title: Exploratory Analyses of Substance Use in Adolescents With and Without Cancer.
abstract: This study explored self-reported substance use and factors associated with use among adolescents with and without cancer.
  
  
  
  Adolescents (aged 13-19) receiving cancer treatment at a Mid-Atlantic children's hospital (n=103) and healthy peers (n=98) answered questions about substance use (drinking or drug use in past 4 months) and psychosocial variables. Parents completed demographic and family functioning questionnaires.
  
  
  
  Healthy adolescents reported more substance use (n=17) than adolescents with cancer (n=8). Associates of substance use in adolescents with cancer included more avoidant and substance use-related coping, less positive affect, worse parent-reported family functioning, and less nausea.
  
  
  
  Substance use and its health implications in adolescent oncology need enhanced awareness, intervention and prevention efforts, and further research.
authors.affiliation: The Children's Hospital of Philadelphia , Philadelphia, Pennsylvania. ; Hospital of the University of Pennsylvania , Philadelphia, Pennsylvania.
authors.forename: Dava E
authors.initials: DE
authors.lastname: Szalda
authors.forename: Lauren D
authors.initials: LD
authors.lastname: Brumley
authors.forename: Carla K
authors.initials: CK
authors.lastname: Danielson
authors.forename: Lisa A
authors.initials: LA
authors.lastname: Schwartz
keywords: alcohol use; pediatric; psychosocial; risk behavior; tobacco use; treatment