{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T06:45:09Z","timestamp":1790491509008,"version":"4.1.0"},"reference-count":48,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,11,27]],"date-time":"2022-11-27T00:00:00Z","timestamp":1669507200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asia-Pac J Clncl Oncology"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Smoking cessation is an important screening component, but the evidence base to inform implementation is lacking. We report longitudinal smoking behavior in an Australian screening cohort and examine predictor variables associated with continued smoking.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Healthy current or former smokers (quit less than 15 years and \u226530\u2010pack year smoking history) aged 60\u201374 years underwent CT screening at baseline, year 1 and year 2. Participants received brief smoking cessation advice and generic Quitline materials. Smoking status was self\u2010reported every 6 months for 5 years. Mediators of smoking behavior, adjusted for sociodemographic, health and scan variables were explored using logistic regression modeling.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two hundred thirty\u2010five participants were analyzed. One hundred eight (46%) were current smokers at enrolment. At baseline, current smokers\u2019 mean Fagerstr\u00f6m Test for Nicotine Dependence was 4.9, and they had higher levels of lung cancer\u2010specific distress and passive smoke exposure than former smokers. At 36 months, 33% of baseline smokers achieved sustained (\u22656 months) smoking abstinence. Five (4%) former smokers relapsed at any point during the study. Continued smoking was positively associated with greater nicotine dependence and smoking pack\u2010years, and negatively associated with cardiovascular disease, stroke, and lung cancer family history.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study provides the first data on smoking cessation rates in Australian lung cancer screenees and supports screening as a teachable moment. We identify several factors that identify smokers who may require more intensive smoking cessation interventions and could be used to develop effective smoking cessation as part of lung cancer screening, tailored to individual risk profiles.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajco.13879","type":"journal-article","created":{"date-parts":[[2022,11,28]],"date-time":"2022-11-28T05:20:48Z","timestamp":1669612848000},"page":"374-384","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Active screening for lung cancer increases smoking abstinence in Australia"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9626-8014","authenticated-orcid":false,"given":"Henry M.","family":"Marshall","sequence":"first","affiliation":[{"name":"University of Queensland Thoracic Research Centre, Faculty of Medicine, University of Queensland  Brisbane Queensland Australia"},{"name":"Department of Thoracic 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