• Oncology nursing forum · Jul 2016

    Comparative Study

    Prevalence of Smoking and Obesity Among U.S. Cancer Survivors: Estimates From the National Health Interview Survey, 2008-2012.

    • Meredith L Shoemaker, Mary C White, Nikki A Hawkins, and Nikki S Hayes.
    • Centers for Disease Control and Prevention.
    • Oncol Nurs Forum. 2016 Jul 1; 43 (4): 436-41.

    Purpose/ObjectivesTo describe smoking and obesity prevalence among male and female cancer survivors in the United States.
.DesignCross-sectional survey.
.SettingHousehold interviews.
.Sample9,753 survey respondents who reported ever having a malignancy, excluding nonmelanoma skin cancers. 
.MethodsData from the National Health Interview Survey (2008-2012) were used to calculate weighted smoking status prevalence estimates. Cross-tabulations of smoking and weight status were produced, along with Wald chi-square tests and linear contrasts.
.Main Research VariablesCancer history, smoking status, obesity status, gender, age, and age at diagnosis.
.FindingsSeventeen percent of cancer survivors reported current smoking. Female survivors had higher rates of current smoking than males, particularly in the youngest age category. Male survivors who currently smoked had lower obesity prevalence rates than males who previously smoked or never smoked. Among female survivors, 31% were obese and no significant differences were seen in obesity prevalence by smoking status for all ages combined. 
.ConclusionsThe findings highlight the variation in smoking status and weight by age and gender. Smoking interventions may need to be targeted to address barriers specific to subgroups of cancer survivors.
.Implications For NursingNurses can be instrumental in ensuring that survivors receive comprehensive approaches to address both weight and tobacco use to avoid trading one risk for another.

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