Author Affiliations: School of Nursing, Bouve College of Health Sciences (Dr Poghosyan), and Communication Studies (Dr Mello), Northeastern University, Boston, Massachusetts; School of Nursing, University of Maine, Orono (Dr Robinson); and Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, Massachusetts (Dr Tan).
Cancer Nurs. 2022;45(1):E146-E152. doi: 10.1097/NCC.0000000000000897.
Early diagnosis of lung cancer is key to improving the long-term prognosis for many individuals. Still, utilization rates of lung cancer screening (LCS) remain low.
To investigate the association between worry about future health issues of smoking and intention to undergo recommended LCS with low-dose computed tomography (LDCT) within the next 3 months.
A cross-sectional online survey was conducted using the Qualtrics Panel to recruit adult smokers between ages 54 and 75 years, with no history of lung cancer, and at least 30-pack-year smoking history (n = 152). The survey gathered demographic, socioeconomic, and psychographic information, including intention to screen for lung cancer with LDCT and worry about the future health issues of smoking. Data were analyzed using multivariable logistic regression.
Approximately 43.0% were White, 21.7% were Black, and 60.0% were female. Most (86.0%) reported intentions to undergo recommended LCS with LDCT in the next 3 months. More than one-third (32.0%) reported moderately/very worried about the future health issues of smoking. Smokers who were moderately/very worried had 20% (P = .022) higher odds of reporting an intention to undergo LCS with LDCT than those who were not at all or a little worried.
Most eligible adults reported intentions to undergo LCS with LDCT. Our study also highlights sex, racial, and socioeconomic differences in LCS behavior.
The study findings provide an opportunity for healthcare providers to have in-depth discussions about the benefits of LCS with those who express worry about future health issues of smoking.
早期诊断肺癌对于提高许多患者的长期预后至关重要。然而，肺癌筛查（LCS）的利用率仍然很低。
调查对吸烟未来健康问题的担忧与在未来 3 个月内接受推荐的低剂量计算机断层扫描（LDCT）肺癌筛查（LCS）的意愿之间的关系。
使用 Qualtrics 小组进行了一项横断面在线调查，以招募年龄在 54 至 75 岁之间、没有肺癌病史且吸烟至少 30 包年的成年吸烟者（n=152）。该调查收集了人口统计学、社会经济学和心理统计学信息，包括对使用 LDCT 筛查肺癌的意愿和对吸烟未来健康问题的担忧。使用多变量逻辑回归分析数据。
约 43.0%为白人，21.7%为黑人，60.0%为女性。大多数（86.0%）报告说他们打算在未来 3 个月内接受推荐的 LDCT 肺癌筛查。超过三分之一（32.0%）报告说对吸烟对未来健康的影响感到中度/非常担忧。对吸烟对未来健康影响感到中度/非常担忧的吸烟者，其接受 LDCT 肺癌筛查的意愿比那些一点也不担心或稍有担忧的吸烟者高 20%（P=0.022）。
大多数符合条件的成年人报告说打算接受 LDCT 肺癌筛查。我们的研究还强调了 LCS 行为在性别、种族和社会经济方面的差异。
研究结果为医疗保健提供者提供了一个机会，让他们与那些对吸烟对未来健康的影响表示担忧的人深入讨论 LCS 的益处。
