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The impact of community-based lung cancer screening on smoking behaviour in a deprived population
Traverse-Healy, L. Balata, H. Knight, S. B. Armitage, C. J. Barber, P. V. Colligan, D. Elton, P. Kirwan, M. Lyons, J. McWilliams, Lorna
Traverse-Healy, L.
Balata, H.
Knight, S. B.
Armitage, C. J.
Barber, P. V.
Colligan, D.
Elton, P.
Kirwan, M.
Lyons, J.
McWilliams, Lorna
Citations
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Abstract
Introduction: Smoking is a leading cause of excess morbidity and
mortality. It is a key driver of healthcare inequality in deprived
communities. The benefits of lung cancer screening will be strongly
influenced by its impact on participant's smoking behaviour.
Screening may present a unique chance to engage participants with
smoking cessation interventions, or it may provide false reassurance
and a 'licence to smoke' to those with a negative result. This study
examines the effect of a community-based lung cancer screening
programme on smoking behaviour and motivation to quit in a
deprived UK population.
Methods: 919 ever-smokers (51% women) were asked about their
smoking before undergoing screening (T0) as part of the Manchester
'Lung Health Check' pilot and subsequently about their smoking
and the impact of screening on their attitudes towards smoking
when they attended the second screening round (T1) one year later.
Smokers at T0 were signposted to NHS stop smoking services.
Results: The one year quit rate was 10.2%. Likelihood of successful
quitting was associated with increased baseline symptom burden
(adjusted OR 2.62, 95% CI 1.07-6.41; p=0.035) but not participant
characteristics or baseline screening results. Younger age and
greater smoking duration were associated with smoking relapse
(5.3%). 40.3% of baseline smokers reported that the screening
process “made me consider stopping smoking” though only 9.3%
said “it made me look for help to stop smoking”. Only 1.7% and 0.7%
of participants said “it made me worry less about smoking” or “think
it is ok to smoke”.
Conclusion: Lung cancer screening does not provide a 'licence to
smoke' and may promote smoking cessation in deprived populations.
Signposting to smoking cessation services is not sufficient to take
advantage of this teachable moment for smoking behaviour change
and future screening services must be resourced to provide more
robust smoking cessation interventions to participants.
Description
Date
2019
Publisher
Collections
Keywords
Type
Meetings and Proceedings
Citation
Traverse-Healy L, Balata H, Blandin Knight S, Armitage CJ, Barber PV, Colligan D, et al. The impact of community-based lung cancer screening on smoking behaviour in a deprived population. Lung Cancer. 2019;127:S71-S.