Diet Habits, Smoking, and Alcohol Consumption Among Chinese Patients with Cancer

Background: Cancer remains a significant public health problem in China, with new cases and cancer-related deaths increasing in recent years. This study examines the dietary habits, smoking, and alcohol consumption patterns among Chinese patients with cancer, and explores factors influencing these l...

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Main Authors: Shan Liu PhD NP-C RN, Jia Liu PhD RN, Jun He MSN RN
Format: Article
Language:English
Published: SAGE Publishing 2025-06-01
Series:Integrative Cancer Therapies
Online Access:https://doi.org/10.1177/15347354251343004
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author Shan Liu PhD NP-C RN
Jia Liu PhD RN
Jun He MSN RN
author_facet Shan Liu PhD NP-C RN
Jia Liu PhD RN
Jun He MSN RN
author_sort Shan Liu PhD NP-C RN
collection DOAJ
description Background: Cancer remains a significant public health problem in China, with new cases and cancer-related deaths increasing in recent years. This study examines the dietary habits, smoking, and alcohol consumption patterns among Chinese patients with cancer, and explores factors influencing these lifestyle behaviors. Methods: Secondary data analysis was conducted on a cross-sectional survey of 287 cancer patients from an oncology outpatient clinic in central China. Patients self-reported their current dietary habits, smoking, and alcohol use and recalled their habits prior to their cancer diagnosis. Responses were assessed using a Likert scale ranging from “never = 0” to “often = 3.” The survey specifically measured the frequency of consuming red meat, seafood, milk, tofu, spicy foods, and “balanced yin-yang foods,” as well as alcohol consumption and smoking. Data were analyzed using descriptive statistics, Wilcoxon signed rank tests, and logistic regression. Results: Patients reported significant reductions in smoking and alcohol consumption post-diagnosis, with a 60% decrease compared to pre-diagnosis levels. Dietary changes included reduced intake of red meat, seafood, tofu, spicy foods, and milk, alongside increased adherence to a balanced yin-yang diet. Both Cultural/TCM beliefs and symptom-related factors significantly shape those lifestyle behaviors. The influence of TCM was particularly notable. Patients with strong TCM beliefs were associated with reduced alcohol consumption and decreased intake of seafood, tofu, and milk. Conclusions: Following a cancer diagnosis, Chinese patients made significantnotable changes to their smoking, alcohol consumption, and dietary habits; adopting healthier lifestyle behaviors. Oncology physicians and nurses should adhere to updated clinical guidelines on nutrition in cancer survivorship and integrate TCM principles to provide tailored lifestyle education and support.
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spelling doaj-art-b77458a358e84fa3926113c570f33a3a2025-08-20T03:19:27ZengSAGE PublishingIntegrative Cancer Therapies1552-695X2025-06-012410.1177/15347354251343004Diet Habits, Smoking, and Alcohol Consumption Among Chinese Patients with CancerShan Liu PhD NP-C RN0Jia Liu PhD RN1Jun He MSN RN2Adelphi University, Garden City, NY, USAThe Third Xiang-Ya Hospital of Central South University, Changsha, Hunan, P R ChinaThe Third Xiang-Ya Hospital of Central South University, Changsha, Hunan, P R ChinaBackground: Cancer remains a significant public health problem in China, with new cases and cancer-related deaths increasing in recent years. This study examines the dietary habits, smoking, and alcohol consumption patterns among Chinese patients with cancer, and explores factors influencing these lifestyle behaviors. Methods: Secondary data analysis was conducted on a cross-sectional survey of 287 cancer patients from an oncology outpatient clinic in central China. Patients self-reported their current dietary habits, smoking, and alcohol use and recalled their habits prior to their cancer diagnosis. Responses were assessed using a Likert scale ranging from “never = 0” to “often = 3.” The survey specifically measured the frequency of consuming red meat, seafood, milk, tofu, spicy foods, and “balanced yin-yang foods,” as well as alcohol consumption and smoking. Data were analyzed using descriptive statistics, Wilcoxon signed rank tests, and logistic regression. Results: Patients reported significant reductions in smoking and alcohol consumption post-diagnosis, with a 60% decrease compared to pre-diagnosis levels. Dietary changes included reduced intake of red meat, seafood, tofu, spicy foods, and milk, alongside increased adherence to a balanced yin-yang diet. Both Cultural/TCM beliefs and symptom-related factors significantly shape those lifestyle behaviors. The influence of TCM was particularly notable. Patients with strong TCM beliefs were associated with reduced alcohol consumption and decreased intake of seafood, tofu, and milk. Conclusions: Following a cancer diagnosis, Chinese patients made significantnotable changes to their smoking, alcohol consumption, and dietary habits; adopting healthier lifestyle behaviors. Oncology physicians and nurses should adhere to updated clinical guidelines on nutrition in cancer survivorship and integrate TCM principles to provide tailored lifestyle education and support.https://doi.org/10.1177/15347354251343004
spellingShingle Shan Liu PhD NP-C RN
Jia Liu PhD RN
Jun He MSN RN
Diet Habits, Smoking, and Alcohol Consumption Among Chinese Patients with Cancer
Integrative Cancer Therapies
title Diet Habits, Smoking, and Alcohol Consumption Among Chinese Patients with Cancer
title_full Diet Habits, Smoking, and Alcohol Consumption Among Chinese Patients with Cancer
title_fullStr Diet Habits, Smoking, and Alcohol Consumption Among Chinese Patients with Cancer
title_full_unstemmed Diet Habits, Smoking, and Alcohol Consumption Among Chinese Patients with Cancer
title_short Diet Habits, Smoking, and Alcohol Consumption Among Chinese Patients with Cancer
title_sort diet habits smoking and alcohol consumption among chinese patients with cancer
url https://doi.org/10.1177/15347354251343004
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