Tobacco Related Habits among First Degree Relatives of Patients Undergoing Surgery for Advanced Head and Neck Malignancies in India

This prospective study records the tobacco related habits among the relatives of patients with advanced headand neck cancers who underwent both surgery and chemotherapy as part of their treatment from September2009 to March 2010. A total of 200 relatives were interviewed (148 males and 52 females). 198 (99%) wereaware of the fact that tobacco use can lead to cancer and 168 (84%) had any one of the habits. Smoking alonewas reported in 36 (18%) individuals, pan chewing alone in 66 (33%) and multiple habits in 64 (32%). Alcoholand tobacco chewing alone was reported in one case each. There were change in habits following diagnosis ofhead and neck cancers among the relatives, 33 (16.5%) stopped their habits and smoking was reduced by 25%in 72 (36%)and by 50% in 63 (31.2%) individuals. However, 135 continued the habit even after the diagnosisof cancer in their relatives. Of note, 15 out of the 33 who quit the habit did it because of health advice given tothem during the hospital visit.