Shin Da-Som, Noh Hye-Mi, Song Hong Ji, Park Kyung Hee, Seo Young-Gyun, Paek Yu-Jin
Department of Family Medicine, Hallym University Sacred Heart Hospital, College of Medicine, Hallym University, Anyang 14068, Korea.
Int J Environ Res Public Health. 2022 May 1;19(9):5510. doi: 10.3390/ijerph19095510.
The COVID-19 pandemic is a global health threat. Smoking and smoking-related lung diseases are risk factors for severe COVID-19 infection. This study investigated whether low-dose computed tomography (LDCT) scan results affected the success of 1-year smoking cessation. The Gyeonggi Southern Smoking Support Center performed the residential smoking cessation program from January to December 2018. During the program, LDCT was performed on 292 participants; 6 months later, follow-up via telephone or visit was conducted. Among the 179 participants who succeeded in smoking cessation for 6 months, telephone follow-up was conducted to determine whether there was a 12-month continuous smoking cessation. In order to evaluate the association between LDCT results and 12-month continuous abstinence rate (CAR), logistic regression was used to estimate the odds ratio (OR) and 95% confidence interval (CI). The CARs at 6 and 12 months were 61.3% and 31.5%, respectively. Indeterminate or suspicious malignant lung nodules were associated with a higher 12-month CAR (OR, 3.02; 95% CI, 1.15-7.98), whereas psychiatric history was associated with a lower 12-month CAR (OR, 0.06; 95% CI, 0.03-0.15). These results suggest that abnormal lung screening results may encourage smokers to quit smoking.
新冠疫情是一种全球健康威胁。吸烟及与吸烟相关的肺部疾病是严重新冠感染的风险因素。本研究调查了低剂量计算机断层扫描（LDCT）结果是否会影响一年戒烟的成功率。京畿道南部吸烟支持中心于2018年1月至12月开展了住院戒烟项目。在项目期间，对292名参与者进行了LDCT检查；6个月后，通过电话或上门进行随访。在179名成功戒烟6个月的参与者中，通过电话随访以确定是否有12个月的持续戒烟情况。为了评估LDCT结果与12个月持续戒烟率（CAR）之间的关联，采用逻辑回归来估计比值比（OR）和95%置信区间（CI）。6个月和12个月时的CAR分别为61.3%和31.5%。不确定或可疑的肺部恶性结节与较高的12个月CAR相关（OR，3.02；95%CI，1.15 - 7.98），而精神病史与较低的12个月CAR相关（OR，0.06；95%CI，0.03 - 0.15）。这些结果表明，肺部筛查结果异常可能会促使吸烟者戒烟。
