Impact of smoking status on health-related quality of life (HRQoL) in cancer survivors

• DOI: 10.3389/fonc.2023.1261041
• Publication Date: 2024-01-04T11:43:54Z
• Authors: José Ignacio Nolazco; Bernard A. Rosner; Emily H. Roebuck; Cristiane Decat B...; Elke Rammant; Geetha S. Iyer; Yuzhe Tang; Ra’ad Al-Faouri; Dejan K. Filipas; Michael S. Leapman; Matthew Mossanen; Steven Lee Chang
• Keywords: health-related quality of life; 03 medical and health sciences; 0302 clinical medicine; Oncology; cancer survivors; Neoplasms. Tumors. Oncology. Including cancer and carcinogens; behavioral risk factors surveillance system (BRFSS); tobacco; smoking; RC254-282

IntroductionThe Health-Related Quality of Life (HRQoL) often declines among cancer survivors due to many factors. Some cancer patients who smoke before the cancer diagnosis continue this harmful habit, potentially contributing to a more significant decline in their HRQoL. Therefore, this study investigates the association between smoking status and HRQoL in cancer survivors.MethodsWe conducted a cross-sectional study utilizing self-reported cancer history from 39,578 participants of the Behavioral Risk Factor Surveillance System (BRFSS) database, leveraging 2016 and 2020 year questionaries. A multidimensional composite outcome was created to assess HRQoL, integrating four distinct dimensions - general health, mental health, physical health, and activity limitations. After accounting for the complex survey design, logistic regression models were used to analyze the association between smoking status and poor HRQoL, adjusting for demographic, socioeconomic, and health-related confounders.ResultsOur study found that, after adjusting for potential confounders, current smokers exhibited a significantly poorer HRQoL than never smokers (OR 1.65, 95%CI 1.40-1.93). Furthermore, former smokers showed a poorer HRQoL than never smokers; however, this association was not as strong as current smokers (OR 1.22, 95%CI 1.09-1.38).ConclusionOur findings highlight the adverse association of smoking with poor HRQoL in cancer survivors, underscoring the importance of healthcare professionals prioritizing smoking cessation and providing tailored interventions to support this goal.