Screening Mammography Visits as Opportunities to Engage Smokers With Tobacco Cessation Services and Lung Cancer Screening |
| |
| Institution: | 1. Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts;2. Department of Psychiatry, Mongan Institute Health Policy Research Center, and Tobacco Research and Treatment Center, Massachusetts General Hospital, Boston, Massachusetts;3. Center for Community Health Improvement, Massachusetts General Hospital, Boston, Massachusetts;1. Department of Radiology and Imaging Sciences University of Utah, Salt Lake City, Utah;2. Department of Radiology and Radiological Sciences, Medical University of South Carolina, Charleston, South Carolina;1. Department of Musculoskeletal Radiology, The University of Texas, MD Anderson Cancer, Houston, Texas;2. Department of Biostatistics, The University of Texas, MD Anderson Cancer, Houston, Texas;3. Department of Radiology, University of Washington, Seattle, Washington;1. Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia;2. Emory University School of Medicine, Atlanta, Georgia;3. The Children’s Care Network, Children’s Healthcare of Atlanta, Atlanta, Georgia;4. Department of Radiology, Children’s Healthcare of Atlanta- Egleston Campus, Atlanta, Georgia;1. Department of Radiology, University of Cincinnati, Cincinnati, Ohio;2. GE Healthcare, Waukesha, Wisconsin;3. College of Design, Architecture, Art, and Planning (DAAP), University of Cincinnati, Cincinnati, Ohio;1. The Russell H. Morgan Department of Radiology and Radiologic Science, Johns Hopkins University School of Medicine, Baltimore, Maryland |
| |
| Abstract: | ObjectiveTobacco 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.MethodsIn 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.ResultsOf 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.ConclusionOne 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. |
| |
| Keywords: | Lung cancer screening population health screening mammography tobacco cessation |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
