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Exploring Tobacco Use in Young Childhood Cancer Survivors: the Role of Social Acceptance, Workplace Environments, and Stress Reduction.

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Title: Exploring Tobacco Use in Young Childhood Cancer Survivors: the Role of Social Acceptance, Workplace Environments, and Stress Reduction.
Authors: Ritt-Olson, Anamara1 (AUTHOR) arittols@hs.uci.edu, Stal, Julia2 (AUTHOR), Morales, Franceskrista3 (AUTHOR), Khawari, Parsa3 (AUTHOR), Leiby, Lisa1 (AUTHOR), Tran, Tracy1 (AUTHOR), Le, Hien Phuong3 (AUTHOR), Milam, Joel E.3 (AUTHOR)
Source: Journal of Community Health. Dec2025, Vol. 50 Issue 6, p1150-1160. 11p.
Subject Terms: *Adolescent development, *Qualitative research, *Attitude (Psychology), *Family attitudes, *Research methodology, Health literacy, Tumors in children, Stress management, Research funding, Center for Epidemiologic Studies Depression Scale, Smoking, Work environment, Interviewing, Judgment sampling, Descriptive statistics, Social status, Social skills, Psychological stress, Cancer patient psychology, Risk perception, Data analysis software, Social support, Intergenerational relations
Abstract: Recent advancements in childhood cancer treatment have significantly improved survival rates, yet survivors continue to face considerable morbidity and mortality, rendering them a vulnerable population. Tobacco use, linked to heightened cancer risk, is discouraged among survivors for long-term health preservation; however, many persist in its use, mirroring rates among their non-cancer peers. Through 25 in-depth interviews, we explored the interplay of perceived risk and social integration on tobacco use post-treatment among both Latine and non-Latine young adult survivors. Sixty percent of respondents were male, 44% identified as Latine, with ages ranging from 22 to 38 years (mean age 30 years; mean age at diagnosis 9 years), representing diverse cancer types. Despite awareness of tobacco-related health hazards, including general and respiratory health impacts, addiction potential, and financial burdens, survivors consistently cited stress alleviation as a primary motive for tobacco use. Fearof cancer recurrence was seldom cited as a deterrent, rather survivors identified tobacco as a means to foster peer connections, particularly in workplace settings, where smoking norms prevailed. Co-workers influenced initiation, and smoking breaks served as crucial socializing opportunities, endorsed as acceptable coping mechanisms. Notably, generational factors overshadowed cultural influences on tobacco use. These insights underscore the need for targeted interventions, in which clinicians can emphasize alternative stress management strategies over risk-centric messaging, prioritize social skill development, and address workplace environments as high-risk settings. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Community Health is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Exploring Tobacco Use in Young Childhood Cancer Survivors: the Role of Social Acceptance, Workplace Environments, and Stress Reduction.
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  Data: <searchLink fieldCode="AR" term="%22Ritt-Olson%2C+Anamara%22">Ritt-Olson, Anamara</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> arittols@hs.uci.edu</i><br /><searchLink fieldCode="AR" term="%22Stal%2C+Julia%22">Stal, Julia</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Morales%2C+Franceskrista%22">Morales, Franceskrista</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Khawari%2C+Parsa%22">Khawari, Parsa</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Leiby%2C+Lisa%22">Leiby, Lisa</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tran%2C+Tracy%22">Tran, Tracy</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Le%2C+Hien+Phuong%22">Le, Hien Phuong</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Milam%2C+Joel+E%2E%22">Milam, Joel E.</searchLink><relatesTo>3</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Community+Health%22">Journal of Community Health</searchLink>. Dec2025, Vol. 50 Issue 6, p1150-1160. 11p.
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  Data: *<searchLink fieldCode="DE" term="%22Adolescent+development%22">Adolescent development</searchLink><br />*<searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br />*<searchLink fieldCode="DE" term="%22Attitude+%28Psychology%29%22">Attitude (Psychology)</searchLink><br />*<searchLink fieldCode="DE" term="%22Family+attitudes%22">Family attitudes</searchLink><br />*<searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Health+literacy%22">Health literacy</searchLink><br /><searchLink fieldCode="DE" term="%22Tumors+in+children%22">Tumors in children</searchLink><br /><searchLink fieldCode="DE" term="%22Stress+management%22">Stress management</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Center+for+Epidemiologic+Studies+Depression+Scale%22">Center for Epidemiologic Studies Depression Scale</searchLink><br /><searchLink fieldCode="DE" term="%22Smoking%22">Smoking</searchLink><br /><searchLink fieldCode="DE" term="%22Work+environment%22">Work environment</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Judgment+sampling%22">Judgment sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Social+status%22">Social status</searchLink><br /><searchLink fieldCode="DE" term="%22Social+skills%22">Social skills</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+stress%22">Psychological stress</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+patient+psychology%22">Cancer patient psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+perception%22">Risk perception</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Intergenerational+relations%22">Intergenerational relations</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Recent advancements in childhood cancer treatment have significantly improved survival rates, yet survivors continue to face considerable morbidity and mortality, rendering them a vulnerable population. Tobacco use, linked to heightened cancer risk, is discouraged among survivors for long-term health preservation; however, many persist in its use, mirroring rates among their non-cancer peers. Through 25 in-depth interviews, we explored the interplay of perceived risk and social integration on tobacco use post-treatment among both Latine and non-Latine young adult survivors. Sixty percent of respondents were male, 44% identified as Latine, with ages ranging from 22 to 38 years (mean age 30 years; mean age at diagnosis 9 years), representing diverse cancer types. Despite awareness of tobacco-related health hazards, including general and respiratory health impacts, addiction potential, and financial burdens, survivors consistently cited stress alleviation as a primary motive for tobacco use. Fearof cancer recurrence was seldom cited as a deterrent, rather survivors identified tobacco as a means to foster peer connections, particularly in workplace settings, where smoking norms prevailed. Co-workers influenced initiation, and smoking breaks served as crucial socializing opportunities, endorsed as acceptable coping mechanisms. Notably, generational factors overshadowed cultural influences on tobacco use. These insights underscore the need for targeted interventions, in which clinicians can emphasize alternative stress management strategies over risk-centric messaging, prioritize social skill development, and address workplace environments as high-risk settings. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Journal of Community Health is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1007/s10900-025-01493-3
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      – Code: eng
        Text: English
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    Subjects:
      – SubjectFull: Adolescent development
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Attitude (Psychology)
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      – SubjectFull: Family attitudes
        Type: general
      – SubjectFull: Research methodology
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      – SubjectFull: Health literacy
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      – SubjectFull: Tumors in children
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      – SubjectFull: Stress management
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Center for Epidemiologic Studies Depression Scale
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      – SubjectFull: Smoking
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      – SubjectFull: Work environment
        Type: general
      – SubjectFull: Interviewing
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      – SubjectFull: Judgment sampling
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Social status
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      – SubjectFull: Social skills
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      – SubjectFull: Data analysis software
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      – SubjectFull: Intergenerational relations
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              Text: Dec2025
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