Cancer Causes & Control

, Volume 18, Issue 4, pp 423–430 | Cite as

Availability of smoking prevention and cessation services for childhood cancer survivors

  • Janet S. de Moor
  • Elaine Puleo
  • Rita M. Butterfield
  • Frederick P. Li
  • Karen M. Emmons
Original Paper



To characterize the smoking-related services available to childhood cancer survivors and describe organizational characteristics that were related to institutions’ capacity to provide smoking services.


Institutions affiliated with the Children’s Oncology Group were surveyed from 2003 to 2004.


Of the 132 responding institutions, 85% assessed the smoking status of their cancer survivors intermittingly, but only 3% assessed smoking status at every visit, as recommended by the PHS guidelines. A minority of sites offered either smoking prevention (39%) or cessation (25%) services; 58% of sites had a mechanism in place to refer survivors for cessation services. In multivariate analyses, the most parsimonious model predicting capacity for smoking service delivery included barriers, respondents’ attitudes, complexity, and institutional stability.


These data highlight an important need to improve the availability of smoking services for childhood cancer survivors. Additionally, these findings will inform the development of future interventions that are sensitive to barriers and facilitators to providing prevention services.


Smoking cessation services Childhood cancer survival Cancer prevention 



This research was supported by grants RO1CA77780, 45CFR46.110, 2R25CA057711-11A2, and 5R01CA106914-03 from the National Institutes of Health, support to the Dana-Farber Cancer Institute by Liberty Mutual, the Patterson Fellowship Fund, and the Harry and Elsa Jiler American Cancer Society Research Professorship (Dr. Li). Portions of these data were presented at the National Cancer Institute conference, “Cancer Survivorship: Pathways to Health After Treatment,” June 2004 and at the University of North Carolina conference, “Dissemination—Putting Evidence into Action,” June 2005.


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Copyright information

© Springer Science+Business Media B.V. 2007

Authors and Affiliations

  • Janet S. de Moor
    • 1
    • 6
  • Elaine Puleo
    • 2
  • Rita M. Butterfield
    • 3
  • Frederick P. Li
    • 4
    • 5
  • Karen M. Emmons
    • 1
  1. 1.Department of Society, Human Development and Health, Harvard School of Public Health, Center for Community Based ResearchDana-Farber Cancer InstituteBostonUSA
  2. 2.Department of Biostatistics and EpidemiologyUniversity of Massachusetts at AmherstAmherstUSA
  3. 3.Center for Community Based ResearchDana-Farber Cancer InstituteBostonUSA
  4. 4.Department of Epidemiology, Harvard School of Public Health, Center for Community Based ResearchDana-Farber Cancer InstituteBostonUSA
  5. 5.Department of MedicineHarvard Medical SchoolBostonUSA
  6. 6.Division of Health Behavior and Health PromotionThe Ohio State University School of Public HealthColumbusUSA

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