title: Predictors of post-treatment smoking and drinking behavior of head and neck cancer survivors: results of a population-based survey.
abstract: Predictors for smoking and alcohol drinking behavior were investigated in head and neck cancer survivors (HNCS) with survivorship of ≥6 months. 165 HNCS registered in a regional cancer registry and treated 2005-2014 were included. Patients completed a survey including the Fagerström Test for nicotine dependence and the Alcohol Use Disorders Identification Test. Smoking and drinking cessation rates were 51 and 13 %, respectively. Multinomial logistic regression analyses showed that male patients [odds ratio (OR) 35.4; confidence interval (CI) 7.5-168.1; p < 0.0001], single persons (OR 9.9; CI 2.5-40.0; p = 0.001), and younger patients (OR 1.1; CI 1.0-1.1; p = 0.002) had significantly higher probability to be current smokers. Male gender (OR 48.7; CI 5.0-470.7; p < 0.0001) and younger age (OR 1.1; CI 1.0-1.3; p = 0.003) were predictors of risky alcohol consumption. Male, young, and single smoking and/or drinking HNCS should be stimulated to take part in smoking and/or alcohol drinking cessation programs.
authors.affiliation: Department of Otorhinolaryngology, Jena University Hospital, Lessingstrasse 2, 07740, Jena, Germany.
authors.forename: Ulrike
authors.initials: U
authors.lastname: Schiller
authors.affiliation: Department of Otorhinolaryngology, Jena University Hospital, Lessingstrasse 2, 07740, Jena, Germany.
authors.forename: Johanna
authors.initials: J
authors.lastname: Inhestern
authors.affiliation: University Tumor Center, Jena University Hospital, Jena, Germany.
authors.forename: Ulrike
authors.initials: U
authors.lastname: Burger
authors.affiliation: Institute of Medical Biostatistics, Epidemiology and Informatics (IMBEI), University Medical Centre, Johannes Gutenberg University, Mainz, Germany.
authors.forename: Susanne
authors.initials: S
authors.lastname: Singer
authors.affiliation: Department of Otorhinolaryngology, Jena University Hospital, Lessingstrasse 2, 07740, Jena, Germany. orlando.guntinas@med.uni-jena.de.
authors.forename: Orlando
authors.identifier: http://orcid.org/0000-0001-9671-0784
authors.initials: O
authors.lastname: Guntinas-Lichius
mesh_terms: D000328:Adult; D000368:Aged; D000428:Alcohol Drinking; D003430:Cross-Sectional Studies; D005260:Female; D006258:Head and Neck Neoplasms / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D012907:Smoking; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*; D013997:Time Factors
keywords: Abstinence; Alcohol drinking; Head and neck cancer; Health behavior; Smoking; Survivorship