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To investigate the changes in health risk behaviors among high-risk groups in the lung cancer screening cohort in Ma’anshan City, and to explore the association between lung cancer screening and health risk behavior changes.
Follow-up survey was conducted among the high-risk population participating in screening.Basic data and health risk behavior information were collected at baseline and during follow-up. Univariate analysis and multivariate logistic regression analysis were used to explore the association between lung cancer screening and changes in three kinds of health risk behaviors.
The results of multivariate logistic regression analysis showed that women(OR=4.24, 95% CI: 1.80-9.96,P=0.001), those with positive pulmonary nodules(OR=1.98, 95% CI: 1.23-3.20, P=0.005) and those who consulted the doctor after screening(OR=1.65, 95% CI: 1.08-2.52, P=0.020) were more likely to quit smoking. Persistent smokers who were 60 to 69 years old(OR=1.60, 95% CI: 1.14-2.24, P=0.007), had a history of lung-related diseases(OR=1.95, 95% CI: 1.13-3.39, P=0.017), and discussed their medical condition with relatives and friends after screening(OR=1.65，95% CI: 1.16-2.33，P=0.005) were more likely to smoke less. Women(OR=2.19, 95% CI: 1.20-4.02,P=0.011), patients with a history of lung related diseases(OR=1.91,95% CI: 1.13-3.22,P=0.015), patients with a history of malignant tumors(OR=3.07,95% CI: 1.18-8.01,P=0.022), and patients receiving medical advice(OR=1.69, 95% CI: 1.04-2.75, P=0.035) were more likely to abstain from alcohol. Women(OR=1.41, 95% CI: 1.02-1.94, P=0.037), older than 70 years(OR=1.70, 95% CI: 1.07-2.68, P=0.024) and those who had annual physical examination(OR=2.03, 95% CI: 1.44-2.86, P<0.001) were more likely to start physical exercise.
Lung cancer screening is closely related to changes in health risk behaviors of screening population such as smoking, drinking, physical exercise, etc. Health education should be strengthened to guide high-risk population to make changes in health risk behaviors.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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