Racial Differences in Tobacco Cessation and Treatment Usage After Lung Screening: An Examination of the National Lung Screening Trial
| العنوان: | Racial Differences in Tobacco Cessation and Treatment Usage After Lung Screening: An Examination of the National Lung Screening Trial |
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| المؤلفون: | Pallavi Kumar, Christopher S. Lathan, Ilana F. Gareen, Elyse R. Park, Giselle K. Perez, JoRean D. Sicks, Kelly A. Hyland |
| المصدر: | The Oncologist. 21:40-49 |
| بيانات النشر: | Oxford University Press (OUP), 2015. |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | Male, Cancer Research, medicine.medical_specialty, Lung Neoplasms, media_common.quotation_subject, medicine.medical_treatment, White People, 03 medical and health sciences, 0302 clinical medicine, Surveys and Questionnaires, Cancer screening, medicine, Humans, 030212 general & internal medicine, Lung cancer, Early Detection of Cancer, Disease burden, Aged, media_common, business.industry, Smoking, Community Outreach, Odds ratio, Middle Aged, Abstinence, medicine.disease, respiratory tract diseases, Black or African American, Oncology, 030220 oncology & carcinogenesis, Family medicine, behavior and behavior mechanisms, Smoking cessation, Female, Smoking Cessation, National Lung Screening Trial, business, Lung cancer screening, Demography |
| الوصف: | Background. Black smokers have demonstrated greater lung cancer disease burden and poorer smoking cessation outcomes compared with whites. Lung cancer screening represents a unique opportunity to promote cessation among smokers; however, little is known about the differential impact of screening on smoking behaviors among black and white smokers. Using data from the National Lung Screening Trial (NLST), we examined the racial differences in smoking behaviors after screening. Methods. We examined racial differences in smoking behavior and cessation activity among 6,316 white and 497 black (median age, 60 and 59 years, respectively) NLST participants who were current smokers at screening using a follow-up survey on 24-hour and 7-day quit attempts, 6-month continuous abstinence, and the use of smoking cessation programs and aids at 12 months after screening. Using multiple regression analyses, we examined the predictors of 24-hour and 7-day quit attempts and 6-month continuous abstinence. Results. At 12 months after screening, blacks were more likely to report a 24-hour (52.7% vs. 41.2%, p < .0001) or 7-day (33.6% vs. 27.2%, p = .002) quit attempt. However, no significant racial differences were found in 6-month continuous abstinence (5.6% blacks vs. 7.2% whites). In multiple regression, black race was predictive of a higher likelihood of a 24-hour (odds ratio [OR], 1.6, 95% confidence interval [CI], 1.2–2.0) and 7-day (OR, 1.5, 95% CI, 1.1–1.8) quit attempt; however, race was not associated with 6-month continuous abstinence. Only a positive screening result for lung cancer was significantly predictive of successful 6-month continuous abstinence (OR, 2.3, 95% CI, 1.8–2.9). Conclusion. Although blacks were more likely than whites to have 24-hour and 7-day quit attempts, the rates of 6-month continuous abstinence did not differ. Targeted interventions are needed at the time of lung cancer screening to promote abstinence among all smokers. |
| تدمد: | 1549-490X 1083-7159 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::712b135e4707b8c20c66cbd9757f24bf https://doi.org/10.1634/theoncologist.2015-0325 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....712b135e4707b8c20c66cbd9757f24bf |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1549490X 10837159 |
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