Screening Mammography Visits as Opportunities to Engage Smokers With Tobacco Cessation Services and Lung Cancer Screening
| Autor: | Jonina T. Gorenstein, Elyse R. Park, Anand K. Narayan, Efren J. Flores, Constance D. Lehman, Gary X. Wang |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Lung Neoplasms Tobacco use Referral Breast Neoplasms Population health Logistic regression 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Community health center Humans Medicine Radiology Nuclear Medicine and imaging Early Detection of Cancer Tobacco Use Cessation Smokers Screening mammography business.industry Former Smoker United States 030220 oncology & carcinogenesis Family medicine Female Smoking Cessation business Lung cancer screening Mammography |
| Zdroj: | Journal of the American College of Radiology. 17:606-612 |
| ISSN: | 1546-1440 |
| DOI: | 10.1016/j.jacr.2019.12.008 |
| Popis: | Objective Tobacco use is the leading cause of preventable mortality in the United States. Screening mammography (SM) visits present opportunities for radiology practices to reduce tobacco-related morbidity and mortality. Our study evaluates implementation of a program that provides tobacco cessation service referrals and screens for lung cancer screening (LCS) eligibility among smokers presenting for SM at a community health center. Methods In 2018, two sets of questions were added to our SM patient intake questionnaire to assess (1) smoking history and (2) interest in referral to the health center-based tobacco cessation program for mailed information, telephone-based consultation, and in-person counseling. Primary outcomes were proportion of current smokers who requested a referral and of all smokers who were LCS-eligible. Bivariate logistic regression analyses compared sociodemographic characteristics of smokers who requested versus declined a referral. Results Of the 89.3% (1,907 of 2,136) who responded, 10.5% (201 of 1,907) were current and 29.1% (555 of 1,907) were former smokers. Of current smokers, 26.4% (53 of 201) requested referrals: mailed information by 23.9% (48 of 201), in-person counseling by 9% (18 of 201), and telephone-based consultation by 7.5% (15 of 201). No sociodemographic predictors for referral requests were identified. Of all smokers, 9.3% (70 of 756) were eligible for LCS, of which 31.4% (22 of 70) were up to date. Conclusion One in ten women who underwent SM at our community health center were current smokers, of which one-quarter requested tobacco cessation referrals. Among LCS-eligible smokers, one-third were up to date. SM presents opportunities for radiology practices to advance population health goals such as tobacco cessation and LCS. |
| Databáze: | OpenAIRE |
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