Change in alcohol and tobacco consumption after a diagnosis of head and neck cancer: Findings from Head and Neck 5000

Chris M. Penfold; Steven J. Thomas; Andrea Waylen; Andrew R. Ness

doi:10.1002/hed.25116

Change in alcohol and tobacco consumption after a diagnosis of head and neck cancer: Findings from Head and Neck 5000

Chris M. Penfold^*, Steven J. Thomas, Andrea Waylen, Andrew R. Ness

^*Corresponding author for this work

Research output: Contribution to journal › Article (Academic Journal) › peer-review

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Abstract

Background
Tobacco and alcohol consumption are risk factors for developing head and neck cancer (HNC), and continuation post-diagnosis can adversely affect prognosis. We explored changes to these behaviours following a HNC diagnosis.
Methods
Demographic and clinical data were collected from 973 people newly diagnosed with oral cavity, oropharyngeal or laryngeal cancer. Tobacco and alcohol consumption were additionally collected four and 12 months later.
Results
The prevalence of high alcohol consumption reduced from 54.3% at diagnosis to 41.4% at 12- months, and smoking reduced from 21.0% to 11.7%. Changes in behaviour were dynamic, for example 44% of smokers at 12-months were not smoking at diagnosis or 4-months. Several factors were associated with alcohol consumption whereas only tumour site and comorbidities were associated with smoking.
Conclusions
A diagnosis of HNC can result in important changes in alcohol consumption and smoking prevalence. However, these changes are dynamic in the first year after diagnosis.

Original language	English
Pages (from-to)	1389-1399
Number of pages	11
Journal	Head and Neck
Volume	40
Issue number	7
Early online date	27 Feb 2018
DOIs	https://doi.org/10.1002/hed.25116
Publication status	Published - Jul 2018

Keywords

alcohol
head and neck cancer
health behaviors
smoking
teachable moment

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1002/hed.25116

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@article{7a8e59117aaf4608878eedfe2951b35a,

title = "Change in alcohol and tobacco consumption after a diagnosis of head and neck cancer: Findings from Head and Neck 5000",

abstract = "BackgroundTobacco and alcohol consumption are risk factors for developing head and neck cancer (HNC), and continuation post-diagnosis can adversely affect prognosis. We explored changes to these behaviours following a HNC diagnosis.MethodsDemographic and clinical data were collected from 973 people newly diagnosed with oral cavity, oropharyngeal or laryngeal cancer. Tobacco and alcohol consumption were additionally collected four and 12 months later.ResultsThe prevalence of high alcohol consumption reduced from 54.3% at diagnosis to 41.4% at 12- months, and smoking reduced from 21.0% to 11.7%. Changes in behaviour were dynamic, for example 44% of smokers at 12-months were not smoking at diagnosis or 4-months. Several factors were associated with alcohol consumption whereas only tumour site and comorbidities were associated with smoking.ConclusionsA diagnosis of HNC can result in important changes in alcohol consumption and smoking prevalence. However, these changes are dynamic in the first year after diagnosis.",

keywords = "alcohol, head and neck cancer, health behaviors, smoking, teachable moment",

author = "Penfold, {Chris M.} and Thomas, {Steven J.} and Andrea Waylen and Ness, {Andrew R.}",

year = "2018",

month = jul,

doi = "10.1002/hed.25116",

language = "English",

volume = "40",

pages = "1389--1399",

journal = "Head and Neck",

issn = "1043-3074",

publisher = "John Wiley & Sons, Inc",

number = "7",

}

TY - JOUR

T1 - Change in alcohol and tobacco consumption after a diagnosis of head and neck cancer

T2 - Findings from Head and Neck 5000

AU - Penfold, Chris M.

AU - Thomas, Steven J.

AU - Waylen, Andrea

AU - Ness, Andrew R.

PY - 2018/7

Y1 - 2018/7

N2 - BackgroundTobacco and alcohol consumption are risk factors for developing head and neck cancer (HNC), and continuation post-diagnosis can adversely affect prognosis. We explored changes to these behaviours following a HNC diagnosis.MethodsDemographic and clinical data were collected from 973 people newly diagnosed with oral cavity, oropharyngeal or laryngeal cancer. Tobacco and alcohol consumption were additionally collected four and 12 months later.ResultsThe prevalence of high alcohol consumption reduced from 54.3% at diagnosis to 41.4% at 12- months, and smoking reduced from 21.0% to 11.7%. Changes in behaviour were dynamic, for example 44% of smokers at 12-months were not smoking at diagnosis or 4-months. Several factors were associated with alcohol consumption whereas only tumour site and comorbidities were associated with smoking.ConclusionsA diagnosis of HNC can result in important changes in alcohol consumption and smoking prevalence. However, these changes are dynamic in the first year after diagnosis.

AB - BackgroundTobacco and alcohol consumption are risk factors for developing head and neck cancer (HNC), and continuation post-diagnosis can adversely affect prognosis. We explored changes to these behaviours following a HNC diagnosis.MethodsDemographic and clinical data were collected from 973 people newly diagnosed with oral cavity, oropharyngeal or laryngeal cancer. Tobacco and alcohol consumption were additionally collected four and 12 months later.ResultsThe prevalence of high alcohol consumption reduced from 54.3% at diagnosis to 41.4% at 12- months, and smoking reduced from 21.0% to 11.7%. Changes in behaviour were dynamic, for example 44% of smokers at 12-months were not smoking at diagnosis or 4-months. Several factors were associated with alcohol consumption whereas only tumour site and comorbidities were associated with smoking.ConclusionsA diagnosis of HNC can result in important changes in alcohol consumption and smoking prevalence. However, these changes are dynamic in the first year after diagnosis.

KW - alcohol

KW - head and neck cancer

KW - health behaviors

KW - smoking

KW - teachable moment

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DO - 10.1002/hed.25116

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JO - Head and Neck

JF - Head and Neck

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Change in alcohol and tobacco consumption after a diagnosis of head and neck cancer: Findings from Head and Neck 5000

Abstract

Keywords

UN SDGs

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NIHR BRC Nutrition

Professor Steve J Thomas

Cite this

Change in alcohol and tobacco consumption after a diagnosis of head and neck cancer: Findings from Head and Neck 5000

Abstract

Keywords

UN SDGs

Access to Document

Handle.net

Other files and links

Fingerprint

Projects

NIHR BRC Nutrition

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Professor Steve J Thomas

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