Joel Milam1, Rhona Slaughter2, Jessica L Tobin2, Jennifer B Unger2, Anamara Ritt-Olson2, David R Freyer3, Daniel Soto2, Ann S Hamilton2. 1. Keck School of Medicine, University of Southern California, Los Angeles, California. Electronic address: milam@usc.edu. 2. Keck School of Medicine, University of Southern California, Los Angeles, California. 3. Keck School of Medicine, University of Southern California, Los Angeles, California; Children's Hospital Los Angeles, Los Angeles, California; USC Norris Comprehensive Cancer Center, Los Angeles, California.
Abstract
PURPOSE: This case-control study compared substance use behaviors between Hispanic adolescent and young adult survivors of childhood cancers (cases) and a community sample of participants without cancer (controls). METHODS: A total of 100 cases were matched to controls (200 participants) one to one by ethnicity, age, and sex (mean age at survey 19.27, standard deviation = 1.92). Differences in self-reported previous 30-day use of tobacco, alcohol, binge drinking of alcohol, and marijuana were examined using conditional multivariable logistic regression. RESULTS: The odds of tobacco, alcohol, binge drinking, and marijuana use were significantly lower for cases than for controls (all p's <.05). When stratified by age, cases (vs. controls) under 21 years of age reported lower levels of substance use (all p's <.05), whereas differences over the age of 21 were nonsignificant. CONCLUSIONS: Lower levels of substance use among Hispanic adolescent and young adult survivors of childhood cancers (vs. controls) are most apparent at younger ages. Future work needs to examine a potential delay in initiation of use among survivors.
PURPOSE: This case-control study compared substance use behaviors between Hispanic adolescent and young adult survivors of childhood cancers (cases) and a community sample of participants without cancer (controls). METHODS: A total of 100 cases were matched to controls (200 participants) one to one by ethnicity, age, and sex (mean age at survey 19.27, standard deviation = 1.92). Differences in self-reported previous 30-day use of tobacco, alcohol, binge drinking of alcohol, and marijuana were examined using conditional multivariable logistic regression. RESULTS: The odds of tobacco, alcohol, binge drinking, and marijuana use were significantly lower for cases than for controls (all p's <.05). When stratified by age, cases (vs. controls) under 21 years of age reported lower levels of substance use (all p's <.05), whereas differences over the age of 21 were nonsignificant. CONCLUSIONS: Lower levels of substance use among Hispanic adolescent and young adult survivors of childhood cancers (vs. controls) are most apparent at younger ages. Future work needs to examine a potential delay in initiation of use among survivors.
Authors: Joel Milam; Rhona Slaughter; Kathleen Meeske; Anamara Ritt-Olson; Sandra Sherman-Bien; David R Freyer; Aura Kuperberg; Ann S Hamilton Journal: Psychooncology Date: 2015-08-27 Impact factor: 3.894
Authors: Rochelle R Smits-Seemann; Jaehee Yi; Tian Tian; Echo L Warner; Anne C Kirchhoff Journal: J Adolesc Young Adult Oncol Date: 2016-07-15 Impact factor: 2.223
Authors: Joel E Milam; Kathleen Meeske; Rhona I Slaughter; Sandra Sherman-Bien; Anamara Ritt-Olson; Aura Kuperberg; David R Freyer; Ann S Hamilton Journal: Cancer Date: 2014-10-23 Impact factor: 6.860
Authors: James L Klosky; Carrie R Howell; Zhenghong Li; Rebecca H Foster; Ann C Mertens; Leslie L Robison; Kirsten K Ness Journal: J Pediatr Psychol Date: 2012-03-16