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Adult Cancer Survivors’ Patterns of Smoking and Current Smoking-related Factors: Analysis on 2007-2011 Korea Medical Institute (KMI) Data
J Korean Soc Res Nicotine Tob 2019; 10(1): 23-30
Published online June 15, 2019
© 2019 The Korean Society for Research on Nicotine and Tobacco.

Jung Ae Byun1,2, Yeunsoo Yang1, Heejin Kimm1,*, Ji Eun Yun1,3, Sun Ha Jee1

1Department of Epidemiology and Health Promotion, Institute for Health Promotion, Graduate School of Public Health, Yonsei University, Seoul, 2Namdong Public Health Center, Incheon, 3Division of Healthcare Technology Assessment Research, National Evidence-Based Healthcare Collaborating Agency, Seoul, Korea
Correspondence to: 김희진
연세대학교 보건대학원 역학건강증진학과, 국민건강증진연구소서울시 서대문구 연세로 50-1 ㉾ 03722
Tel: 02-2228-1531
Fax: 02-365-5118
E-mail: heejink@yuhs.ac
Received April 23, 2019; Revised June 13, 2019; Accepted June 17, 2019.
This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, dis-tribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Background: Cancer survivors have high risk of secondary cancer and diseases other than cancer. However, there are persistent smokers among them. This study aims to explore the tobacco use patterns and associated factors with current smoking among cancer survivors.
Methods: The results of surveys and blood tests collected from the Korea Medical Institute (KMI) from 2007 through 2011 were used as data. The subjects of this study were 91,040 adults (59,132 men) aged 20-64, and they were divided into cancer survivor group (1,375 men, 671 women) and non-cancer counterparts according to their past history of cancer.
Results: The current smoking rate of cancer survivors was lower than that of non-cancer survivors, but 33.53% of men and 2.53% of women among cancer survivors were still current smokers. In the cancer survivors, in men, the younger they were, the higher the risk of current smoking became (The odds ratio of smoking in those aged 20-39 to 51-64 was 2.47 while that of smoking in 40-50, 1.43); and that the odds ratio of smoking in persons in drinkers to non-drinkers, 2.80 (95% CI: 2.02-3.88). In women cancer survivors, the odds ratio of current smoking was 21.15 (95% CI: 2.72-164.35) in alcohol drinkers to non-drinkers.
Conclusion: Young age in men and alcohol use in both men and women were important factors correlated with tobacco smoking among cancer survivors. Further research and policy is needed to support cancer survivors’ smoking cessation and health promotion.
Keywords : Cancer survivors; Health behavior; Tobacco smoking; Alcohol drinking; Cross sectional studies
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