Does neighborhood or residence influence continued smoking among cancer patients: a spatial-ecological and descriptive analyses brief report

Cancer Causes Control. 2023 Apr;34(4):389-398. doi: 10.1007/s10552-022-01655-x. Epub 2022 Nov 30.

Abstract

Purpose: Continued smoking after a cancer diagnosis is causally linked to cancer-specific and all-cause mortality. Additionally, smoking, in particular after a cancer diagnosis, increases risk for poor therapeutic outcomes, chronic disease and even COV19 infection.

Methods: In order to better understand and address continued smoking among cancer patients, this research applied geospatial mapping analysis to explore the potential association of dedicated smoke/vape shops density and smoking among cancer patients.

Results: Our findings suggest that there is an association between dedicated smoke/vape shops density and continued tobacco product use among cancer patients who live in areas with greater numbers of smoke/vape shops and higher percentage of African Americans and low socioeconomic persons. In the City of Hope-Antelope Valley Center region with an average of 1.4 dedicated smoke/vape shops per sq ml, cancer patients continue to smoke at a rate of almost 10%. This rate is almost twice the 5.2% cancer patient smoking rate of the main cancer center with an average of < 1 dedicated smoke/vape shops per sq ml.

Conclusion: Our study may inform cessation-related research, practice and policies so that researchers, clinicians and policymakers are well-aware of these disparities in dedicated smoke/vape shops proliferation that is disproportionately affecting minority patient, in particular cancer population.

Keywords: African Americans; Cancer patients; Smoke shops. geospatial mapping; Smoking.

MeSH terms

  • Commerce
  • Electronic Nicotine Delivery Systems*
  • Environment
  • Humans
  • Minority Groups
  • Neoplasms* / epidemiology
  • Vaping*