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J Am Coll Radiol. 2020 Jan 10. pii: S1546-1440(19)31450-4. doi: 10.1016/j.jacr.2019.12.008. [Epub ahead of print]

Screening Mammography Visits as Opportunities to Engage Smokers With Tobacco Cessation Services and Lung Cancer Screening.

Author information

1
Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts. Electronic address: gxwang@partners.org.
2
Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts.
3
Department of Psychiatry, Mongan Institute Health Policy Research Center, and Tobacco Research and Treatment Center, Massachusetts General Hospital, Boston, Massachusetts.
4
Center for Community Health Improvement, Massachusetts General Hospital, Boston, Massachusetts.

Abstract

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.

KEYWORDS:

Lung cancer screening; population health; screening mammography; tobacco cessation

PMID:
31930983
DOI:
10.1016/j.jacr.2019.12.008

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