{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T17:23:34Z","timestamp":1788024214533,"version":"build-2784847793"},"reference-count":60,"publisher":"Wiley","issue":"15","license":[{"start":{"date-parts":[[2023,5,22]],"date-time":"2023-05-22T00:00:00Z","timestamp":1684713600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["acsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2023,8]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Understanding the relationship between tobacco use and symptom burden may inform tobacco treatment interventions tailored to the needs of individuals with cancer.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n The study included 1409 adult cancer survivors from Wave 5 of the US Food and Drug Administration Population Assessment of Tobacco and Health (PATH) Study. A multivariate analysis of variance controlling for age, sex, and race\/ethnicity assessed the association of cigarette smoking and vaping on cancer\u2010related symptom burden (fatigue, pain, emotional problems) and quality of life (QoL). Generalized linear mixed models controlling for the same factors were used to assess associations among symptom burden, QoL, and quit\u2010smoking intentions, quit\u2010smoking likelihood, and past 12\u2010month smoking quit attempts.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Weighted rates of current cigarette smoking and vaping were 14.21% and 2.88%, respectively. Current smoking was associated with greater fatigue (\n p<\/jats:italic>\n \u00a0<\u00a0.0001; partial\n \u03b7<\/jats:italic>\n \n 2<\/jats:italic>\n <\/jats:sup>\n \u00a0=\u00a0.02), pain (\n p<\/jats:italic>\n \u00a0<\u00a0.0001; partial\n \u03b7<\/jats:italic>\n \n 2<\/jats:italic>\n <\/jats:sup>\n \u00a0=\u00a0.08), emotional problems (\n p<\/jats:italic>\n \u00a0<\u00a0.0001; partial\n \u03b7<\/jats:italic>\n \n 2<\/jats:italic>\n <\/jats:sup>\n \u00a0=\u00a0.02), and worse QoL (\n p<\/jats:italic>\n \u00a0<\u00a0.0001; partial\n \u03b7<\/jats:italic>\n \n 2<\/jats:italic>\n <\/jats:sup>\n \u00a0=\u00a0.08). Current vaping was associated with greater fatigue (\n p<\/jats:italic>\n \u00a0=\u00a0.001; partial\n \u03b7<\/jats:italic>\n \n 2<\/jats:italic>\n <\/jats:sup>\n \u00a0=\u00a0.008), pain (\n p<\/jats:italic>\n \u00a0=\u00a0.009; partial\n \u03b7<\/jats:italic>\n \n 2<\/jats:italic>\n <\/jats:sup>\n \u00a0=\u00a0.005), and emotional problems (\n p<\/jats:italic>\n \u00a0=\u00a0.04; partial\n \u03b7<\/jats:italic>\n \n 2<\/jats:italic>\n <\/jats:sup>\n \u00a0=\u00a0.003), but not worse QoL (\n p<\/jats:italic>\n \u00a0=\u00a0.17). Higher cancer symptom burden was not associated with reduced interest in quitting, likelihood of quitting, or odds of past year quit attempts (\n p<\/jats:italic>\n \u00a0>\u00a0.05 for each).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Among adults with cancer, current smoking and vaping were associated with greater symptom burden. Survivors' interest in and intentions to quit smoking were not related to symptom burden. Future research should examine the role of tobacco cessation in improving symptom burden and QoL.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/cncr.34746","type":"journal-article","created":{"date-parts":[[2023,5,22]],"date-time":"2023-05-22T03:01:10Z","timestamp":1684724470000},"page":"2385-2394","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Tobacco use and cancer\u2010related symptom burden: Analysis of the US Population Assessment of Tobacco and Health Study"],"prefix":"10.1002","volume":"129","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1622-1700","authenticated-orcid":false,"given":"Sarah N.","family":"Price","sequence":"first","affiliation":[{"name":"Department of Social Sciences and Health Policy Wake Forest University School of Medicine Winston\u2010Salem North Carolina USA"},{"name":"Department of Psychiatry and Behavioral Sciences Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5833-034X","authenticated-orcid":false,"given":"Amanda M.","family":"Palmer","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa M.","family":"Fucito","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Yale School of Medicine New Haven Connecticut USA"},{"name":"Yale Cancer Center New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3766-468X","authenticated-orcid":false,"given":"Evan M.","family":"Graboyes","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences Medical University of South Carolina Charleston South Carolina USA"},{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathaniel L.","family":"Baker","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1531-9287","authenticated-orcid":false,"given":"Alana M.","family":"Rojewski","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin A.","family":"Toll","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Medical University of South Carolina Charleston South Carolina USA"},{"name":"Department of Public Health Sciences Medical University of South Carolina Charleston South Carolina USA"},{"name":"Department of Psychiatry Yale School of Medicine New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,5,22]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21440"},{"key":"e_1_2_8_3_1","unstructured":"US Department of Health and Human Services Centers for Disease Control and Prevention (CDC) National Center for Chronic Disease Prevention and Health Promotion Office on Smoking and Health.Smoking Cessation: A Report of the Surgeon General; CDC;2020. 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