Lin Wenxue, Alasqah Ibrahim, Alotaibi Saad A, Alqarawi Nada, Almutairi Sulaiman Sulmi, Saraiva Ariana, Raposo António
Department of Epidemiology and Biostatistics, College of Public Health, Temple University, Philadelphia, PA 19122, USA.
Department of Psychiatric and Mental Health, and Community Health, College of Nursing, Qassim University, Buraydah 51452, Saudi Arabia.
Healthcare (Basel). 2024 Sep 30;12(19):1952. doi: 10.3390/healthcare12191952.
Lung cancer screening guidelines prioritize individuals with a history of smoking due to their higher risk of the disease.
Our study examines the awareness and interest in low-dose computed tomography (LDCT) lung cancer screening among different smoking statuses using data from the National Cancer Institute's Health Information National Trends Survey (HINTS) 6 (2022). We analyzed data from HINTS 6, including 3915 participants on smoking status, LDCT screening, and telehealth use. Participants were categorized as current smokers, former smokers, and non-smokers.
Current smokers had the highest likelihood of being recommended for LDCT screening (OR: 7.1, aOR: 10.4) compared with non-smokers. Former smokers also had increased odds of screening recommendations (OR: 3.1, aOR: 3.4) than non-smokers. Despite higher screening recommendations, current smokers exhibited significantly lower interest in cancer screening (interest rating score: 2.1) compared with non-smokers (interest rating score: 2.4) and former smokers (interest rating score: 2.5). Current smokers rated their telehealth care experiences more positively in terms of care quality compared with non-smokers.
Our findings underscore a gap in cancer screening interest among current smokers despite their higher likelihood of being recommended for LDCT screening. The favorable perception of telehealth among current smokers provides an opportunity to enhance engagement and promote LDCT scan through telehealth care.
肺癌筛查指南将有吸烟史的个体列为优先对象，因为他们患该病的风险更高。
我们的研究利用美国国立癌症研究所健康信息全国趋势调查（HINTS）6（2022年）的数据，考察了不同吸烟状况人群对低剂量计算机断层扫描（LDCT）肺癌筛查的知晓度和兴趣。我们分析了HINTS 6的数据，包括3915名参与者的吸烟状况、LDCT筛查和远程医疗使用情况。参与者被分为当前吸烟者、既往吸烟者和非吸烟者。
与非吸烟者相比，当前吸烟者被推荐进行LDCT筛查的可能性最高（比值比：7.1，校正比值比：10.4）。既往吸烟者被推荐进行筛查的几率也高于非吸烟者（比值比：3.1，校正比值比：3.4）。尽管被推荐进行筛查的比例更高，但与非吸烟者（兴趣评分：2.4）和既往吸烟者（兴趣评分：2.5）相比，当前吸烟者对癌症筛查的兴趣明显较低（兴趣评分：2.1）。与非吸烟者相比，当前吸烟者对远程医疗护理体验的护理质量评价更高。
我们的研究结果凸显了当前吸烟者在癌症筛查兴趣方面的差距，尽管他们被推荐进行LDCT筛查的可能性更高。当前吸烟者对远程医疗的良好认知为通过远程医疗增强参与度和推广LDCT扫描提供了契机。
