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Burden of male hardcore smokers and its characteristics among those eligible for lung cancer screening.

符合肺癌筛查条件的男性核心吸烟者的负担及其特征。

  • 影响因子:0
  • DOI:10.1186/s12889-020-8266-z
  • 作者列表:"Park DW","Jang JY","Park TS","Lee H","Moon JY","Kim SH","Kim TH","Yoon HJ","Kang DR","Sohn JW
  • 发表时间:2020-01-31
Abstract

BACKGROUND:There are few data available about hardcore smokers and their behavioral characteristics among the lung cancer screening (LCS) population. The study investigated the burden of hardcore smokers within the LCS population, and determine the characteristics of hardcore smokers using nationally representative data in South Korea. METHODS:We used data from 2007 to 2012 from the Korean National Health and Nutrition Examination Survey. This study enrolled current male smokers aged 55-74 years. Among them, subjects eligible for LCS were defined as these populations with smoking histories of at least 30 PY. Hardcore smoking was defined as smoking >15 cigarettes per day, with no plan to quit, and having made no attempt to quit. Multivariate logistic regression analyses were used to estimate associations between hardcore smokers and various sociodemographic and other variables. RESULTS:The proportion of hardcore smokers among those who met LCS eligibility criteria decreased from 2007 to 2012 (from 39.07 to 29.47% of the population) but did not change significantly thereafter (P = 0.2770), and that proportion was consistently 10-15% higher than that of hardcore smokers among all male current smokers. The proportion without any plan to quit smoking decreased significantly from 54.35% in 2007 to 38.31% in 2012. However, the smokers who had made no intentional quit attempt in the prior year accounted for more than half of those eligible for LCS, and the proportion of such smokers did not change significantly during the study period (50.83% in 2007 and 51.03% in 2012). Multivariate logistic regression analyses showed that hardcore smokers were older (OR = 1.05, 95% confidence interval [CI] 1.01-1.09) than non-hardcore smokers. Hardcore smokers exhibited higher proportion of depression (OR = 6.55, 95% CI 1.75-24.61) and experienced extreme stress more frequently (OR = 1.93, 95% CI 1.13-3.29). Smokers who did not receive smoking cessation education within the past year were significantly more likely to be hardcore smokers (OR = 4.15, 95% CI 1.30-13.22). CONCLUSIONS:It is important to identify a subset of smokers unwilling or minimally motivated to quit within the context of lung cancer screening. Anti-smoking education should be enhanced to influence hardcore smokers' behavior.

摘要

背景: 在肺癌筛查 (LCS) 人群中,关于核心吸烟者及其行为特征的数据很少。该研究调查了LCS人群中铁杆吸烟者的负担,并使用韩国全国代表性数据确定了铁杆吸烟者的特征。 方法: 我们使用了 2007 年至 2012 年韩国国家健康和营养调查的数据。这项研究纳入了 55-74 岁的男性吸烟者。其中,符合LCS条件的受试者被定义为具有至少 30 py的吸烟史的这些人群。核心吸烟被定义为每天吸烟> 15 支,没有戒烟计划,也没有尝试戒烟。使用多变量逻辑回归分析来估计核心吸烟者与各种社会人口统计学和其他变量之间的关联。 结果: 从 2007 年到 2012 年,符合LCS资格标准的人群中,核心吸烟者的比例下降了 (从人口的 39.07 下降到 29.47%) 但此后无明显变化 (p = 0.2770),在所有男性当前吸烟者中,这一比例始终高于核心吸烟者的 10-15%。没有任何戒烟计划的比例从 2007 年的 54.35% 显著下降到 2012 年的 38.31%。然而,前一年没有有意戒烟的吸烟者占符合LCS条件的一半以上,在研究期间,这种吸烟者的比例没有显著变化 (2007 年为 50.83%,2012 年为 51.03%)。多因素logistic回归分析显示,核心吸烟者比非核心吸烟者年龄大 (or = 1.05,95% 可信区间 [CI] 1.01-1.09)。核心吸烟者表现出较高的抑郁比例 (or   =   6.55,95% CI 1.75-24.61),并且经历极端压力的频率更高 (or   =   1.93,95% CI 1.13-3.29)。过去一年内未接受戒烟教育的吸烟者更可能成为核心吸烟者 (or = 4.15,95% CI 1.30-13.22)。 结论: 在肺癌筛查的背景下,确定不愿意或最小动机戒烟的吸烟者子集是很重要的。应加强反吸烟教育,以影响核心吸烟者的行为。

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肺肿瘤,又叫支气管肺癌,是常见的恶性肿瘤之一。肺肿瘤的治疗为包括手术、中药、放疗、化疗及免疫等多学科的综合治疗。

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