Bernstein Michael H, Baird Grayson L, Oueidat Karim, Agarwal Saurabh, Atalay Alexander, Healey Shannon, Healey Terrance T
Department of Diagnostic Imaging, The Warren Alpert Medical School of Brown University, Providence, RI, United States.
Department of Behavioral and Social Sciences, School of Public Health, Center for Alcohol and Addiction Studies, Brown University, Providence, RI, United States.
Front Med (Lausanne). 2022 May 11;9:816694. doi: 10.3389/fmed.2022.816694. eCollection 2022.
Lung cancer screening for current or former heavy smokers is now recommended among all asymptomatic adults 50-80 years old with a 20 pack-year history of smoking. However, little is known about the smoking-related attitudes of this population.
An assessment was conducted among 1,472 current smokers who presented for an annual lung cancer screen at one of 12 diagnostic imaging sites in Rhode Island between April 2019 and May 2020. Patients were asked about their use of smoking products, interest in quitting, and smoking-related attitudes.
Patients smoked a median of 16 cigarettes per day; 86.6% were daily cigarette smokers and 30.1% were daily cigar smokers. In total, 91.4% of patients were, to some degree, interested in quitting smoking and 71.4% were seriously thinking about quitting in the next 6 months or sooner. Patients planned on smoking less regardless of whether their lung screen was positive or negative for cancer, though they were more likely to plan on smoking less if negative (on 0-3 pt Likert scale: 0.31, 95% CI [0.27, 0.34] vs. 0.77, 95% CI [0.72, 0.81]). Confidence in quitting and belief in one's inherent ability to quit smoking varied substantially within the sample.
Nearly all current smokers receiving a lung cancer screen have some interest in smoking cessation. Due to the heterogeneity in some smoking-related attitudes, tailored interventions for this population should be tested.
目前建议对所有年龄在50至80岁、有20包年吸烟史的无症状成年人进行肺癌筛查，包括现吸烟者或既往重度吸烟者。然而，对于这一人群与吸烟相关的态度知之甚少。
2019年4月至2020年5月期间，在罗德岛州12个诊断成像点之一接受年度肺癌筛查的1472名现吸烟者中进行了一项评估。询问患者关于吸烟产品的使用情况、戒烟意愿以及与吸烟相关的态度。
患者每天吸烟的中位数为16支；86.6%为每日吸烟者，30.1%为每日吸雪茄者。总体而言，91.4%的患者在某种程度上有戒烟意愿，71.4%的患者认真考虑在未来6个月内或更早戒烟。无论肺癌筛查结果是阳性还是阴性，患者都计划减少吸烟量，不过如果筛查结果为阴性，他们更有可能计划减少吸烟量（在0至3分的李克特量表上：0.31，95%置信区间[0.27, 0.34] 对比0.77，95%置信区间[0.72, 0.81]）。样本中，对戒烟的信心以及对自身戒烟内在能力的信念差异很大。
几乎所有接受肺癌筛查的现吸烟者都有一定的戒烟意愿。由于在一些与吸烟相关的态度上存在异质性，应该对这一人群进行针对性干预测试。
