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Lung cancer screening: does pulmonary nodule detection affect a range of smoking behaviours?

Research output: Contribution to journalArticle

DOI

Open Access Status

  • Embargoed (until 29/09/19)

Author(s)

Marcia E. Clark, Ben Young, Laura E. Bedford, Roshan das Nair, John F. R. Robertson, Kavita Vedhara, Francis Sullivan, Frances S. Mair, Stuart Schembri, Roberta C. Littleford, Denise Kendrick

School/Research organisations

Abstract

Background: Lung cancer screening can reduce lung cancer mortality by 20%. Screen-detected abnormalities may provide teachable moments for smoking cessation. This study assesses impact of pulmonary nodule detection on smoking behaviours within the first UK trial of a novel auto-antibody test, followed by chest x-ray and serial CT scanning for early detection of lung cancer (Early Cancer Detection Test–Lung Cancer Scotland Study).

Methods: Test-positive participants completed questionnaires on smoking behaviours at baseline, 1, 3 and 6 months. Logistic regression compared outcomes between nodule (n = 95) and normal CT groups (n = 174) at 3 and 6 months follow-up.

Results: No significant differences were found between the nodule and normal CT groups for any smoking behaviours and odds ratios comparing the nodule and normal CT groups did not vary significantly between 3 and 6 months. There was some evidence the nodule group were more likely to report significant others wanted them to stop smoking than the normal CT group (OR across 3- and 6-month time points: 3.04, 95% CI: 0.95, 9.73; P = 0.06).

Conclusion: Pulmonary nodule detection during lung cancer screening has little impact on smoking behaviours. Further work should explore whether lung cancer screening can impact on perceived social pressure and promote smoking cessation.
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Details

Original languageEnglish
Number of pages9
JournalJournal of Public Health
VolumeAdvance Articles
Early online date29 Sep 2018
DOIs
Publication statusE-pub ahead of print - 29 Sep 2018

    Research areas

  • Lung cancer screening, Pulmonary nodules, Smoking behaviour

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