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Smokers’ interest in a lung cancer screening programme: a national survey in England
BACKGROUND: Following the recommendation of lung cancer screening in the US, screening committees in several European countries are reviewing the evidence for implementing national programmes. However, inadequate participation from high-risk groups poses a potential barrier to its effectiveness. The...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5930691/ https://www.ncbi.nlm.nih.gov/pubmed/29716550 http://dx.doi.org/10.1186/s12885-018-4430-6 |
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author | Quaife, Samantha L. Vrinten, Charlotte Ruparel, Mamta Janes, Samuel M. Beeken, Rebecca J. Waller, Jo McEwen, Andy |
author_facet | Quaife, Samantha L. Vrinten, Charlotte Ruparel, Mamta Janes, Samuel M. Beeken, Rebecca J. Waller, Jo McEwen, Andy |
author_sort | Quaife, Samantha L. |
collection | PubMed |
description | BACKGROUND: Following the recommendation of lung cancer screening in the US, screening committees in several European countries are reviewing the evidence for implementing national programmes. However, inadequate participation from high-risk groups poses a potential barrier to its effectiveness. The present study examined interest in a national lung cancer screening programme and modifiable attitudinal factors that may affect participation by smokers. METHODS: A population-based survey of English adults (n = 1464; aged 50–70 years) investigated screening intentions in different invitation scenarios, beliefs about lung cancer, early detection and treatment, worry about lung cancer risk, and stigma. Data on smoking status and perceived chances of quitting were also collected, but eligibility for lung screening in the event of a national programme was unknown. RESULTS: Intentions to be screened were high in all three invitation scenarios for both current (≥ 89%) and former (≥ 94%) smokers. However, smokers were less likely to agree that early-stage survival is good (43% vs. 53%; OR: 0.64, 0.46–0.88) or be willing to have surgery for an early stage, screen-detected cancer (84% vs. 94%; OR: 0.38, 0.21–0.68), compared with former smokers. Willingness to have surgery was positively associated with screening intentions; with absolute differences of 25% and 29%. Worry about lung cancer risk was also most common among smokers (48%), and one fifth of respondents thought screening smokers was a waste of NHS money. CONCLUSIONS: A national lung cancer screening programme would be well-received in principle. To improve smokers’ participation, care should be taken to communicate the survival benefits of early-stage diagnosis, address concerns about surgery, and minimise anxiety and stigma related to lung cancer risk. |
format | Online Article Text |
id | pubmed-5930691 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-59306912018-05-09 Smokers’ interest in a lung cancer screening programme: a national survey in England Quaife, Samantha L. Vrinten, Charlotte Ruparel, Mamta Janes, Samuel M. Beeken, Rebecca J. Waller, Jo McEwen, Andy BMC Cancer Research Article BACKGROUND: Following the recommendation of lung cancer screening in the US, screening committees in several European countries are reviewing the evidence for implementing national programmes. However, inadequate participation from high-risk groups poses a potential barrier to its effectiveness. The present study examined interest in a national lung cancer screening programme and modifiable attitudinal factors that may affect participation by smokers. METHODS: A population-based survey of English adults (n = 1464; aged 50–70 years) investigated screening intentions in different invitation scenarios, beliefs about lung cancer, early detection and treatment, worry about lung cancer risk, and stigma. Data on smoking status and perceived chances of quitting were also collected, but eligibility for lung screening in the event of a national programme was unknown. RESULTS: Intentions to be screened were high in all three invitation scenarios for both current (≥ 89%) and former (≥ 94%) smokers. However, smokers were less likely to agree that early-stage survival is good (43% vs. 53%; OR: 0.64, 0.46–0.88) or be willing to have surgery for an early stage, screen-detected cancer (84% vs. 94%; OR: 0.38, 0.21–0.68), compared with former smokers. Willingness to have surgery was positively associated with screening intentions; with absolute differences of 25% and 29%. Worry about lung cancer risk was also most common among smokers (48%), and one fifth of respondents thought screening smokers was a waste of NHS money. CONCLUSIONS: A national lung cancer screening programme would be well-received in principle. To improve smokers’ participation, care should be taken to communicate the survival benefits of early-stage diagnosis, address concerns about surgery, and minimise anxiety and stigma related to lung cancer risk. BioMed Central 2018-05-02 /pmc/articles/PMC5930691/ /pubmed/29716550 http://dx.doi.org/10.1186/s12885-018-4430-6 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Quaife, Samantha L. Vrinten, Charlotte Ruparel, Mamta Janes, Samuel M. Beeken, Rebecca J. Waller, Jo McEwen, Andy Smokers’ interest in a lung cancer screening programme: a national survey in England |
title | Smokers’ interest in a lung cancer screening programme: a national survey in England |
title_full | Smokers’ interest in a lung cancer screening programme: a national survey in England |
title_fullStr | Smokers’ interest in a lung cancer screening programme: a national survey in England |
title_full_unstemmed | Smokers’ interest in a lung cancer screening programme: a national survey in England |
title_short | Smokers’ interest in a lung cancer screening programme: a national survey in England |
title_sort | smokers’ interest in a lung cancer screening programme: a national survey in england |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5930691/ https://www.ncbi.nlm.nih.gov/pubmed/29716550 http://dx.doi.org/10.1186/s12885-018-4430-6 |
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