Service d'Oncologie Multidisciplinaire & Innovations Thérapeutiques, Assistance Publique - Hôpitaux de Marseille, Chemin des Bourrely, 13915, Marseille Cedex 20, France.
Pneumologie et Oncologie Thoracique, Hôpital Calmette, Bd du Professeur Jules Leclercq, 59000, Lille, France.
Curr Oncol Rep. 2018 Mar 5;20(Suppl 1):18. doi: 10.1007/s11912-017-0650-1.
The general population is nowadays well aware that tobacco smoking dramatically increases the risk of developing lung cancer. We hypothesized that a personal history of smoking and the level of nicotine dependence in current smokers may affect the perception of this risk among healthy individuals.
The fourth French nationwide observational survey, EDIFICE 4, was conducted by telephone among a representative sample of individuals (N = 1602) aged between 40 and 75 years. Interviewees were asked about their smoking habits, perception of the risk of lung cancer, and nicotine dependence (Fagerström test).
Regardless of their smoking status or level of nicotine dependence, the majority (96%) of our study population (N = 1463) acknowledged that tobacco smoking is a major risk factor for lung cancer. For 34% of all respondents, smoking ≤ 10 cigarettes per day does not carry any risk of lung cancer. Only half the current smokers considered themselves to be at higher risk of lung cancer than the average-risk population. The majority of current cigarette smokers with a nicotine dependence considered themselves to be at higher risk for lung cancer while only 37% of non-nicotine-dependent individuals had the same perception (P < 0.01). Current smokers were more likely to consider a screening examination than former smokers and never-smokers. However, the intention to undergo screening was not significantly affected by the level of nicotine dependence.
Awareness campaigns may first have to overcome misconceptions about light smoking and, secondly, to target specific populations (heavy smokers, those with a long history, highly dependent smokers).
如今，普通大众都清楚地知道，吸烟会大大增加罹患肺癌的风险。我们假设，吸烟史和当前吸烟者的尼古丁依赖程度可能会影响健康个体对这种风险的认知。
通过电话对年龄在 40 至 75 岁之间的代表性个体（N=1602）进行了第四次法国全国性观察性调查 EDIFICE 4。受访者被问及吸烟习惯、对肺癌风险的认知以及尼古丁依赖程度（Fagerström 测试）。
无论他们的吸烟状况或尼古丁依赖程度如何，我们研究人群的大多数（96%，N=1463）都承认吸烟是肺癌的主要危险因素。对于所有受访者中的 34%，每天吸烟≤10 支不会带来任何肺癌风险。只有一半的当前吸烟者认为自己比一般风险人群更易患肺癌。大多数有尼古丁依赖的当前吸烟者认为自己患肺癌的风险更高，而只有 37%的非尼古丁依赖者有同样的看法（P<0.01）。当前吸烟者比前吸烟者和从不吸烟者更有可能考虑进行筛查检查。然而，接受筛查的意愿并不受尼古丁依赖程度的显著影响。
宣传活动可能首先需要克服对轻度吸烟的误解，其次是针对特定人群（重度吸烟者、有长期吸烟史、高度依赖吸烟者）。
