Cigarette Use Among US Adults Diagnosed with Smoking-Related Cancers: Analysis of NHIS Data from 2020 to 2022

Cigarette Use Among US Adults Diagnosed with Smoking-Related Cancers: Analysis of NHIS Data from 2020 to 2022 Seyedeh Yasaman Alemohammad 1, Leily Azizinamini2, Pura Rodriguez de la Vega1, Noël Christopher Barengo 1. 1.Department of Medical Education, Herbert Wertheim College of Medicine, Florida International University, Miami, Fl, USA 2. Department of Biomedical Engeenering, College of Engeenering, Florida International University, Miami, Fl, USA Abstract Background: Smoking cessation is crucial for cancer survivors, yet many continue to smoke post-diagnosis. Previous research has identified various factors associated with continued smoking among specific cancer populations. However, scientific evidence on the factors associated with smoking in cancer patients is scant. This study aimed to study what factors are associated with cigarette smoking among a diverse group of cancer survivors in the US during 2020-2022. Methods: The analytical, cross-section al study analyzed data from 5,997 adult cancer survivors in the 2020-2022 National Health Interview Survey. People with missing data on the key variables were excluded. The main outcome variable was smoking (never/former vs current). The predictors were age, sex, education, marital status, insurance status, race, and cancer location. The confounding variables included comorbidities (COPD, stroke, depression, anxiety, asthma, cardiovascular disease), BMI, and sexual orientation. Unadjusted and adjusted logistic regression models were used to calculate odds ratios (AOR) and 95% confidence intervals (CI). Results: Younger age (35-44: OR 2.83, 95% CI: 1.73-4.64), lower education levels (high school or less: OR 2.75, 95% CI: 2.01-3.77), being divorced or separated (OR: 1.70, 95% CI: 1.29-2.25), lack of health insurance (OR: 2.38, 95% CI: 1.32-4.29), bisexual sexual orientation (OR: 3.70, 95% CI: 1.62-8.44), being underweight (OR: 1.91, 95% CI: 1.01-3.62), and having COPD (OR: 3.57, 95% CI: 2.70-4.73) were associated with current smoking. Conclusion: Cigarette smoking remains common among certain subgroups of cancer survivors, particularly those with tobacco-related cancers. Targeted smoking cessation interventions are needed for high-risk groups to enhance cancer survivorship outcomes. Keywords: Smoking Cessation, Cancer Survivors, Cigarette Us

Smoking as a Risk Factor for Surgical Site Complications in Implant-Based Breast Surgery

Background Smoking is a cause of many postoperative complications, including delayed wound healing, tissue necrosis, and reconstructive flap loss. However, there is a paucity of evidence-based guidelines for smoking cessation in patients undergoing implant-based breast surgery. Objective The objective of this study was to determine if smoking is associated with wound dehiscence or superficial/deep surgical site infection (SSI) in women undergoing implant-based breast surgery. Methods Using the American College of Surgeons National Surgical Quality Improvement Program, data was obtained of U.S. adult females (n=10,077) between the ages of 18 and 70 who underwent insertion of a breast prosthesis from 2014 to 2016. The patient's preoperative smoking status, demographics, and comorbidities were analyzed to determine association with wound dehiscence, superficial SSI, and deep SSI. Unadjusted and adjusted logistic regression analyses were used to calculate odds ratios (OR) and 95% confidence intervals (95% CI). Results Patients who smoked had a statistically significant higher proportion of wound complications (2.4%) compared to non-smokers (1.3%; p Conclusions Our study suggests that smoking is an independent risk factor for postoperative complications in patients undergoing implant-based breast surgery. These results have significant clinical implications, as increased precautions can be taken in smokers undergoing breast surgery to minimize postoperative wound complications. Future studies may determine the optimal amount of time that patients should abstain from smoking prior to implant-based breast surgery.Peer reviewe

Smoking as a Risk Factor for Surgical Site Complications in Implant-Based Breast Surgery

Background Smoking is a cause of many postoperative complications, including delayed wound healing, tissue necrosis, and reconstructive flap loss. However, there is a paucity of evidence-based guidelines for smoking cessation in patients undergoing implant-based breast surgery. Objective The objective of this study was to determine if smoking is associated with wound dehiscence or superficial/deep surgical site infection (SSI) in women undergoing implant-based breast surgery. Methods Using the American College of Surgeons National Surgical Quality Improvement Program, data was obtained of U.S. adult females (n=10,077) between the ages of 18 and 70 who underwent insertion of a breast prosthesis from 2014 to 2016. The patient's preoperative smoking status, demographics, and comorbidities were analyzed to determine association with wound dehiscence, superficial SSI, and deep SSI. Unadjusted and adjusted logistic regression analyses were used to calculate odds ratios (OR) and 95% confidence intervals (95% CI). Results Patients who smoked had a statistically significant higher proportion of wound complications (2.4%) compared to non-smokers (1.3%; p Conclusions Our study suggests that smoking is an independent risk factor for postoperative complications in patients undergoing implant-based breast surgery. These results have significant clinical implications, as increased precautions can be taken in smokers undergoing breast surgery to minimize postoperative wound complications. Future studies may determine the optimal amount of time that patients should abstain from smoking prior to implant-based breast surgery.Peer reviewe

The association between social determinants of health and self-reported diabetic retinopathy: An exploratory analysis

One-third of Americans with diabetes will develop diabetic retinopathy (DR), the leading cause of blindness in working-age Americans. Social determinants of health (SDOHs) are conditions in a person’s environment that may impact health. The objective of this study was to determine whether there is an association between SDOHs and DR in patients with type II diabetes. This cross-section study used data from the 2018 Behavioral Risk Factor Surveillance System (BRFSS). This study included people with self-reported diabetes in the US in 2018 (n = 60,703). Exposure variables included homeownership, marital status, income, health care coverage, completed level of educa-tion, and urban vs. rural environment. The outcome variable was DR. Logistic regression analysis were applied to calculate odds ratios (ORs) and 95% confidence intervals (CIs). Alaskan Native/Na-tive American (OR 2.11; 95% CI: 1.14–3.90), out of work (OR 2.82; 95% CI: 1.62–4.92), unable to work (OR 2.14; 95% CI: 1.57–2.91), did not graduate high school (OR 1.91; 95% CI: 1.30–2.79), only gradu-ated high school (OR 1.43; 95% CI 1.08–1.97), or only attended college or technical school without graduating (OR 1.42; 95% CI: 1.09–1.86) were SDOHs associated with DR in patients with diabetes. Health care providers should identify these possible SDOHs affecting their diabetic patients