The impact of community-based lung cancer screening on smoking behaviour in a deprived population
Knight, S. B.
Armitage, C. J.
Barber, P. V.
Crosbie, P. A. J.
AffiliationMedical School, University of Manchester, Manchester,
MetadataShow full item record
AbstractIntroduction: 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.
CitationTraverse-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.
TypeMeetings and Proceedings