Risk perception and disease knowledge in attendees of a community-based lung cancer screening programme
Name:
35430354.pdf
Size:
2.185Mb
Format:
PDF
Description:
Identified with Open Access button
Authors
Lebrett, M. B.Crosbie, E. J.
Yorke, Janelle
Hewitt, K.
Rowlands, A.
Badrick, Ellena
Gareth Evans, D.
Balata, H.
Booton, R.
Crosbie, P. A. J.
Affiliation
Division of Infection, Immunity and Respiratory Medicine, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK; Prevention and Early Detection Theme, NIHR Manchester Biomedical Research Centre, Manchester, UK.Issue Date
2022
Metadata
Show full item recordAbstract
Objectives: In England, a risk-based approach is used to determine eligibility for lung cancer screening. Ensuring effective communication and counselling of risk is therefore increasingly important. In this study, we explore the perception of lung cancer risk in attendees of a community-based screening service, located in socio-economically deprived areas of Manchester. We analyse responses based on demographic variables, calculated risk score and screening eligibility. Materials and methods: The Manchester Lung Health Check (LHC) programme invited ever smokers, age 55-80, to a lung cancer risk assessment in which their 6-year risk was calculated (using the PLCOM2012 model). Those at high risk (PLCOM2012 score ≥ 1.51%) were eligible for low dose CT (LDCT) screening. Prior to their assessment, attendees were invited to complete the study questionnaire, which assessed absolute and comparative risk perception, disease knowledge (incidence, survival, and risk factors), lung cancer specific worry, and mental health. Results: 371 participants completed the questionnaire; 66% (n = 243) had linked clinical data. Perceived absolute risk was markedly higher than calculated risk (median: 20% vs. 1%; p < 0.001) and higher in women than men (25% vs. 15%; p = 0.001). There was no correlation between perceived absolute and calculated risk. Overall, 30% classified themselves at higher, and 21% at lower, lung cancer risk compared to others their age. Median PLCOM2012 score increased with perceived comparative risk (p = 0.004). Those eligible for screening were more likely to: classify themselves at higher comparative risk (41% vs. 21%; p < 0.0001), report lung cancer-specific worry (27% vs. 10%; p = 0.001) and have indications of depression (20% vs. 10%; p = 0.05). Family history of lung cancer was significantly associated with higher comparative risk (adjOR 4.03, 95%CI 1.74-9.3; p = 0.001). Conclusion: Employing comparative rather than absolute risk may assist risk counselling. Further research is required to determine the optimal approach to risk communication in this setting.Citation
Lebrett MB, Crosbie EJ, Yorke J, Hewitt K, Rowlands A, Badrick E, et al. Risk perception and disease knowledge in attendees of a community-based lung cancer screening programme. Vol. 168, Lung Cancer. Elsevier BV; 2022. p. 1–9.Journal
Lung CancerDOI
10.1016/j.lungcan.2022.04.003PubMed ID
35430354Additional Links
https://dx.doi.org/10.1016/j.lungcan.2022.04.003Type
ArticleLanguage
enae974a485f413a2113503eed53cd6c53
10.1016/j.lungcan.2022.04.003
Scopus Count
Collections
Related articles
- Analysis of lung cancer risk model (PLCO(M2012) and LLP(v2)) performance in a community-based lung cancer screening programme.
- Authors: Lebrett MB, Balata H, Evison M, Colligan D, Duerden R, Elton P, Greaves M, Howells J, Irion K, Karunaratne D, Lyons J, Mellor S, Myerscough A, Newton T, Sharman A, Smith E, Taylor B, Taylor S, Walsham A, Whittaker J, Barber PV, Tonge J, Robbins HA, Booton R, Crosbie PAJ
- Issue date: 2020 Aug
- Attending community-based lung cancer screening influences smoking behaviour in deprived populations.
- 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 J, Evison M, Booton R, Crosbie PAJ
- Issue date: 2020 Jan
- Spirometry performed as part of the Manchester community-based lung cancer screening programme detects a high prevalence of airflow obstruction in individuals without a prior diagnosis of COPD.
- Authors: Balata H, Harvey J, Barber PV, Colligan D, Duerden R, Elton P, Evison M, Greaves M, Howells J, Irion K, Karunaratne D, Mellor S, Newton T, Sawyer R, Sharman A, Smith E, Taylor B, Taylor S, Tonge J, Walsham A, Whittaker J, Vestbo J, Booton R, Crosbie PA
- Issue date: 2020 Aug
- Implementing lung cancer screening: baseline results from a community-based 'Lung Health Check' pilot in deprived areas of Manchester.
- Authors: Crosbie PA, Balata H, Evison M, Atack M, Bayliss-Brideaux V, Colligan D, Duerden R, Eaglesfield J, Edwards T, Elton P, Foster J, Greaves M, Hayler G, Higgins C, Howells J, Irion K, Karunaratne D, Kelly J, King Z, Manson S, Mellor S, Miller D, Myerscough A, Newton T, O'Leary M, Pearson R, Pickford J, Sawyer R, Screaton NJ, Sharman A, Simmons M, Smith E, Taylor B, Taylor S, Walsham A, Watts A, Whittaker J, Yarnell L, Threlfall A, Barber PV, Tonge J, Booton R
- Issue date: 2019 Apr
- Targeted lung cancer screening selects individuals at high risk of cardiovascular disease.
- Authors: Balata H, Blandin Knight S, Barber P, Colligan D, Crosbie EJ, Duerden R, Elton P, Evison M, Greaves M, Howells J, Irion K, Karunaratne D, Kirwan M, Macnab A, Mellor S, Miller C, Newton T, Novasio J, Sawyer R, Sharman A, Slevin K, Smith E, Taylor B, Taylor S, Tonge J, Walsham A, Waplington S, Whittaker J, Booton R, Crosbie PAJ
- Issue date: 2018 Oct