Tobacco use in survivors of childhood cancer

儿童癌症幸存者的烟草使用情况

• 批准号: 6994941
• 负责人: LISA SCHUM KAHALLEY
• 金额: $ 2.75万
• 依托单位: UNIVERSITY OF MEMPHIS
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-08-16 至 2006-08-15
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6994941
• 关键词: acute lymphocytic leukemia; adolescence (12-20); behavioral /social science research tag; brain neoplasms; clinical research; decision making; developmental psychology; family structure /dynamics; health behavior; human puberty; human subject; long term survivor; neoplasm /cancer remission /regression; peer group; predoctoral investigator; questionnaires; substance abuse epidemiology; substance abuse related behavior; tobacco abuse; tobacco abuse prevention

DESCRIPTION (provided by applicant): Resulting from disease and treatment, pediatric cancer survivors experience an increased risk of subsequent health complications across a range of organ systems. When deciding whether to engage in unhealthy behaviors, such as smoking, survivors should factor their medical vulnerability into their decision-making. However, research has demonstrated that pediatric cancer survivors often engage in unhealthy behaviors at rates similar to their healthy peers, despite survivors having an increased vulnerability to organ toxicity. Thus, programs are needed to help survivors make informed, healthy decisions about their health behaviors in an effort to prolong their disease-free status. Tobacco use is an important focus for intervention, given the known connections between smoking and problematic health consequences. In order to inform prevention efforts, it is necessary to better understand what factors influence survivors in their decisions about smoking and to consider these factors within the context of survivors' unique medical context. The objectives of this proposal are: 1) to assess the prevalence of tobacco use in adolescent survivors of pediatric cancer, 2) to determine risk factors associated with tobacco use in this population, and 3) to ascertain if certain groups of survivors are more vulnerable to external influences when deciding to use tobacco. This research will describe biological, psychological, and social variables that are associated with tobacco use in adolescent survivors in order to direct larger investigations and prevention efforts in the future.

描述（由申请人提供）： 由于疾病和治疗，儿科癌症幸存者在一系列器官系统中出现后续健康并发症的风险增加。在决定是否进行不健康行为（例如吸烟）时，幸存者应将其医疗脆弱性纳入决策。然而，研究表明，小儿癌症幸存者经常以与健康同龄人相似的速度从事不健康行为，尽管幸存者更容易受到器官毒性的影响。因此，需要制定计划来帮助幸存者就其健康行为做出明智、健康的决定，以努力延长他们的无病状态。鉴于吸烟与健康问题后果之间已知的联系，烟草使用是干预的一个重要重点。为了为预防工作提供信息，有必要更好地了解哪些因素影响幸存者的吸烟决定，并在幸存者独特的医疗背景下考虑这些因素。该提案的目标是：1) 评估儿童癌症青少年幸存者中烟草使用的流行率，2) 确定与该人群中烟草使用相关的风险因素，以及 3) 确定某些幸存者群体是否更容易受到伤害决定使用烟草时的外部影响。这项研究将描述与青少年幸存者吸烟相关的生物、心理和社会变量，以便指导未来更大规模的调查和预防工作。