Skip to main content
Top
Published in: Supportive Care in Cancer 9/2014

01-09-2014 | Original Article

Health media use among childhood and young adult cancer survivors who smoke

Authors: Rebekah H. Nagler, Elaine Puleo, Kim Sprunck-Harrild, K. Viswanath, Karen M. Emmons

Published in: Supportive Care in Cancer | Issue 9/2014

Login to get access

Abstract

Purpose

Promoting healthy behaviors may reduce the risk of co-morbidities among childhood and young adult (CYA) cancer survivors. Although behavioral interventions are one way to encourage such activities, there is increasing evidence that health media use—particularly health information seeking—also may influence health knowledge, beliefs, and behaviors. The current study explores patterns of health media use among survivors of CYA cancer. Our focus is on survivors who smoke and thus are at even greater risk of co-morbidities.

Methods

We analyzed data from the Partnership for Health-2 study, a web-based smoking cessation intervention, to examine the prevalence of and factors associated with health media use (N = 329).

Results

Nearly two thirds (65.3 %) of CYA survivors who smoke reported infrequent or no online health information seeking. Many reported never reading health sections of newspapers or general magazines (46.2 %) or watching health segments on local television news (32.3 %). Factors associated with health media use include education and employment, cancer-related distress, and smoking quit attempts.

Conclusions

Health information engagement is low among CYA survivors who smoke, particularly active seeking of health information online. Population subgroups differ in their media use patterns; some of these differences reflect communication inequalities, which have the potential to exacerbate health disparities. Clinicians have an opportunity to guide CYA survivors towards useful and reliable information sources. This guidance could help survivors fulfill their unmet information and support needs and may be particularly important for less educated survivors and other underserved populations.
Literature
1.
go back to reference American Cancer Society (2012) Cancer facts & figures 2012. American Cancer Society, Atlanta, GA American Cancer Society (2012) Cancer facts & figures 2012. American Cancer Society, Atlanta, GA
2.
go back to reference Oeffinger KC, Mertens AC, Sklar CA, Kawashima T, Hudson MM, Meadows AT, Friedman DL, Marina N, Hobbie W, Kadan-Lottick NS, Schwartz CL, Leisenring W, Robison LL (2006) Chronic health conditions in adult survivors of childhood cancer. N Engl J Med 355(15):1572–1582. doi:10.1056/NEJMsa060185 PubMedCrossRef Oeffinger KC, Mertens AC, Sklar CA, Kawashima T, Hudson MM, Meadows AT, Friedman DL, Marina N, Hobbie W, Kadan-Lottick NS, Schwartz CL, Leisenring W, Robison LL (2006) Chronic health conditions in adult survivors of childhood cancer. N Engl J Med 355(15):1572–1582. doi:10.​1056/​NEJMsa060185 PubMedCrossRef
3.
go back to reference Geenen MM, Cardous-Ubbink MC, Kremer LC, van den Bos C, van der Pal HJ, Heinen RC, Jaspers MW, Koning CC, Oldenburger F, Langeveld NE, Hart AA, Bakker PJ, Caron HN, van Leeuwen FE (2007) Medical assessment of adverse health outcomes in long-term survivors of childhood cancer. JAMA J Am Med Assoc 297(24):2705–2715. doi:10.1001/jama.297.24.2705 CrossRef Geenen MM, Cardous-Ubbink MC, Kremer LC, van den Bos C, van der Pal HJ, Heinen RC, Jaspers MW, Koning CC, Oldenburger F, Langeveld NE, Hart AA, Bakker PJ, Caron HN, van Leeuwen FE (2007) Medical assessment of adverse health outcomes in long-term survivors of childhood cancer. JAMA J Am Med Assoc 297(24):2705–2715. doi:10.​1001/​jama.​297.​24.​2705 CrossRef
4.
go back to reference Hewitt M, Weiner SL, Simone JV (eds) (2003) Childhood cancer survivorship: improving care and quality of life. The National Academies Press, Washington, DC Hewitt M, Weiner SL, Simone JV (eds) (2003) Childhood cancer survivorship: improving care and quality of life. The National Academies Press, Washington, DC
5.
go back to reference Landier W, Bhatia S, Eshelman DA, Forte KJ, Sweeney T, Hester AL, Darling J, Armstrong FD, Blatt J, Constine LS, Freeman CR, Friedman DL, Green DM, Marina N, Meadows AT, Neglia JP, Oeffinger KC, Robison LL, Ruccione KS, Sklar CA, Hudson MM (2004) Development of risk-based guidelines for pediatric cancer survivors: the Children's Oncology Group Long-Term Follow-Up Guidelines from the Children's Oncology Group Late Effects Committee and Nursing Discipline. J Clin Oncol 22(24):4979–4990. doi:10.1200/jco.2004.11.032 PubMedCrossRef Landier W, Bhatia S, Eshelman DA, Forte KJ, Sweeney T, Hester AL, Darling J, Armstrong FD, Blatt J, Constine LS, Freeman CR, Friedman DL, Green DM, Marina N, Meadows AT, Neglia JP, Oeffinger KC, Robison LL, Ruccione KS, Sklar CA, Hudson MM (2004) Development of risk-based guidelines for pediatric cancer survivors: the Children's Oncology Group Long-Term Follow-Up Guidelines from the Children's Oncology Group Late Effects Committee and Nursing Discipline. J Clin Oncol 22(24):4979–4990. doi:10.​1200/​jco.​2004.​11.​032 PubMedCrossRef
8.
go back to reference Emmons K, Li FP, Whitton J, Mertens AC, Hutchinson R, Diller L, Robison LL (2002) Predictors of smoking initiation and cessation among childhood cancer survivors: a report from the childhood cancer survivor study. J Clin Oncol 20(6):1608–1616PubMedCrossRef Emmons K, Li FP, Whitton J, Mertens AC, Hutchinson R, Diller L, Robison LL (2002) Predictors of smoking initiation and cessation among childhood cancer survivors: a report from the childhood cancer survivor study. J Clin Oncol 20(6):1608–1616PubMedCrossRef
9.
go back to reference Haupt R, Byrne J, Connelly RR, Mostow EN, Austin DF, Holmes GR, Holmes FF, Latourette HB, Teta MJ, Strong LC et al (1992) Smoking habits in survivors of childhood and adolescent cancer. Med Pediatr Oncol 20(4):301–306PubMedCrossRef Haupt R, Byrne J, Connelly RR, Mostow EN, Austin DF, Holmes GR, Holmes FF, Latourette HB, Teta MJ, Strong LC et al (1992) Smoking habits in survivors of childhood and adolescent cancer. Med Pediatr Oncol 20(4):301–306PubMedCrossRef
12.
go back to reference Emmons KM, Puleo E, Park E, Gritz ER, Butterfield RM, Weeks JC, Mertens A, Li FP (2005) Peer-delivered smoking counseling for childhood cancer survivors increases rate of cessation: the partnership for health study. J Clin Oncol 23(27):6516–6523, doi:JCO.2005.07.04810.1200PubMedCrossRef Emmons KM, Puleo E, Park E, Gritz ER, Butterfield RM, Weeks JC, Mertens A, Li FP (2005) Peer-delivered smoking counseling for childhood cancer survivors increases rate of cessation: the partnership for health study. J Clin Oncol 23(27):6516–6523, doi:JCO.2005.07.04810.1200PubMedCrossRef
14.
go back to reference Blaauwbroek R, Bouma MJ, Tuinier W, Groenier KH, de Greef MH, Meyboom-de Jong B, Kamps WA, Postma A (2009) The effect of exercise counselling with feedback from a pedometer on fatigue in adult survivors of childhood cancer: a pilot study. Support Care Cancer 17(8):1041–1048. doi:10.1007/s00520-008-0533-y PubMedCentralPubMedCrossRef Blaauwbroek R, Bouma MJ, Tuinier W, Groenier KH, de Greef MH, Meyboom-de Jong B, Kamps WA, Postma A (2009) The effect of exercise counselling with feedback from a pedometer on fatigue in adult survivors of childhood cancer: a pilot study. Support Care Cancer 17(8):1041–1048. doi:10.​1007/​s00520-008-0533-y PubMedCentralPubMedCrossRef
16.
18.
go back to reference Nagler RH, Gray SW, Romantan A, Kelly BJ, DeMichele A, Armstrong K, Schwartz JS, Hornik RC (2010) Differences in information seeking among breast, prostate, and colorectal cancer patients: results from a population-based survey. Patient Educ Couns 81(Suppl):S54–S62. doi:10.1016/j.pec.2010.09.010 PubMedCrossRef Nagler RH, Gray SW, Romantan A, Kelly BJ, DeMichele A, Armstrong K, Schwartz JS, Hornik RC (2010) Differences in information seeking among breast, prostate, and colorectal cancer patients: results from a population-based survey. Patient Educ Couns 81(Suppl):S54–S62. doi:10.​1016/​j.​pec.​2010.​09.​010 PubMedCrossRef
19.
go back to reference Mayer DK, Terrin NC, Kreps GL, Menon U, McCance K, Parsons SK, Mooney KH (2007) Cancer survivors information seeking behaviors: a comparison of survivors who do and do not seek information about cancer. Patient Educ Couns 65(3):342–350. doi:10.1016/j.pec.2006.08.015 PubMedCrossRef Mayer DK, Terrin NC, Kreps GL, Menon U, McCance K, Parsons SK, Mooney KH (2007) Cancer survivors information seeking behaviors: a comparison of survivors who do and do not seek information about cancer. Patient Educ Couns 65(3):342–350. doi:10.​1016/​j.​pec.​2006.​08.​015 PubMedCrossRef
20.
go back to reference Lewis N, Martinez LS, Freres DR, Schwartz JS, Armstrong K, Gray SW, Fraze T, Nagler RH, Bourgoin A, Hornik RC (2012) Seeking cancer-related information from media and family/friends increases fruit and vegetable consumption among cancer patients. Health Commun 27(4):380–388. doi:10.1080/10410236.2011.586990 PubMedCrossRef Lewis N, Martinez LS, Freres DR, Schwartz JS, Armstrong K, Gray SW, Fraze T, Nagler RH, Bourgoin A, Hornik RC (2012) Seeking cancer-related information from media and family/friends increases fruit and vegetable consumption among cancer patients. Health Commun 27(4):380–388. doi:10.​1080/​10410236.​2011.​586990 PubMedCrossRef
21.
go back to reference Viswanath K (2006) Public communications and its role in reducing and eliminating health disparities. In: Thomson GE, Mitchell F, Williams MB (eds) Examining the health disparities research plan of the National Institutes of Health: Unfinished business. National Academies Press, Washington, DC, pp 215–253 Viswanath K (2006) Public communications and its role in reducing and eliminating health disparities. In: Thomson GE, Mitchell F, Williams MB (eds) Examining the health disparities research plan of the National Institutes of Health: Unfinished business. National Academies Press, Washington, DC, pp 215–253
22.
24.
go back to reference Keegan TH, Lichtensztajn DY, Kato I, Kent EE, Wu XC, West MM, Hamilton AS, Zebrack B, Bellizzi KM, Smith AW, Group AHSC (2012) Unmet adolescent and young adult cancer survivors information and service needs: a population-based cancer registry study. J Cancer Surviv 6(3):239–250. doi:10.1007/s11764-012-0219-9 PubMedCentralPubMedCrossRef Keegan TH, Lichtensztajn DY, Kato I, Kent EE, Wu XC, West MM, Hamilton AS, Zebrack B, Bellizzi KM, Smith AW, Group AHSC (2012) Unmet adolescent and young adult cancer survivors information and service needs: a population-based cancer registry study. J Cancer Surviv 6(3):239–250. doi:10.​1007/​s11764-012-0219-9 PubMedCentralPubMedCrossRef
28.
go back to reference Hall AE, Boyes AW, Bowman J, Walsh RA, James EL, Girgis A (2012) Young adult cancer survivors' psychosocial well-being: a cross-sectional study assessing quality of life, unmet needs, and health behaviors. Support Care Cancer 20(6):1333–1341. doi:10.1007/s00520-011-1221-x PubMedCrossRef Hall AE, Boyes AW, Bowman J, Walsh RA, James EL, Girgis A (2012) Young adult cancer survivors' psychosocial well-being: a cross-sectional study assessing quality of life, unmet needs, and health behaviors. Support Care Cancer 20(6):1333–1341. doi:10.​1007/​s00520-011-1221-x PubMedCrossRef
29.
go back to reference Knijnenburg SL, Kremer LC, van den Bos C, Braam KI, Jaspers MW (2010) Health information needs of childhood cancer survivors and their family. Pediatr Blood Cancer 54(1):123–127. doi:10.1002/pbc.22207 PubMedCrossRef Knijnenburg SL, Kremer LC, van den Bos C, Braam KI, Jaspers MW (2010) Health information needs of childhood cancer survivors and their family. Pediatr Blood Cancer 54(1):123–127. doi:10.​1002/​pbc.​22207 PubMedCrossRef
30.
go back to reference Freyer DR, Mattano LJ (2007) Information and resources for young adults and adolescents with cancer. In: Bleyer WA, Barr RD (eds) Cancer in adolescents and young adults. Springer Verlag, New York, pp 469–487CrossRef Freyer DR, Mattano LJ (2007) Information and resources for young adults and adolescents with cancer. In: Bleyer WA, Barr RD (eds) Cancer in adolescents and young adults. Springer Verlag, New York, pp 469–487CrossRef
31.
go back to reference Stinson JN, White M, Breakey V, Chong AL, Mak I, Low KK, Low AK (2011) Perspectives on quality and content of information on the internet for adolescents with cancer. Pediatr Blood Cancer 57(1):97–104. doi:10.1002/pbc.23068 PubMedCrossRef Stinson JN, White M, Breakey V, Chong AL, Mak I, Low KK, Low AK (2011) Perspectives on quality and content of information on the internet for adolescents with cancer. Pediatr Blood Cancer 57(1):97–104. doi:10.​1002/​pbc.​23068 PubMedCrossRef
32.
go back to reference Oeffinger KC, Hudson MM, Mertens AC, Smith SM, Mitby PA, Eshelman-Kent DA, Ford JS, Jones JK, Kamani S, Robison LL (2011) Increasing rates of breast cancer and cardiac surveillance among high-risk survivors of childhood Hodgkin lymphoma following a mailed, one-page survivorship care plan. Pediatr Blood Cancer 56(5):818–824. doi:10.1002/pbc.22696 PubMedCentralPubMedCrossRef Oeffinger KC, Hudson MM, Mertens AC, Smith SM, Mitby PA, Eshelman-Kent DA, Ford JS, Jones JK, Kamani S, Robison LL (2011) Increasing rates of breast cancer and cardiac surveillance among high-risk survivors of childhood Hodgkin lymphoma following a mailed, one-page survivorship care plan. Pediatr Blood Cancer 56(5):818–824. doi:10.​1002/​pbc.​22696 PubMedCentralPubMedCrossRef
33.
go back to reference Knijnenburg SL, Kremer LC, Versluys AB, Braam KI, Mud MS, van der Pal HJ, Caron HN, Jaspers MW (2013) Evaluation of a patient information website for childhood cancer survivors. Support Care Cancer 21(4):919–926. doi:10.1007/s00520-012-1604-7 PubMedCrossRef Knijnenburg SL, Kremer LC, Versluys AB, Braam KI, Mud MS, van der Pal HJ, Caron HN, Jaspers MW (2013) Evaluation of a patient information website for childhood cancer survivors. Support Care Cancer 21(4):919–926. doi:10.​1007/​s00520-012-1604-7 PubMedCrossRef
34.
go back to reference de Moor JS, Puleo E, Ford JS, Greenberg M, Hodgson DC, Tyc VL, Ostroff J, Diller LR, Levy AG, Sprunck-Harrild K, Emmons KM (2011) Disseminating a smoking cessation intervention to childhood and young adult cancer survivors: baseline characteristics and study design of the partnership for health-2 study. BMC Cancer 11:165. doi:10.1186/1471-2407-11-165 PubMedCentralPubMedCrossRef de Moor JS, Puleo E, Ford JS, Greenberg M, Hodgson DC, Tyc VL, Ostroff J, Diller LR, Levy AG, Sprunck-Harrild K, Emmons KM (2011) Disseminating a smoking cessation intervention to childhood and young adult cancer survivors: baseline characteristics and study design of the partnership for health-2 study. BMC Cancer 11:165. doi:10.​1186/​1471-2407-11-165 PubMedCentralPubMedCrossRef
35.
go back to reference Emmons MK, Puleo E, Sprunck-Harrild K, Ford J, Ostroff SJ, Hodgson D, Greenberg M, Diller L, de Moor J, Tyc V (2013) Partnership for health-2, a web-based versus print smoking cessation intervention for childhood and young adult cancer survivors: Randomized Comparative Effectiveness Study. J Med Internet Res 15(11):e218PubMedCentralPubMedCrossRef Emmons MK, Puleo E, Sprunck-Harrild K, Ford J, Ostroff SJ, Hodgson D, Greenberg M, Diller L, de Moor J, Tyc V (2013) Partnership for health-2, a web-based versus print smoking cessation intervention for childhood and young adult cancer survivors: Randomized Comparative Effectiveness Study. J Med Internet Res 15(11):e218PubMedCentralPubMedCrossRef
36.
go back to reference Ware JE Jr, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30(6):473–483PubMedCrossRef Ware JE Jr, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30(6):473–483PubMedCrossRef
37.
go back to reference Horowitz M, Wilner N, Alvarez W (1979) Impact of event scale: a measure of subjective stress. Psychosom Med 41(3):209–218PubMedCrossRef Horowitz M, Wilner N, Alvarez W (1979) Impact of event scale: a measure of subjective stress. Psychosom Med 41(3):209–218PubMedCrossRef
38.
go back to reference Whooley MA, Avins AL, Miranda J, Browner WS (1997) Case-finding instruments for depression. Two questions are as good as many. J Gen Intern Med 12(7):439–445PubMedCentralPubMedCrossRef Whooley MA, Avins AL, Miranda J, Browner WS (1997) Case-finding instruments for depression. Two questions are as good as many. J Gen Intern Med 12(7):439–445PubMedCentralPubMedCrossRef
39.
go back to reference Nelson DE, Kreps GL, Hesse BW, Croyle RT, Willis G, Arora NK, Rimer BK, Viswanath KV, Weinstein N, Alden S (2004) The Health Information National Trends Survey (HINTS): development, design, and dissemination. J Health Commun 9(5):443–460. doi:10.1080/10810730490504233, discussion 481-444PubMedCrossRef Nelson DE, Kreps GL, Hesse BW, Croyle RT, Willis G, Arora NK, Rimer BK, Viswanath KV, Weinstein N, Alden S (2004) The Health Information National Trends Survey (HINTS): development, design, and dissemination. J Health Commun 9(5):443–460. doi:10.​1080/​1081073049050423​3, discussion 481-444PubMedCrossRef
43.
go back to reference Nagler RH, Romantan A, Kelly B, Stevens R, Gray S, Hull S, Ramirez A, Hornik R (2010) How do cancer patients navigate the public information environment? Understanding patterns and motivations for movement among information sources. J Cancer Educ 25(3):360–370. doi:10.1007/s13187-010-0054-5 PubMedCentralPubMedCrossRef Nagler RH, Romantan A, Kelly B, Stevens R, Gray S, Hull S, Ramirez A, Hornik R (2010) How do cancer patients navigate the public information environment? Understanding patterns and motivations for movement among information sources. J Cancer Educ 25(3):360–370. doi:10.​1007/​s13187-010-0054-5 PubMedCentralPubMedCrossRef
44.
go back to reference Campo RA, Rowland JH, Irwin ML, Nathan PC, Gritz ER, Kinney AY (2011) Cancer prevention after cancer: changing the paradigm—a report from the American Society of Preventive Oncology. Cancer Epidemiol Biomarkers Prev 20(10):2317–2324. doi:10.1158/1055-9965.epi-11-0728 PubMedCrossRef Campo RA, Rowland JH, Irwin ML, Nathan PC, Gritz ER, Kinney AY (2011) Cancer prevention after cancer: changing the paradigm—a report from the American Society of Preventive Oncology. Cancer Epidemiol Biomarkers Prev 20(10):2317–2324. doi:10.​1158/​1055-9965.​epi-11-0728 PubMedCrossRef
Metadata
Title
Health media use among childhood and young adult cancer survivors who smoke
Authors
Rebekah H. Nagler
Elaine Puleo
Kim Sprunck-Harrild
K. Viswanath
Karen M. Emmons
Publication date
01-09-2014
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 9/2014
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-014-2236-x

Other articles of this Issue 9/2014

Supportive Care in Cancer 9/2014 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine