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 journalArticle (Academic Journal)

4 Citations (Scopus)
223 Downloads (Pure)

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 languageEnglish
Pages (from-to)1389-1399
Number of pages11
JournalHead and Neck
Volume40
Issue number7
Early online date27 Feb 2018
DOIs
Publication statusPublished - Jul 2018

Keywords

  • alcohol
  • head and neck cancer
  • health behaviors
  • smoking
  • teachable moment

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