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Lung and Thoracic cancer
Strategies to Improve Smoking Cessation for Participants in Lung Cancer Screening Program: Analysis of Factors Associated with Smoking Cessation in Korean Lung Cancer Screening Project (K-LUCAS)
Yeol Kim, Jaeho Lee, Eunju Lee, Juntae Lim, Yonghyun Kim, Choon-Taek Lee, Seung Hun Jang, Yu-Jin Paek, Won-Chul Lee, Chan Wha Lee, Hyae Young Kim, Jin Mo Goo, Kui Son Choi, Boyoung Park, Duk Hyoung Lee, Hong Gwan Seo
Cancer Res Treat. 2024;56(1):92-103.   Published online August 7, 2023
DOI: https://doi.org/10.4143/crt.2022.1598
AbstractAbstract PDFPubReaderePub
Purpose
Smoking cessation intervention is one of the key components of successful lung cancer screening program. We investigated the effectiveness and related factors of smoking cessation services provided to the participants in a population-based lung cancer screening trial.
Materials and Methods
The Korean Lung Cancer Screening Project (K-LUCAS) is a nationwide, multi-center lung cancer screening trial that evaluates the feasibility of implementing population-based lung cancer screening. All 5,144 current smokers who participated in the K-LUCAS received a mandatory smoking cessation counseling. Changes in smoking status were followed up using a telephone survey in 6 months after lung cancer screening participation. The lung cancer screening’s impact on smoking cessation is analyzed by variations in the smoking cessation interventions provided in screening units.
Results
Among 4,136 survey responders, participant’s motivation to quit smoking increased by 9.4% on average after lung cancer screening. After 6 months from the initial screening, 24.3% of participants stopped smoking, and 10.6% of participants had not smoked continuously for at least 6 months after screening. Over 80% of quitters stated that participation in lung cancer screening motivated them to quit smoking. Low-cost public smoking cessation program combined with lung cancer screening increased the abstinence rates. The smokers were three times more likely to quit smoking when the smoking cessation counseling was provided simultaneously with low-dose computed tomography screening results than when provided separately.
Conclusion
A mandatory smoking cessation intervention integrated with screening result counselling by a physician after participation in lung cancer screening could be effective for increasing smoking cessation attempts.

Citations

Citations to this article as recorded by  
  • p53 Genetics and Biology in Lung Carcinomas: Insights, Implications and Clinical Applications
    Dixan A. Benitez, Guadalupe Cumplido-Laso, Marcos Olivera-Gómez, Nuria Del Valle-Del Pino, Alba Díaz-Pizarro, Sonia Mulero-Navarro, Angel Román-García, Jose Maria Carvajal-Gonzalez
    Biomedicines.2024; 12(7): 1453.     CrossRef
  • Problems and Alternatives for Korea National Lung Cancer Screening Program for Smoking Cessation: Analysis of a Survey Involving Experts
    Cheol Min Lee, Sil Vi Han Park, Jinri Kim, Bumjo Oh, Kiheon Lee, Yeol Kim, Yu-Jin Paek
    Journal of the Korean Society for Research on Nicotine and Tobacco.2024; 15(2): 49.     CrossRef
  • The pros and cons of lung cancer screening
    Roberta Eufrasia Ledda, Georg-Christian Funk, Nicola Sverzellati
    European Radiology.2024; 35(1): 267.     CrossRef
  • Effective Smoking Cessation Counseling for Participants in a Lung Cancer Screening
    Choon-Young Kim, Yeol Kim, Cheol Min Lee
    Journal of the Korean Society for Research on Nicotine and Tobacco.2024; 15(3): 88.     CrossRef
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Public Awareness of Gastric Cancer Risk Factors and Disease Screening in a High Risk Region: A Population-Based Study
Do-Youn Oh, Kui Son Choi, Hae-Rim Shin, Yung-Jue Bang
Cancer Res Treat. 2009;41(2):59-66.   Published online June 30, 2009
DOI: https://doi.org/10.4143/crt.2009.41.2.59
AbstractAbstract PDFPubReaderePub
Purpose

This study involved a population-based survey to provide evidence of public awareness of risk factors of gastric cancer and to investigate attitudes for the screening of gastric cancer in the South Korean population.

Materials and Methods

Using a nationwide random selection method, 2014 subjects were enrolled in the study between 5 September 2006 and 25 September 2006.

Results

In terms of the awareness of risk factors, awareness was scored as the percentage of the probability of developing gastric cancer when a subject had a particular risk factor. For the risk factors, stress ranked highest with a score of 73.5%, followed by chronic gastritis (score of 72.1%), gastric ulcer (score of 71.2%) and a previous gastrectomy history (score of 68.7%). Other factors included a diet of charred foods (score of 67.3%), alcohol use (score of 65.3%), salty diet (score of 65.1%), history of smoking (score of 64.3%) and Helicobacter pylori infection (score of 57.5%). Subjects believed that 60.4% of all gastric cancers were preventable by lifestyle modification and the subjects believed that regular screening could prevent 72.1% of all gastric cancers. However, 54% of subjects did not receive regular screening and the most common reason for not undergoing screening was a lack of symptoms.

Conclusion

Public education about the risk factors of gastric cancer and of lifestyle modifications and the importance of regular screening regardless of the presence of symptoms should be emphasized to reduce gastric cancer mortality in South Korea.

Citations

Citations to this article as recorded by  
  • Helicobacter pylori treatment knowledge, access and barriers: A cross‐sectional study
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    Journal of Multidisciplinary Healthcare.2023; Volume 16: 1979.     CrossRef
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    Hui-qin Li, Hui Xue, Hua Yuan, Guang-ying Wan, Xiu-ying Zhang
    BMC Cancer.2021;[Epub]     CrossRef
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  • 26 Crossref
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