Prevalence of cigarette and e-cigarette use among U.S. adults eligible for lung cancer screening based on updated USPSTF guidelines

The United States Preventative Services Taskforce recently updated lung cancer screening guidelines for U.S. adults with high-risk smoking histories. This has generated a previously undescribed patient population in which the prevalence of cigarette and e-cigarette use has not been described. We per...

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Bibliographic Details
Published in:Cancer epidemiology 2022-02, Vol.76, p.102079-102079, Article 102079
Main Authors: Heiden, Brendan T., Engelhardt, Kathryn E., Cao, Chao, Meyers, Bryan F., Puri, Varun, Cao, Yin, Kozower, Benjamin D.
Format: Article
Language:English
Subjects:
Adult
Adults
Aged
Aged, 80 and over
Cancer
Cancer screening
Cigarette
Cigarettes
Cross-Sectional Studies
E-cigarette
Early Detection of Cancer
Electronic cigarettes
Electronic Nicotine Delivery Systems
Epidemiology
Guidelines
Health insurance
Humans
Lung cancer
Lung Neoplasms - diagnosis
Lung Neoplasms - epidemiology
Lung Neoplasms - etiology
Medical diagnosis
Medical screening
Middle Aged
Patients
Polls & surveys
Population studies
Prevalence
Risk analysis
Risk factors
Risk taking
Screening
Smoking
Smoking cessation
Tobacco
Tobacco Products
United States - epidemiology
Vaping
Variables
Writing
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Summary:The United States Preventative Services Taskforce recently updated lung cancer screening guidelines for U.S. adults with high-risk smoking histories. This has generated a previously undescribed patient population in which the prevalence of cigarette and e-cigarette use has not been described. We performed a cross-sectional study using population-based data from the Behavioral Risk Factor Surveillance System (2017–2018). We defined lung cancer screening eligibility as adults 50–80 years old with ≥ 20 pack-year smoking history who were currently smoking or quit within the last 15 years. We assessed several smoking-related outcomes including current cigarette use, ever e-cigarette use, and current e-cigarette use among respondents. Among 7541 screening-eligible adults, current cigarette use was reported by 3604 (47.8%) participants. Ever and current e-cigarette use were reported by 3003 (39.8%) and 670 (8.9%) participants, respectively. Compared to individuals who were previously eligible for screening, individuals newly eligible for screening (i.e., between 50 and 55 years old with a 20–30 pack-year smoking history) were more likely to currently smoke (aOR 1.828, 95% CI 1.649–2.026, p 
ISSN:1877-7821
1877-783X
DOI:10.1016/j.canep.2021.102079