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dc.contributor.authorClark, Marcia E.
dc.contributor.authorYoung, Ben
dc.contributor.authorBedford, Laura E.
dc.contributor.authordas Nair, Roshan
dc.contributor.authorRobertson, John F. R.
dc.contributor.authorVedhara, Kavita
dc.contributor.authorSullivan, Francis
dc.contributor.authorMair, Frances S.
dc.contributor.authorSchembri, Stuart
dc.contributor.authorLittleford, Roberta C.
dc.contributor.authorKendrick, Denise
dc.date.accessioned2019-09-28T23:37:33Z
dc.date.available2019-09-28T23:37:33Z
dc.date.issued2019-09
dc.identifier256072133
dc.identifiera9056b41-4dfe-43e3-a0a9-984722b568cf
dc.identifier30272192
dc.identifier000493564400031
dc.identifier85073058459
dc.identifier.citationClark , M E , Young , B , Bedford , L E , das Nair , R , Robertson , J F R , Vedhara , K , Sullivan , F , Mair , F S , Schembri , S , Littleford , R C & Kendrick , D 2019 , ' Lung cancer screening : does pulmonary nodule detection affect a range of smoking behaviours? ' , Journal of Public Health , vol. 41 , no. 3 , pp. 600–608 . https://doi.org/10.1093/pubmed/fdy158en
dc.identifier.issn0943-1853
dc.identifier.otherORCID: /0000-0002-6623-4964/work/49052234
dc.identifier.urihttps://hdl.handle.net/10023/18577
dc.descriptionThis work was supported by a National Institute for Health Research School for Primary Care Research funded academic clinical fellowship.en
dc.description.abstractBackground: 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.
dc.format.extent9
dc.format.extent873365
dc.language.isoeng
dc.relation.ispartofJournal of Public Healthen
dc.subjectLung cancer screeningen
dc.subjectPulmonary nodulesen
dc.subjectSmoking behaviouren
dc.subjectRC0254 Neoplasms. Tumors. Oncology (including Cancer)en
dc.subjectNDASen
dc.subjectSDG 3 - Good Health and Well-beingen
dc.subject.lccRC0254en
dc.titleLung cancer screening : does pulmonary nodule detection affect a range of smoking behaviours?en
dc.typeJournal articleen
dc.contributor.institutionUniversity of St Andrews. Population and Behavioural Science Divisionen
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.identifier.doi10.1093/pubmed/fdy158
dc.description.statusPeer revieweden
dc.date.embargoedUntil2019-09-29


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