Author of

• 25947

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  P2.10 - Prevention and Tobacco Control (Not CME Accredited Session) (ID 959)

  • Event: WCLC 2018
  • Type: Poster Viewing in the Exhibit Hall
  • Track:
  • Presentations: 2
  • Moderators:
  • Coordinates: 9/25/2018, 16:45 - 18:00, Exhibit Hall

  • 27100

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    P2.10-06 - The Risk of Lung Cancer Among Women Who Start Smoking As Teenagers (ID 12204)

    16:45 - 18:00  |  Presenting Author(s): Malcolm Tagbarha
    • Abstract

    Background
    

    To examine the effect of smoking on lung cancer risk in a large population-based cohort of women, many of whom started smoking as teenagers.

    a9ded1e5ce5d75814730bb4caaf49419 Method
    

    We followed 102,098 women, ages 30 to 50 years, completing a mailed questionnaire at recruitment to the Nigerian-Ethiopia Cohort Study in 2016/2017, through December 2017. We used Cox proportional hazard regression models to estimate relative risk (RR) of lung cancer associated with different measures of smoking initiation, duration, and intensity adjusting for confounding variables. We conducted analyses on the entire study population, among women who had smoked for at least 20 years, among non drinkers, and separately for each country.

    4c3880bb027f159e801041b1021e88e8 Result
    

    Altogether, 1,240 women were diagnosed with incident, invasive lung cancer. Compared with never smokers, women who smoked for at least 20 years and who smoked 10 cigarettes or more daily had a RR of 1.34 (95% CI, 1.06-1.70). Likewise, those who initiated smoking prior to their first birth (1.27, 1.00-1.62), before menarche (1.39, 1.03-1.87), or before age 15 (1.48, 1.03-2.13) had an increased risk. In contrast, women who had smoked for at least 20 years, but started after their first birth, did not experience an increased lung cancer risk. The increased RR associated with smoking was observed among nondrinkers of alcohol, women with and without a family history of lung cancer, pre-menopausal and post-menopausal women, and in both countries.

    8eea62084ca7e541d918e823422bd82e Conclusion
    

    Our results support the notion that women who start smoking as teenagers and continue to smoke for at least 20 years may increase their lung cancer risk.

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  • 27105

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    P2.10-09 - The Beliefs, Orientation, Knowledge, Understanding, Attitudes And Treatment Access To Lung Cancer Amongst Rural Men In Nigeria (ID 12199)

    16:45 - 18:00  |  Presenting Author(s): Malcolm Tagbarha
    • Abstract

    Background
    

    Background: Evidences of lung cancer cases from scientific researches have being on the rise in the last few decades and tobacco which is a major risk factor causes about 90% of cancer diagnosed around the world. The need to reduce this scourge has become more important.

    a9ded1e5ce5d75814730bb4caaf49419 Method
    

    An interview guide was designed specifically for these studies in which 1500 rural men in Nigeria most of which were age 35 and over took part in. It contained questions about beliefs, orientation, knowledge, understanding and attitudes about Lung Cancer Diagnosis and incidences. In addition, questions assessing the variables of the Health Belief Model and health motivations also were included. The data were obtained during face-to-face interviews in the primary language of the participating people. The interviews were translated into English.

    4c3880bb027f159e801041b1021e88e8 Result
    

    Out of the 1500 men who participated, only 10% of the participants knew about lung cancer, 5% had undergone at least one Lung Cancer Diagnosis during their lives, and 85% were not aware of the disease. There was little or no access to treatment even at early detection in these rural areas thereby causing vulnerability to loss of life. Majority of these men (95%) said they knew little or nothing about lung cancer. While 10% of the men said detecting cancer early was important, only 5% reported that cancer could be cured. Age, education, or mother tongue showed no statistically significant relationship with the lung health practice scores. However, proficiency with the English language (p = 0.009) and number of years exposed to awareness and education (p = 0.009) had a significant relationship with the lung health practice scores. The significant explanatory factor for the variable lung health practices was a cue to action (p = 0.009).

    8eea62084ca7e541d918e823422bd82e Conclusion
    

    The level of awareness and treatment access to lung cancer amongst Nigeria’s rural men is extremely low thereby making them not to engage in screening and/or detection practices. This alarming situation calls for urgent intervention of medical/health organizations to provide immediate lung cancer awareness, diagnosis and care so as to reduce incidences or threat at early detection.

    Tobacco which is known as a major cause of cancer (90%) is widely used by these rural men thereby making them so vulnerable. Awareness is suggested while providing smoking cessation for smokers who intend to quit.

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