Attitudes toward Precision Treatment of Smoking in the Southern Community Cohort Study.
Cancer Epidemiol Biomarkers Prev
; 28(8): 1345-1352, 2019 08.
Article
em En
| MEDLINE
| ID: mdl-31160346
ABSTRACT
BACKGROUND:
Precision interventions using biological data may enhance smoking treatment, yet are understudied among smokers who are disproportionately burdened by smoking-related disease.METHODS:
We surveyed smokers in the NCI-sponsored Southern Community Cohort Study, consisting primarily of African-American, low-income adults. Seven items assessed attitudes toward aspects of precision smoking treatment, from undergoing tests to acting on results. Items were dichotomized as favorable (5 = strongly agree/4 = agree) versus less favorable (1 = strongly disagree/2 = disagree/3 = neutral); a summary score reflecting generalized attitudes was also computed. Multivariable logistic regression tested independent associations of motivation (precontemplation, contemplation, and preparation) and confidence in quitting (low, medium, and high) with generalized attitudes, controlling for sociodemographic factors and nicotine dependence.RESULTS:
More than 70% of respondents endorsed favorable generalized attitudes toward precision medicine, with individual item favorability ranging from 64% to 83%. Smokers holding favorable generalized attitudes reported higher income and education (P < 0.05). Predicted probabilities of favorable generalized attitudes ranged from 63% to 75% across motivation levels [contemplation vs. precontemplation adjusted odds ratio (AOR) = 2.10, 95% confidence interval (CI), 1.36-3.25, P = 0.001; preparation vs. precontemplation AOR = 1.83, 95% CI, 1.20-2.78, P = 0.005; contemplation vs. preparation AOR = 1.15, 95% CI, 0.75-1.77, P = 0.52] and from 59% to 78% across confidence (medium vs. low AOR = 1.91, 95% CI, 1.19-3.07, P = 0.007; high vs. low AOR = 2.62, 95% CI, 1.68-4.10, P < 0.001; medium vs. high AOR = 0.73, 95% CI, 0.48-1.11, P = 0.14).CONCLUSIONS:
Among disproportionately burdened community smokers, most hold favorable attitudes toward precision smoking treatment. Individuals with lower motivation and confidence to quit may benefit from additional intervention to engage with precision smoking treatment. IMPACT Predominantly favorable attitudes toward precision smoking treatment suggest promise for future research testing their effectiveness and implementation.
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
2_ODS3
Base de dados:
MEDLINE
Assunto principal:
Tabagismo
/
Atitude Frente a Saúde
/
Abandono do Hábito de Fumar
/
Fumar Tabaco
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Cancer Epidemiol Biomarkers Prev
Ano de publicação:
2019
Tipo de documento:
Article