ArticleAnnals of epidemiology2025
Cigarette smoking in relation to survival in Black women with ovarian cancer: Evidence from the African American Cancer Epidemiology Study (AACES).
Article in Annals of epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Differences in overall survival for invasive epithelial ovarian cancer by race and ethnicity: results from the Ovarian Cancer Association Consortium.British journal of cancer · 2026Article
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13 authors.
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Abstract
backgroundNumerous studies have documented the negative impact of cigarette smoking on ovarian cancer survival, but the participants in these prior studies were predominantly White women. In comparison, Black women experience significantly worse ovarian cancer survival, which may be due in part to dissimilar risk factor profiles or factors associated with survival. We therefore examined the association between cigarette smoking and survival in a cohort of Black women with ovarian cancer.
methodsThis study included participants in the multi-site population-based African American Cancer Epidemiology Study (AACES), a prospective cohort study of 592 Black women with epithelial ovarian cancer followed up for an average of 5.5 years. Cox proportional hazards models were fit to estimate the association between cigarette smoking status (current and former smoking vs. never smoking) and all-cause mortality adjusting for sociodemographic, lifestyle, and clinical factors.
resultsCompared with women who never smoked cigarettes, women who currently smoked cigarettes experienced worse, but not statistically significant, survival (HR 1.41; 95 % CI 0.95- 2.10), whereas women who had quit smoking had comparable survival (HR 1.06; 95 %CI 0.82-1.35). Among former smokers, the association among those who quit smoking within the past five years was of similar magnitude as for current smoking (HR 1.37; 95 % CI 0.97-1.94) but no risk was observed among those who quit for > 5 years.
conclusionBlack women with epithelial ovarian cancer who were current smokers experienced worse survival than those who never smoked cigarettes. Even though this association was not statistically significant, the magnitude of the association is similar to prior studies comprised predominantly of White women. Ensuring access to evidence-based smoking cessation strategies represents a potential avenue for reducing mortality in Black women with ovarian cancer.
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