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    Attending community-based lung cancer screening influences smoking behaviour in deprived populations

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    Authors
    Balata, H
    Traverse-Healy, L
    Blandin Knight, S
    Armitage, C
    Barber, P
    Colligan, D
    Elton, P
    Kirwan, M
    Lyons, J
    McWilliams, L
    Novasio, J
    Sharman, A
    Slevin, K
    Taylor, S
    Tonge, J
    Waplington, S
    Yorke, Janelle
    Evison, M
    Booton, R
    Crosbie, PAJ
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    Affiliation
    Manchester Thoracic Oncology Centre, North West Lung Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Southmoor Road, Wythenshawe, UK
    Issue Date
    2019
    
    Metadata
    Show full item record
    Abstract
    OBJECTIVES: The impact of lung cancer screening on smoking is unclear, especially in deprived populations who are underrepresented in screening trials. The aim of this observational cohort study was to investigate whether a community-based lung cancer screening programme influenced smoking behaviour and smoking attitude in socio-economically deprived populations. MATERIAL AND METHODS: Ever-smokers, age 55-74, registered at participating General Practices were invited to a community-based Lung Health Check (LHC). This included an assessment of respiratory symptoms, lung cancer risk (PLCOm2012), spirometry and signposting to stop smoking services. Those at high risk (PLCOM2012?1.51%) were offered annual low-dose CT screening over two rounds. Self-reported smoking status and behaviour were recorded at the LHC and again 12 months later, when attitudes to smoking were also assessed. RESULTS: 919 participants (51% women) were included in the analysis (77% of attendees); median deprivation rank in the lowest decile for England. At baseline 50.3% were current smokers. One-year quit rate was 10.2%, quitting was associated with increased baseline symptoms (adjOR 2.62, 95% CI 1.07-6.41; p?=?0.035) but not demographics or screening results. 55% attributed quitting to the LHC. In current smokers, 44% reported the LHC had made them consider stopping, 29% it made them try to stop and 25% made them smoke less whilst only 1.7% and 0.7% said it made them worry less about smoking or think it acceptable to smoke. CONCLUSIONS: Our data suggest a community-based lung cancer screening programme in deprived areas positively impacts smoking behaviour, with no evidence of a 'licence to smoke' in those screened.
    Citation
    Balata H, Traverse-Healy L, Blandin-Knight S, Armitage C, Barber P, Colligan D, et al. Attending community-based lung cancer screening influences smoking behaviour in deprived populations. Lung Cancer. 2019;139:41-6.
    Journal
    Lung Cancer
    URI
    http://hdl.handle.net/10541/622619
    DOI
    10.1016/j.lungcan.2019.10.025
    PubMed ID
    31726252
    Additional Links
    https://dx.doi.org/10.1016/j.lungcan.2019.10.025
    Type
    Article
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.lungcan.2019.10.025
    Scopus Count
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