title: Internet use among childhood and young adult cancer survivors who smoke: implications for cessation interventions.
abstract: OBJECTIVE
  To identify patterns of Internet use among childhood and young adult cancer survivors who smoke.
  
  
  METHODS
  Baseline assessment data were collected from 2005 to 2008 for the Partnership for Health-2 (PFH-2) study, a web-based smoking cessation intervention for childhood and young adult cancer survivors. Participants were surveyed about their Internet access and use. Sociodemographic, clinical, and psychosocial data also were collected.
  
  
  RESULTS
  Internet access and use was widespread among PFH-2 participants. However, older, less-educated, and female survivors reported less frequent Internet use, even when they had access to the Internet at home and/or at work. These associations were significant in multivariable analyses.
  
  
  CONCLUSIONS
  Although the digital divide is narrowing, Internet use and engagement remains socially patterned. web-based prevention interventions are a promising method of reaching this geographically dispersed, high-risk population, but certain subgroups-particularly older and lower socioeconomic status survivors-might be missed by this approach.
authors.affiliation: Department of Society, Human Development and Health, Harvard School of Public Health, Boston, MA, USA. rebekah_nagler@dfci.harvard.edu
authors.forename: Rebekah H
authors.initials: RH
authors.lastname: Nagler
authors.forename: Elaine
authors.initials: E
authors.lastname: Puleo
authors.forename: Kim
authors.initials: K
authors.lastname: Sprunck-Harrild
authors.forename: Karen M
authors.initials: KM
authors.lastname: Emmons
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D020407:Internet; D008297:Male; D009369:Neoplasms; D016540:Smoking Cessation / Q000379:methods*; D000074606:Smoking Prevention; D017741:Survivors / Q000706:statistics & numerical data*; D055815:Young Adult