Perceived Synergistic Risk for Lung Cancer After Environmental Report-Back Study on Home Exposure to Tobacco Smoke and Radon

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10 Scopus citations

Abstract

Purpose: To examine the short-term impact of a personalized environmental report-back intervention to reduce home exposure to tobacco smoke and radon on perception of synergistic risk for lung cancer. Radon-induced lung cancer is more common among those exposed to tobacco smoke. Design: Randomized controlled trial. Setting: Primary care clinics and a pharmacy waiting area at a University Medical Center in the Southeastern United States and community events. Participants: Five hundred sixty adult homeowners and renters (3-month follow-up, n = 334). Intervention: Personalized environmental report back. Measures: Single-item synergistic risk perception measure using 5-point Likert-type scale. Analysis: Change in synergistic risk from baseline to 3 months was evaluated using a generalized estimating equation model containing main effects of treatment group and time. Covariates in the model included age, gender, education, and home smoking status. Results: For treatment and control groups combined, there was a significant increase in perception of synergistic risk from baseline to 3 months, but the study groups did not differ. There was no association between perceived synergistic risk and whether or not there were smokers at home. Conclusion: Learning about combined risks for lung cancer, with or without dual home screening for secondhand smoke and radon and environmental report-back, may enhance perceived risk for combined environmental exposures. Evaluation of perceived synergistic risk with a single item is a study limitation.

Original languageEnglish
Pages (from-to)597-600
Number of pages4
JournalAmerican Journal of Health Promotion
Volume33
Issue number4
DOIs
StatePublished - May 1 2019

Bibliographical note

Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This project was funded by the National Institute of Environmental Health Sciences (NIEHS) and the National Institute of General Medical

Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This project was funded by the National Institute of Environmental Health Sciences (NIEHS) and the National Institute of General Medical Sciences (NIGMS; R01ES021502). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIEHS, NIGMS, or the National Institutes of Health.

Publisher Copyright:
© The Author(s) 2018.

Keywords

  • environment
  • passive smoking
  • radon
  • secondary prevention

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

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