{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T14:51:15Z","timestamp":1791557475212,"version":"4.3.4"},"reference-count":39,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Subst\ufffdAbuse"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Cancer is the second leading cause of death in the United States. Lifestyle choices such as substance abuse can impact a survivor\u2019s health and overall quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We used longitudinal data from the Wave 1-3 Population Assessment of Tobacco and Health data to examine sociodemographic characteristics and substance use behaviors (current cigarette, e-cigarette, alcohol, and marijuana use) by cancer diagnosis status. A generalized estimating equation model was used to examine the population-averaged effects of sociodemographic factors on substance use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among 1527 participants diagnosed with cancer, 14.5% used cigarettes, 3.8% used e-cigarettes, 49.1% used alcohol, and 4.2% used marijuana in the prior 30\u2009days in Wave 1. While the prevalence of cigarette use among those with no cancer history decreased significantly between Wave 1 (21.9%) and Wave 3 (20.2%), it increased significantly among participants diagnosed with cancer from 14.5% to 16.0%. E-cigarette use decreased for both groups, whereas alcohol and marijuana use increased. Results showed that substance use among people diagnosed with cancer significantly varied by sociodemographic characteristics. Age, sex, race-ethnicity, education, income, and region of residence were significantly associated with substance use among patients diagnosed with cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Overall, substance use is lower among participants diagnosed with cancer than those with no cancer history. Substance use varies by sociodemographic characteristics among people diagnosed with cancer. More focus on substance use prevention among patients diagnosed with cancer could be beneficial in terms of improving the overall well-being of this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1178221820980470","type":"journal-article","created":{"date-parts":[[2020,12,21]],"date-time":"2020-12-21T10:19:15Z","timestamp":1608545955000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Cigarette, E-cigarette, Alcohol, and Marijuana Use by Cancer Diagnosis Status: A Longitudinal Analysis"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5810-2841","authenticated-orcid":false,"given":"Sunday","family":"Azagba","sequence":"first","affiliation":[{"name":"Department of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lingpeng","family":"Shan","sequence":"additional","affiliation":[{"name":"Department of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Manzione","sequence":"additional","affiliation":[{"name":"Department of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,12,21]]},"reference":[{"key":"bibr1-1178221820980470","unstructured":"Heron M. Deaths: Leading Causes for 2017. National Center for Health Statistics; 2019:1-77. https:\/\/www.cdc.gov\/nchs\/data\/nvsr\/nvsr68\/nvsr68_06-508.pdf"},{"key":"bibr2-1178221820980470","unstructured":"National Cancer Institute. Cancer statistics. Published April 27, 2018. Accessed December 3, 2019. https:\/\/www.cancer.gov\/about-cancer\/understanding\/statistics"},{"key":"bibr3-1178221820980470","doi-asserted-by":"crossref","unstructured":"Ward EM, Sherman RL, Henley SJ, et al. Annual report to the nation on the status of cancer, featuring cancer in men and women age 20-49 years. J Natl Cancer Inst. 2019;djz106. Accessed December 3, 2019. https:\/\/academic.oup.com\/jnci\/advance-article\/doi\/10.1093\/jnci\/djz106\/5498721?searchresult=1","DOI":"10.1093\/jnci\/djz106"},{"key":"bibr4-1178221820980470","volume-title":"Cancer Facts & Figures 2017","author":"American Cancer Society","year":"2017"},{"key":"bibr5-1178221820980470","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/90.18.1335"},{"key":"bibr6-1178221820980470","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-119-5-199309010-00006"},{"key":"bibr7-1178221820980470","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.1998.507"},{"key":"bibr8-1178221820980470","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.27824"},{"key":"bibr9-1178221820980470","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.27617"},{"key":"bibr10-1178221820980470","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b5569"},{"key":"bibr11-1178221820980470","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-011-2128-y"},{"key":"bibr12-1178221820980470","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-10-0666"},{"key":"bibr13-1178221820980470","doi-asserted-by":"publisher","DOI":"10.1016\/j.cllc.2017.02.008"},{"key":"bibr14-1178221820980470","unstructured":"U.S. Department of Health and Human Services. E-Cigarette Use Among Youth and Young Adults: A Report of the Surgeon General. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2016:295."},{"key":"bibr15-1178221820980470","unstructured":"Marijuana and Cancer. 2020. Accessed December 16, 2019. https:\/\/www.cancer.org\/treatment\/treatments-and-side-effects\/complementary-and-alternative-medicine\/marijuana-and-cancer.html"},{"key":"bibr16-1178221820980470","doi-asserted-by":"publisher","DOI":"10.1007\/s11926-017-0693-1"},{"key":"bibr17-1178221820980470","unstructured":"Substance Abuse and Mental Health Services Administration. Know the risks of marijuana. Published September 26, 2019. Accessed December 9, 2019. https:\/\/www.samhsa.gov\/marijuana"},{"key":"bibr18-1178221820980470","doi-asserted-by":"publisher","DOI":"10.1111\/adb.12414"},{"key":"bibr19-1178221820980470","doi-asserted-by":"publisher","DOI":"10.1067\/mhl.2003.12"},{"key":"bibr20-1178221820980470","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-016-0515-x"},{"key":"bibr21-1178221820980470","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-14-0046"},{"key":"bibr22-1178221820980470","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.9072"},{"key":"bibr23-1178221820980470","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-010-0127-9"},{"key":"bibr24-1178221820980470","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.28811"},{"key":"bibr25-1178221820980470","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.1585"},{"key":"bibr26-1178221820980470","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2016.04.015"},{"key":"bibr27-1178221820980470","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.30879"},{"key":"bibr28-1178221820980470","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-015-0459-6"},{"key":"bibr29-1178221820980470","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-05-0783"},{"key":"bibr30-1178221820980470","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2018.6858"},{"key":"bibr31-1178221820980470","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2002.20.6.1608"},{"key":"bibr32-1178221820980470","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.21568."},{"key":"bibr33-1178221820980470","doi-asserted-by":"publisher","DOI":"10.3886\/ICPSR36231.v19"},{"key":"bibr34-1178221820980470","doi-asserted-by":"publisher","DOI":"10.2307\/2531734"},{"key":"bibr35-1178221820980470","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2015.0191"},{"key":"bibr36-1178221820980470","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph14101200"},{"key":"bibr37-1178221820980470","doi-asserted-by":"publisher","DOI":"10.1177\/0194599815613279"},{"key":"bibr38-1178221820980470","first-page":"301","volume":"58","author":"Cremeens JL","year":"2009","journal-title":"Morb Mortal Wkly Rep"},{"key":"bibr39-1178221820980470","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.11936"}],"container-title":["Substance Abuse: Research and Treatment"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1178221820980470","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1178221820980470","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1178221820980470","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:29:56Z","timestamp":1777692596000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1178221820980470"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":39,"alternative-id":["10.1177\/1178221820980470"],"URL":"https:\/\/doi.org\/10.1177\/1178221820980470","relation":{},"ISSN":["1178-2218","1178-2218"],"issn-type":[{"value":"1178-2218","type":"print"},{"value":"1178-2218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]},"article-number":"1178221820980470"}}