Maternal Tobacco Use as a Risk Factor for Small for Gestational Age (sga) Is a Third-trimester Effect .... 10 the Relationship among Social Support, Level of Distress and Smoking Status among Cancer Survivors:

Objective. To test the effectiveness of a school-based, peer-led smoking and asthma education program, known as the Adolescent Asthma Action (Triple A) in Jordan (TAJ), with an additional class smoke-free pledge strategy (TAJ-Plus) as compared to the TAJ alone on smoking-related knowledge and perception, nicotine dependence, and asthma control in male high school students in Jordan four months post intervention. Methods. In this cluster-randomized controlled trial, four public male high schools in Irbid, Jordan, were randomly assigned to receive the TAJ-Plus (n=215) or the TAJ alone (n=218). TAJ educators were 3rd year male undergraduate nursing students (n=9) who received training in a one-day workshop. These educators then trained senior students from the four schools to be Peer Leaders (n=53), who then taught peers in grades 7 and 8 (n=433). The Peer Leaders in the TAJ-Plus schools implemented the smoke-free pledge within the 7th and 8th graders, who all voluntarily signed the pledge for four months. Data were collected from students in grades 7 and 8 using self-administered questionnaires at baseline and four months post intervention. Results. Students from the TAJ-Plus group reported significant improvements in smoking-related knowledge and perception (p<0.000) and lower nicotine dependence (p<0.000) as compared to the TAJ group. Improvement in asthma control was greater (p=0.03) in nonsmokers as compared to smokers. Conclusions. Group commitment smoke-free pledge is feasible, beneficial, and can be an incentive to motivate adolescents to abstain from smoking. Using social influences approaches in schools can be useful in countering the aggressive tobacco marketing campaigns. THE RELATIONSHIP AMONG SOCIAL SUPPORT, LEVEL OF DISTRESS AND SMOKING STATUS AMONG CANCER SURVIVORS: RESULTS FROM 10 US STATES, 2010 Poghosyan H, Darwish SA, Kim SS, AbuFannouneh AM, Cooley ME University of Massachusetts Boston, 100 Morrisey Boulevard, Boston MA USA 02125 Background: In the United States (US), there are 13.7 million individuals living with a previous diagnosis of cancer as of 2013. A cancer diagnosis is a life-changing experience and survivors face unique challenges to physical and mental health across the continuum of cancer care. Cancer survivors who smoke cigarettes at the time of diagnosis experience worse clinical outcomes as compared to never or former smokers. Continued smoking after a diagnosis of cancer reduces the effectiveness and increases the risk of complications of cancer treatment, increases the risk of developing secondary cancer, reduces physical and mental quality of life, and overall survival. To maximize the wellbeing of the growing population of cancer survivors, positive changes in health behaviors such as smoking cessation are essential. Purpose: Using population based data, the aims of the current study were (a) to identify the frequency of mental distress among cancer survivors; (b) to examine the association between receipt of social support, mental distress and smoking status among cancer survivors; and (c) to identify factors (socio-demographic and cancer-related) that are associated with smoking status among cancer survivors with and without mental distress. We further sought to identify cancer survivors who may require additional support in quitting smoking. Methods: Data were obtained from the 2010 Behavioral Risk Factor Surveillance System (BRFSS), Cancer Survivorship module. The BRFSS is an annual, cross-sectional, state-based computer-assisted telephone survey administered in all 50 states of the U.S., and entities. In 2010, the cancer survivorship module was administered in 10 states and entities. Sample weights were applied to account for the complex survey design of the BRFSS and to provide population estimates. Descriptive statistics, percentages and 95% confidence interval (CI) for categorical variables and means and standard error (SE) for continuous variables, were conducted for all variables by distress group: infrequent mental distress and frequent mental distress. For examining the association between receipt of social support and smoking status, we constructed two separate multivariate multinomial logistic regression models for cancer survivors with infrequent and frequent mental distress. We estimated the adjusted odds ratios (AORs) with their corresponding 95% CI for each independent variable. Results were considered statistically significant if two-sided p-values were ≤0.05. Results: A total of 8,055 adult cancer survivors were included in the sample, corresponding to a population estimate of 2.6 million. In 2010, 15.6% (418,700) of the 2.6 million adult cancer survivors were currentsmokers, 38.4% (1.03 million) were former-smokers and 46.0% (1.2 million) never-smokers. About 82.0% of the sample reported that they received social support always/usually. In the past 30 days, about 12% had experienced frequent mental distress. Approximately 47% were 65 years of age or older, 59.2% were female. Participants’ mean age at the time of the first cancer diagnosis was 51.0 (SE=0.33) and the mean time since first primary cancer diagnosis was 11.3 years (SE=0.18). Compared with those in the infrequent mental distress group, cancer survivors with frequent mental distress were diagnosed at a younger age (45.0 vs. 51.8), and more likely to be current-smokers (36.8% vs. 12.7%). Among participants with infrequent mental distress, compared with the odds of being a former-smoker, the odds of being a currentsmoker were lower for survivors who received social support always/usually (AOR: 0.64, 95% CI: 0.420.90). No statistically significant association was found between receipt of social support and smoking status among cancer survivors with frequent mental distress. Conclusion: Smoking rates are lower among cancer survivors who receive social support and have low levels of mental distress. Psychosocial screening to identify smokers with high levels of mental distress may help to identify those who require more intensive smoking cessation interventions. Poster Presentation Abstracts Poster abstracts will be finalised weeks before the event INCREASING TOBACCO CESSATION BEFORE SURGERY BY THE SYSTEMATIC DELIVERY OF A PRINTED BRIEF INTERVENTION DELIVERED TO PATIENTS AT TIME OF WAITING-LIST PLACEMENT Dr Ashley Webb, Nicola Robertson, Maryanne Sparrow, Dr Samuel Leong, Prof. Ron Borland Department of Anaesthesia, Peninsula Health, PO Box 52, Frankston, Melbourne, Victoria, Australia Correspondence: [email protected] Objective: To measure the effects of sending a smoking cessation ‘quit pack’ to all patients placed on the elective surgical waiting-list. Design, participants, setting: Questionnaire-based study before intervention (mid-2011, 177 patients) and after (2012/13, 170 patients) conducted on day of surgery. All were identified as adult smokers at time of waiting-list placement at an outer-metropolitan public hospital IN Melbourne, Australia. Intervention: Quit pack consisting of educational brochure containing cessation advice and focused on perioperative risks of smoking, together with Quitline referral form and reply-paid envelope. Main outcome measures: Proportion of smokers who quit on waiting list for ≥ 1-month before surgery; considered a clinically meaningful duration to reduce surgical complications. Recall of receiving the intervention. Recall of preoperative advice to quit from clinicians and others. Results: An 8.6% improvement in waiting-list smokers achieving the target ≥ 1-month abstinence at day of surgery (p=0.03). The NNT of 12 (95%CI 6-240) meant 12 smokers receiving intervention would create one additional episode of clinically meaningful quitting on wait-list. Recall of receiving stop-smoking advice form the health service rose 5-fold in smokers and 12-fold in wait-list quitters (p<0.001) and significant increases in discussion about perioperative quitting occurred with clinicians (p<0.001). Conclusion: Elective surgery smoking cessation outcomes were significantly improved by systematic application of a simple printed intervention delivered at time of wait-list placement. PREVALENCE OF SMOKING AND ITS RELATED BEHAVIORS AMONG ADOLESCENT SCHOOL STUDENTS, QASSIM, SAUDI ARABIA Dr. Sultan Al Nohair,Dr.Fawzi Sharaf,Dr.Bazmi Inaam Introduction According to WHO tobacco smoking as an epidemic with an estimated 3 million deaths annually worldwide. This death toll is expected to rise to 10 million by the year 2020 or early 2030, if the current trends of smoking continues. Seventy percent of these deaths will occur in the developing countries. Objectives Prevalence of smoking -The most common age of starting smoking -The most common place of smoking -The most common reason for smoking -Effect of the advice of the teacher on their decisions to stop smoking. Subjects and Methods cross sectional study conducted in 12 schools in Al Qassim province during January-June 2014. The schools were selected randomly by the help of General Directorate of Education in Qassim,Saudi Arabia. The questionnaire was developed according to international standards. Data collection tool was selfadministered questionnaire. Results The prevalence of smoking among teenager high school students in our study was 23.6% by 161. The The most common age of starting the smoking is 13 years by 56 students (34.7%). The most common place of smoking among the students is the place of their friend (Istraha) by 18 % , followed by smoking in public places (16.8%) , then inside the home by (16.1%). The lowest percentage for the places of the smoking is inside the school by ( 3% ).