142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Predictors of lung cancer worry

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 2:45 PM - 3:00 PM

Karen Butler, DNP, RN , University of Kentucky College of Nursing, Lexington, KY
Mary Kay Rayens, PhD , College of Nursing and College of Public Health, University of Kentucky, Lexington, KY
Kathy Begley, BA , Tobacco Policy Research Program, University of Kentucky, Lexington, KY
Ellen Hahn, PhD, RN, FAAN , College of Nursing, University of Kentucky, Lexington, KY
Background. This study examined the association between demographic factors, perceived risk, tobacco exposure and lung cancer worry at baseline of a dual home screening trial to reduce home exposure to radon and secondhand smoke (SHS). Lung cancer is preventable through the elimination of tobacco smoke and radon exposure. It was hypothesized that smokers and those exposed to SHS in the home would be more worried about lung cancer.

Methods. A purposive sample of homeowners (N=113) were recruited in an outpatient clinic in the South.  Recruitment is ongoing through 12/14. Self-reported race, education, income, age, gender, marital status, perceived risk of lung cancer, smoking status, past 7-day secondhand smoke exposure in the home, and lung cancer worry were assessed via iPad survey. An 11-point ordinal scale assessed perceived risk. Lung cancer worry was measured using a 4-item scale.

Results. Preliminary findings indicate that Caucasian participants had lower lung cancer worry than those in other ethnic/racial groups. Those who perceived their lung cancer risk to be higher also had higher worry scores, as did current smokers. Interestingly, lung cancer worry was unrelated to other demographic factors and secondhand smoke exposure in the home.

Conclusions. Although SHS is the third leading cause of lung cancer, those exposed in the home did not have higher scores on the lung cancer worry scale than those who were non-exposed. More research is needed to examine ethnic/racial variations in lung cancer worry and perceived risk for lung cancer. Additional data will be available at time of presentation.

Learning Areas:

Administer health education strategies, interventions and programs
Advocacy for health and health education
Implementation of health education strategies, interventions and programs
Public health or related nursing
Public health or related research

Learning Objectives:
Describe the synergistic effects between radon and tobacco smoke exposure on the development of lung cancer. Discuss factors associated with perceived risk and lung cancer worry following home testing for radon and secondhand smoke.

Keyword(s): Health Promotion and Education, Tobacco Control

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an Associate Professor in the University of Kentucky College of Nursing and a Faculty Associate in the Tobacco Policy Research Program. I have clinical and research experience in adult self-management and health promotion, including tobacco dependence prevention and treatment. I am a co-investigator on the NIH-funded study from which this work is submitted. My scholarly work has been peer-reviewed, presented and published in multiple venues.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.