Laurent Greillier1, Alexis B Cortot2, Jérôme Viguier3, Lysel Brignoli-Guibaudet4, Christine Lhomel5, François Eisinger6,7, Jean-François Morère8, Sébastien Couraud9. 1. Service d'Oncologie Multidisciplinaire & Innovations Thérapeutiques, Assistance Publique - Hôpitaux de Marseille, Chemin des Bourrely, 13915, Marseille Cedex 20, France. laurent.greillier@ap-hm.fr. 2. Pneumologie et Oncologie Thoracique, Hôpital Calmette, Bd du Professeur Jules Leclercq, 59000, Lille, France. 3. CCDC 37, Hôpital Bretonneau, 2 boulevard Tonnellé, 37044, Tours Cedex 9, France. 4. Kantar Health, 3 avenue Pierre Masse, 75014, Paris, France. 5. Roche SAS, 30 cours de l'Ile Seguin, 92650, Boulogne-Billancourt, France. 6. INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, Aix Marseille University, 23 rue Stanislas-Torrents, 13006, Marseille, France. 7. Département d'Anticipation et de Suivi du Cancer DASC, Institut Paoli-Calmettes, 232, boulevard Sainte Marguerite, BP 156, 13273, Marseille Cedex 9, France. 8. INSERM U1193, département d'oncologie médicale, Hôpital Paul Brousse, 12 avenue Paul Vaillant Couturier, 94800, Villejuif, France. 9. Service de Pneumologie Aiguë Spécialisée et Cancérologie Thoracique, Centre Hospitalier Lyon Sud, 165 chemin du Grand Revoyet, 69495, Pierre Bénite Cedex, France.
Abstract
BACKGROUND: The general population is nowadays well aware that tobacco smoking dramatically increases the risk of developing lung cancer. We hypothesized that a personal history of smoking and the level of nicotine dependence in current smokers may affect the perception of this risk among healthy individuals. METHODS: The fourth French nationwide observational survey, EDIFICE 4, was conducted by telephone among a representative sample of individuals (N = 1602) aged between 40 and 75 years. Interviewees were asked about their smoking habits, perception of the risk of lung cancer, and nicotine dependence (Fagerström test). RESULTS: Regardless of their smoking status or level of nicotine dependence, the majority (96%) of our study population (N = 1463) acknowledged that tobacco smoking is a major risk factor for lung cancer. For 34% of all respondents, smoking ≤ 10 cigarettes per day does not carry any risk of lung cancer. Only half the current smokers considered themselves to be at higher risk of lung cancer than the average-risk population. The majority of current cigarette smokers with a nicotine dependence considered themselves to be at higher risk for lung cancer while only 37% of non-nicotine-dependent individuals had the same perception (P < 0.01). Current smokers were more likely to consider a screening examination than former smokers and never-smokers. However, the intention to undergo screening was not significantly affected by the level of nicotine dependence. CONCLUSIONS: Awareness campaigns may first have to overcome misconceptions about light smoking and, secondly, to target specific populations (heavy smokers, those with a long history, highly dependent smokers).
BACKGROUND: The general population is nowadays well aware that tobacco smoking dramatically increases the risk of developing lung cancer. We hypothesized that a personal history of smoking and the level of nicotine dependence in current smokers may affect the perception of this risk among healthy individuals. METHODS: The fourth French nationwide observational survey, EDIFICE 4, was conducted by telephone among a representative sample of individuals (N = 1602) aged between 40 and 75 years. Interviewees were asked about their smoking habits, perception of the risk of lung cancer, and nicotine dependence (Fagerström test). RESULTS: Regardless of their smoking status or level of nicotine dependence, the majority (96%) of our study population (N = 1463) acknowledged that tobacco smoking is a major risk factor for lung cancer. For 34% of all respondents, smoking ≤ 10 cigarettes per day does not carry any risk of lung cancer. Only half the current smokers considered themselves to be at higher risk of lung cancer than the average-risk population. The majority of current cigarette smokers with a nicotine dependence considered themselves to be at higher risk for lung cancer while only 37% of non-nicotine-dependent individuals had the same perception (P < 0.01). Current smokers were more likely to consider a screening examination than former smokers and never-smokers. However, the intention to undergo screening was not significantly affected by the level of nicotine dependence. CONCLUSIONS: Awareness campaigns may first have to overcome misconceptions about light smoking and, secondly, to target specific populations (heavy smokers, those with a long history, highly dependent smokers).
Authors: Jacques Ferlay; Isabelle Soerjomataram; Rajesh Dikshit; Sultan Eser; Colin Mathers; Marise Rebelo; Donald Maxwell Parkin; David Forman; Freddie Bray Journal: Int J Cancer Date: 2014-10-09 Impact factor: 7.396
Authors: P V Asharani; Jue Hua Lau; Vanessa Ai Ling Seet; Fiona Devi; Peizhi Wang; Kumarasan Roystonn; Ying Ying Lee; Laxman Cetty; Wen Lin Teh; Swapna Verma; Yee Ming Mok; Siow Ann Chong; Mythily Subramaniam Journal: Int J Environ Res Public Health Date: 2021-02-07 Impact factor: 3.390