were ready to quit. Future research is needed to develop programs targeting effective strategies promoting smoking cessation among cancer survivors who are both ready and not ready to quit smoking.

Keywords: Smoking, Smoking cessation, Cancer survivors, Health behavior

Share this article on :

Related articles in JCP

Most KeyWord