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Alerting the illusion of smoking improves quality of life in Chinese male cancer survivors

OBJECTIVE: To examine the association between smoking status and quality of life (QOL) among cancer survivors in China. METHODS: A cross‐sectional study was performed in 2725 male cancer survivors who were members of Cancer Rehabilitation Club and completed the questionnaires in 2013. Using linear r...

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Autores principales: Xia, Juan, Wu, Peng, Wang, Jiwei, Yu, Jinming
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434208/
https://www.ncbi.nlm.nih.gov/pubmed/30735008
http://dx.doi.org/10.1002/cam4.1999
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author Xia, Juan
Wu, Peng
Wang, Jiwei
Yu, Jinming
author_facet Xia, Juan
Wu, Peng
Wang, Jiwei
Yu, Jinming
author_sort Xia, Juan
collection PubMed
description OBJECTIVE: To examine the association between smoking status and quality of life (QOL) among cancer survivors in China. METHODS: A cross‐sectional study was performed in 2725 male cancer survivors who were members of Cancer Rehabilitation Club and completed the questionnaires in 2013. Using linear regression models adjusted for confounders, we measured the association between QOL and former smokers as well as current (occasional, <10 cigarettes/day, and ≥ 10 cigarettes/day) smokers compared with never smokers. RESULTS: Current smokers were reported to have higher scores in social, role, cognitive functioning, and had lower scores in nausea/vomiting, pain, dyspnea, and insomnia (P < 0.05). Former smokers had higher global health status and experienced less appetite loss and constipation (P < 0.05). Compared with never smokers, those former smokers and current smokers had significantly high scores on the global health status, social functioning, role functioning, and cognitive functioning (P < 0.05). And they had lower scores in some aspects of symptom scale (P < 0.05). Considering the dose of smoking, the scores were increased in functional subscales and decreased in symptom subscales with the increase of tobacco use, though few variables had statistical significance. As for smoking cessation, the proportion of lung cancer survivors who quit smoking was higher than that of other types of cancer survivors. CONCLUSION: Our study suggested the possibility that in China, where smoking prevalence is still high, continued smoking was associated with high QOL scores. The phenomenon may be obscured by some potential reasons, including subjectivity of questionnaire, special substances of cigarettes, Chinese unique culture of tobacco use, and much more. The results reminded researchers and clinicians some underlying situations among smokers in China and prompted a strong call for the implementation of a comprehensive tobacco‐control policy and specific public health educational strategies among not only lung cancer survivors but other types of cancers survivors.
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spelling pubmed-64342082019-04-08 Alerting the illusion of smoking improves quality of life in Chinese male cancer survivors Xia, Juan Wu, Peng Wang, Jiwei Yu, Jinming Cancer Med Clinical Cancer Research OBJECTIVE: To examine the association between smoking status and quality of life (QOL) among cancer survivors in China. METHODS: A cross‐sectional study was performed in 2725 male cancer survivors who were members of Cancer Rehabilitation Club and completed the questionnaires in 2013. Using linear regression models adjusted for confounders, we measured the association between QOL and former smokers as well as current (occasional, <10 cigarettes/day, and ≥ 10 cigarettes/day) smokers compared with never smokers. RESULTS: Current smokers were reported to have higher scores in social, role, cognitive functioning, and had lower scores in nausea/vomiting, pain, dyspnea, and insomnia (P < 0.05). Former smokers had higher global health status and experienced less appetite loss and constipation (P < 0.05). Compared with never smokers, those former smokers and current smokers had significantly high scores on the global health status, social functioning, role functioning, and cognitive functioning (P < 0.05). And they had lower scores in some aspects of symptom scale (P < 0.05). Considering the dose of smoking, the scores were increased in functional subscales and decreased in symptom subscales with the increase of tobacco use, though few variables had statistical significance. As for smoking cessation, the proportion of lung cancer survivors who quit smoking was higher than that of other types of cancer survivors. CONCLUSION: Our study suggested the possibility that in China, where smoking prevalence is still high, continued smoking was associated with high QOL scores. The phenomenon may be obscured by some potential reasons, including subjectivity of questionnaire, special substances of cigarettes, Chinese unique culture of tobacco use, and much more. The results reminded researchers and clinicians some underlying situations among smokers in China and prompted a strong call for the implementation of a comprehensive tobacco‐control policy and specific public health educational strategies among not only lung cancer survivors but other types of cancers survivors. John Wiley and Sons Inc. 2019-02-08 /pmc/articles/PMC6434208/ /pubmed/30735008 http://dx.doi.org/10.1002/cam4.1999 Text en © 2019 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Cancer Research
Xia, Juan
Wu, Peng
Wang, Jiwei
Yu, Jinming
Alerting the illusion of smoking improves quality of life in Chinese male cancer survivors
title Alerting the illusion of smoking improves quality of life in Chinese male cancer survivors
title_full Alerting the illusion of smoking improves quality of life in Chinese male cancer survivors
title_fullStr Alerting the illusion of smoking improves quality of life in Chinese male cancer survivors
title_full_unstemmed Alerting the illusion of smoking improves quality of life in Chinese male cancer survivors
title_short Alerting the illusion of smoking improves quality of life in Chinese male cancer survivors
title_sort alerting the illusion of smoking improves quality of life in chinese male cancer survivors
topic Clinical Cancer Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434208/
https://www.ncbi.nlm.nih.gov/pubmed/30735008
http://dx.doi.org/10.1002/cam4.1999
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