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Tobacco use, linked to heightened cancer risk,\u00a0is discouraged among survivors for long-term health preservation; however, many\u00a0persist in its use, mirroring rates among their non-cancer peers. Through 25 in-depth\u00a0interviews, we explored the interplay of perceived risk and social integration on\u00a0tobacco use post-treatment among both Latine and non-Latine young adult survivors.\u00a0Sixty percent of respondents were male, 44% identified as Latine, with ages ranging\u00a0from 22 to 38 years (mean age 30 years; mean age at diagnosis 9 years), representing\u00a0diverse cancer types. Despite awareness of tobacco-related health hazards, including\u00a0general and respiratory health impacts, addiction potential, and financial burdens,\u00a0survivors consistently cited stress alleviation as a primary motive for tobacco use. Fearof cancer recurrence was seldom cited as a deterrent, rather survivors identified\u00a0tobacco as a means to foster peer connections, particularly in workplace settings,\u00a0where smoking norms prevailed. Co-workers influenced initiation, and smoking breaks\u00a0served as crucial socializing opportunities, endorsed as acceptable coping\u00a0mechanisms. Notably, generational factors overshadowed cultural influences on\u00a0tobacco use. These insights underscore the need for targeted interventions, in which\u00a0clinicians can emphasize alternative stress management strategies over risk-centric\u00a0messaging, prioritize social skill development, and address workplace environments as\u00a0high-risk settings.<\/jats:p>","DOI":"10.1007\/s10900-025-01493-3","type":"journal-article","created":{"date-parts":[[2025,7,18]],"date-time":"2025-07-18T17:23:32Z","timestamp":1752859412000},"page":"1150-1160","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring Tobacco Use in Young Childhood Cancer Survivors: the Role of Social Acceptance, Workplace Environments, and Stress Reduction"],"prefix":"10.1007","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7848-500X","authenticated-orcid":false,"given":"Anamara","family":"Ritt-Olson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Stal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franceskrista","family":"Morales","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parsa","family":"Khawari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Leiby","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tracy","family":"Tran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hien Phuong","family":"Le","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joel E.","family":"Milam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,7,18]]},"reference":[{"key":"1493_CR1","unstructured":"Howlader, N., Noone, A. 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