Understanding the Associations between Smoking-Related Risk Perception, Interest in Quitting Smoking, and Interest in Lung Cancer Screening among Homeless Adult Smokers.
Understanding the Associations between Smoking-Related Risk Perception, Interest in Quitting Smoking, and Interest in Lung Cancer Screening among Homeless Adult Smokers.
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DOI：
10.3390/ijerph17238817
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发表时间：
2020-11-27
影响因子：
--
通讯作者：
Reitzel LR
中科院分区：
文献类型：
--
作者：
Agrawal P;Taing M;Chen TA;Reuven SM;Businelle MS;Kendzor DE;Bernicker EH;Reitzel LR
无家可归的人吸烟率很高，患肺癌的发病率不成比例，但不太可能进行筛查以提高早期发现。了解这一弱势群体对肺癌筛查（LCS）的兴趣可能有助于深入了解预防和治疗工作，并降低其吸烟相关的发病率和死亡率。本研究旨在了解无家可归的成年人对戒烟的风险认知和兴趣与LCS兴趣之间的关系。参与者包括来自德克萨斯州达拉斯无家可归者收容所的CO验证的当前吸烟者的便利样本（N = 310; 72.6%男性，法师= 43 + 11.7）。参与者自我报告风险感知，戒烟兴趣和LCS兴趣。平均风险感知为6.7 ± 3.2（范围0-10），74.8%（n = 232）同意或非常同意对LCS感兴趣，65.8%（n = 204）对戒烟感兴趣。对戒烟的兴趣越大，但风险感知越大，与对LCS的兴趣越大相关（校正OR：1.968，（95% CI：1.213，3.191），p = 0.006）。风险认知和戒烟的兴趣与LCS的兴趣没有相互作用。结果表明，有兴趣戒烟的无家可归的吸烟者可能会接受LCS：一种诊断工具，可以在早期阶段和转移之前发现癌症。然而，在目前的样本中，很少有符合LCS的基础上，目前的指导方针;结果有影响的长期吸烟者经历无家可归的改变筛选的做法。
Individuals experiencing homelessness smoke cigarettes at high rates, suffer a disproportionate incidence of lung cancer, but are unlikely to be screened to enhance early detection. Understanding correlates of lung cancer screening (LCS) interest within this vulnerable group may lend insight into prevention and treatment efforts and reduce their smoking-related morbidity and mortality. This study sought to understand how risk perception and interest in quitting smoking relate to LCS interest among homeless adults. Participants comprised a convenience sample of CO-verified current smokers (N = 310; 72.6% men, Mage = 43 + 11.7) from a homeless shelter in Dallas, TX. Participants self-reported risk perception, interest in quitting smoking, and interest in LCS. The average risk perception was 6.7 + 3.2 (range 0–10), 74.8% (n = 232) agreed or strongly agreed with interest in LCS, and 65.8% (n = 204) were interested in quitting smoking. Greater interest in quitting smoking, but not greater risk perception, was associated with greater interest in LCS (adjusted OR: 1.968, (95% CI: 1.213, 3.191), p = 0.006). Risk perception and interest in quitting smoking did not interact in their association with interest in LCS. Results suggest that homeless smokers with an interest in quitting may be receptive to LCS: a diagnostic tool by which cancers can be caught at earlier stages and prior to metastasis. However, few in the current sample would be eligible for LCS based on current guidelines; results have implications for altered screening practices among chronic smokers experiencing homelessness.
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DOI：
10.1016/j.jtcvs.2012.05.060
发表时间：
2012-07-01
影响因子：
6
作者：
Jaklitsch, Michael T.;Jacobson, Francine L.;Sugarbaker, David J.
通讯作者：
Sugarbaker, David J.
影响因子：
3.1
作者：
Kendzor, Dada E.;Allicock, Marlyn;Frank, Summer G.
通讯作者：
Frank, Summer G.
影响因子：
4.5
作者：
Febbo, Jennifer;Little, Brent;Flores, Efren J.
通讯作者：
Flores, Efren J.
DOI：
10.1177/1740774511423947
发表时间：
2011-12
期刊：
Clinical trials (London, England)
影响因子：
--
作者：
Goldade K;Whembolua GL;Thomas J;Eischen S;Guo H;Connett J;Des Jarlais D;Resnicow K;Gelberg L;Owen G;Grant J;Ahluwalia JS;Okuyemi KS
通讯作者：
Okuyemi KS
影响因子：
4.4
作者：
Businelle, Michael S.;Poonawalla, Insiya B.;Reitzel, Lorraine R.
通讯作者：
Reitzel, Lorraine R.