Department of Epidemiology and Public Health, University of Miami, Miami, FL 33136, USA.
Cancer Epidemiol. 2010 Oct;34(5):611-7. doi: 10.1016/j.canep.2010.06.017. Epub 2010 Jul 23.
We explored whether smoking is associated with cancer screening behaviors.
We used data from the 2007 Florida Behavioral Risk Factor Surveillance System and the Florida Tobacco Callback Survey to examine screening behaviors related to four cancer types (breast, cervical, prostate, and colorectal). Using multiple logistic regression analyses, we examined the association between smoking status and health screening behaviors.
For 10 of the 11 cancer screening variables, being a current smoker was significantly associated with being less likely to ever have been screened and also less likely to be compliant with screening guidelines. For breast and cervical cancer, level of nicotine dependence was also significantly related to compliance with screening recommendations; women with higher levels of dependence were less likely to be compliant.
Our results support the notion that individuals' actions related to their health are consistent across different types of behaviors. We found that smokers were less likely to engage in cancer screening behaviors. In addition, among smokers, individuals with greater nicotine dependence had lower compliance with some screening tests. Physicians should ensure that their patients who smoke are receiving appropriate and adequate screening for cancer.
我们探讨了吸烟是否与癌症筛查行为有关。
我们使用了 2007 年佛罗里达州行为风险因素监测系统和佛罗里达州烟草回拨调查的数据，以检查与四种癌症类型（乳腺癌、宫颈癌、前列腺癌和结直肠癌）相关的筛查行为。我们使用多项逻辑回归分析，检验了吸烟状况与健康筛查行为之间的关联。
在 11 个癌症筛查变量中的 10 个中，当前吸烟者进行筛查的可能性显著降低，并且更不可能符合筛查指南。对于乳腺癌和宫颈癌，尼古丁依赖程度也与符合筛查建议显著相关；依赖性较高的女性不太可能符合要求。
我们的研究结果支持这样一种观点，即个体与健康相关的行为在不同类型的行为中是一致的。我们发现吸烟者不太可能进行癌症筛查行为。此外，在吸烟者中，尼古丁依赖性较高的个体对某些筛查测试的依从性较低。医生应该确保他们的吸烟患者接受适当和充分的癌症筛查。
