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Problem alcohol and tobacco use in head and neck cancer patients at diagnosis: associations with health-related quality of life.

Purpose: Problem alcohol and tobacco use in patients with head and neck cancer (HNC) frequently co-occur and each are associated with poor outcomes including health-related quality of life (HRQOL). The purpose of this descriptive exploratory study was to identify the prevalence of these co-occurring...

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Published in:Supportive Care in Cancer Vol. 30; no. 10; pp. 8111 - 8119
Main Authors: Howren, M. Bryant, Christensen, Alan J., Pagedar, Nitin A.
Format: Journal Article
Published: Springer Nature Oct2022
Online Access:View this record in EBSCOhost
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      dt: Oct2022
      vid: 30
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00520-022-07248-3
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        atl: Problem alcohol and tobacco use in head and neck cancer patients at diagnosis: associations with health-related quality of life.
      aug:
        au:
          Howren, M. Bryant
          Christensen, Alan J.
          Pagedar, Nitin A.
        affil: VA Office of Rural Health (ORH), Veterans Rural Health Resource Center, Iowa City VA Health Care System, Iowa City, IA, USA
      sug:
        subj:
          Head and Neck Neoplasms Epidemiology
          Quality of Life
          Prevalence
          Tobacco
          Cross Sectional Studies
          Scales
      ab: Purpose: Problem alcohol and tobacco use in patients with head and neck cancer (HNC) frequently co-occur and each are associated with poor outcomes including health-related quality of life (HRQOL). The purpose of this descriptive exploratory study was to identify the prevalence of these co-occurring behaviors and associations with HNC-specific HRQOL within the first year of diagnosis in a large sample of patients with HNC.Methods: Cross-sectional study examined prevalence of co-occurring problem alcohol and tobacco use at diagnosis in a large sample of patients with HNC (N = 1327). Problem alcohol use was assessed using the Short Michigan Alcoholism Screening Test (SMAST); patients were classified as current/previous/never smokers based on self-reported tobacco use. HNC-specific HRQOL was assessed using the Head and Neck Cancer Inventory (HNCI), measured at diagnosis and 3 and 12 months postdiagnosis.Results: Three hundred twenty-five of 1327 (24.5%) scored 3 + on the SMAST at diagnosis, suggesting problem alcohol use and nearly 30% (28.4%) were current smokers. Of those with problem alcohol use, 173 (53.2%) were also current smokers. In total, 173 of 1327 (13.0%) exhibited both behaviors at diagnosis. Covariate-adjusted mean HNCI scores suggest that patients classified as both problem drinkers and current smokers have lower HRQOL scores during the first year postdiagnosis in multiple HNC-specific domains.Conclusion: HNC patients should be screened for alcohol and tobacco use at diagnosis. Multimodal behavioral health interventions may provide one avenue for improved access and outcomes, particularly for patients at distance, and deserve further study in HNC.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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