American journal of health promotion : AJHP · 2018
Perceived Synergistic Risk for Lung Cancer After Environmental Report-Back Study on Home Exposure to Tobacco Smoke and Radon.
СтатьяРандомизированное исследованиеПоддержка NIH: внешняя программаНазвание и аннотация: Перевод в очереди
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Butler Karen M, Huntington-Moskos Luz, Rayens Mary Kay, Wiggins Amanda T, Hahn Ellen J
Аннотация
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.
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.