{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T03:52:22Z","timestamp":1793418742961,"version":"4.5.0"},"reference-count":12,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2018,8,9]],"date-time":"2018-08-09T00:00:00Z","timestamp":1533772800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"NIEHS and NIGMS","award":["R01ES021502"],"award-info":[{"award-number":["R01ES021502"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Health Promot"],"published-print":{"date-parts":[[2019,5]]},"abstract":"\n Purpose:<\/jats:title>\n To examine the short-term impact of a personalized environmental report-back intervention to reduce home exposure to tobacco smoke and radon on perception of synergistic risk for lung cancer. Radon-induced lung cancer is more common among those exposed to tobacco smoke.<\/jats:p>\n <\/jats:sec>\n \n Design:<\/jats:title>\n Randomized controlled trial.<\/jats:p>\n <\/jats:sec>\n \n Setting:<\/jats:title>\n Primary care clinics and a pharmacy waiting area at a University Medical Center in the Southeastern United States and community events.<\/jats:p>\n <\/jats:sec>\n \n Participants:<\/jats:title>\n Five hundred sixty adult homeowners and renters (3-month follow-up, n = 334).<\/jats:p>\n <\/jats:sec>\n \n Intervention:<\/jats:title>\n Personalized environmental report back.<\/jats:p>\n <\/jats:sec>\n \n Measures:<\/jats:title>\n Single-item synergistic risk perception measure using 5-point Likert-type scale.<\/jats:p>\n <\/jats:sec>\n \n Analysis:<\/jats:title>\n Change in synergistic risk from baseline to 3 months was evaluated using a generalized estimating equation model containing main effects of treatment group and time. Covariates in the model included age, gender, education, and home smoking status.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n For treatment and control groups combined, there was a significant increase in perception of synergistic risk from baseline to 3 months, but the study groups did not differ. There was no association between perceived synergistic risk and whether or not there were smokers at home.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Learning about combined risks for lung cancer, with or without dual home screening for secondhand smoke and radon and environmental report-back, may enhance perceived risk for combined environmental exposures. Evaluation of perceived synergistic risk with a single item is a study limitation.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/0890117118793886","type":"journal-article","created":{"date-parts":[[2018,8,10]],"date-time":"2018-08-10T02:50:44Z","timestamp":1533869444000},"page":"597-600","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Perceived Synergistic Risk for Lung Cancer After Environmental Report-Back Study on Home Exposure to Tobacco Smoke and Radon"],"prefix":"10.1177","volume":"33","author":[{"given":"Karen M.","family":"Butler","sequence":"first","affiliation":[{"name":"Radon Policy Division, BREATHE, College of Nursing, University of Kentucky, Lexington, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luz","family":"Huntington-Moskos","sequence":"additional","affiliation":[{"name":"BREATHE, School of Nursing, University of Louisville, Louisville, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Kay","family":"Rayens","sequence":"additional","affiliation":[{"name":"BREATHE, College of Nursing and College of Public Health, University of Kentucky, Lexington, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda T.","family":"Wiggins","sequence":"additional","affiliation":[{"name":"Data Management and Outcomes, BREATHE, College of Nursing, University of Kentucky, Lexington, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen J.","family":"Hahn","sequence":"additional","affiliation":[{"name":"BREATHE, College of Nursing and College of Public Health, University of Kentucky, Lexington, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,8,9]]},"reference":[{"issue":"1","key":"bibr1-0890117118793886","first-page":"1","volume":"63","author":"Henley SJ","year":"2014","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"bibr2-0890117118793886","unstructured":"Centers for Disease Control and Prevention. Lung cancer and the environment. 2016; https:\/\/ephtracking.cdc.gov\/showCancerLcEnv.action. Accessed June 25, 2018."},{"key":"bibr3-0890117118793886","volume-title":"Cancer progress report - 2003 update","author":"National Cancer Institute","year":"2004"},{"key":"bibr4-0890117118793886","doi-asserted-by":"publisher","DOI":"10.1186\/s40557-016-0093-4"},{"key":"bibr5-0890117118793886","volume-title":"The health consequences of smoking - 50 years of progress. A report of the Surgeon General","author":"United States Department of Health and Human Services","year":"2014"},{"key":"bibr6-0890117118793886","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.300926"},{"key":"bibr7-0890117118793886","doi-asserted-by":"publisher","DOI":"10.1038\/nrc2190"},{"key":"bibr8-0890117118793886","doi-asserted-by":"publisher","DOI":"10.1097\/00001648-200107000-00009"},{"key":"bibr9-0890117118793886","doi-asserted-by":"publisher","DOI":"10.1177\/109019819101800305"},{"key":"bibr10-0890117118793886","doi-asserted-by":"publisher","DOI":"10.5888\/pcd10.120337"},{"key":"bibr11-0890117118793886","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2007.10.014"},{"key":"bibr12-0890117118793886","unstructured":"Agency for Healthcare Research and Quality. The guide to clinical preventive services, 2014; http:\/\/www.ahrq.gov\/professionals\/clinicians-providers\/guidelines-recommendations\/guide\/index.html. Accessed September, 2015."}],"container-title":["American Journal of Health Promotion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0890117118793886","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0890117118793886","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0890117118793886","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:01:44Z","timestamp":1777366904000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0890117118793886"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8,9]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,5]]}},"alternative-id":["10.1177\/0890117118793886"],"URL":"https:\/\/doi.org\/10.1177\/0890117118793886","relation":{},"ISSN":["0890-1171","2168-6602"],"issn-type":[{"value":"0890-1171","type":"print"},{"value":"2168-6602","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,8,9]]}}}