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@ARTICLE{Gali:182684,
      author       = {K. Gali and F. Bokemeyer and S. Behrens$^*$ and A. Möhl
                      and N. Obi and H. Becher and J. Chang-Claude$^*$},
      title        = {{C}hanges in cigarette smoking behavior among breast cancer
                      and unaffected women - {A} prospective study in the {MARIE}
                      cohort.},
      journal      = {Cancer epidemiology},
      volume       = {81},
      issn         = {1877-7821},
      address      = {Amsterdam [u.a.]},
      publisher    = {Elsevier},
      reportid     = {DKFZ-2022-02852},
      pages        = {102282},
      year         = {2022},
      note         = {#LA:C020#},
      abstract     = {Smoking cessation after a cancer diagnosis can reduce
                      adverse cancer treatment outcomes. Whether a breast cancer
                      diagnosis, a cancer commonly seen as unrelated to smoking
                      cigarettes, motivates changes in smoking behavior is not
                      fully understood. We aimed to compare long-term changes at
                      three follow-up times of cigarette smoking behavior in women
                      with breast cancer and baseline age- and region-matched
                      unaffected women.We used longitudinal data from the
                      population-based case-control study MARIE (Mamma Carcinoma
                      Risk Factor Investigation). Women with breast cancer (N =
                      3813) and unaffected women (N = 7341) aged 50-74 years were
                      recruited from 2002 to 2005. Analyses on changes in smoking
                      were based on data from those who also completed follow-up 1
                      in 2009-2012, follow-up 2 in 2014-2016 and follow-up 3 in
                      2020. Multinomial logistic regression for changes (quitting,
                      stable, or start smoking) adjusted for age, study region,
                      education, comorbidities, living situation, and follow-up
                      time, was applied to examine the associations between breast
                      cancer status and changes in smoking behavior.Women with
                      breast cancer had significantly higher odds than unaffected
                      women of quitting smoking (OR = 1.38, 95 $\%$ CI: 1.01-1.89)
                      and lower odds of returning to smoking (OR = 0.29, 95 $\%$
                      CI: 0.09-0.94) at follow-up 1, but were more likely to start
                      or return to smoking at follow-up 2 (OR = 2.11, 95 $\%$ CI
                      1.08-4.15). No significant group differences were found for
                      changes in smoking behavior at follow-up 3.Our findings
                      indicate that short-term changes in smoking behavior can be
                      attributed to a breast cancer diagnosis, but that over time
                      the effect diminishes and changes in smoking no longer
                      differ between breast cancer and breast cancer-free women.
                      To support smoking cessation and to prevent relapse,
                      guidelines to address smoking in cancer care, as well as
                      comprehensive tobacco treatment services, are needed.},
      keywords     = {Behavior change (Other) / Breast cancer (Other) / Smoking
                      (Other) / Tobacco (Other)},
      cin          = {C020},
      ddc          = {610},
      cid          = {I:(DE-He78)C020-20160331},
      pnm          = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
      pid          = {G:(DE-HGF)POF4-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:36395613},
      doi          = {10.1016/j.canep.2022.102282},
      url          = {https://inrepo02.dkfz.de/record/182684},
}