Smoking and cancer screening: Chronic disease prevention for older women

This project will examine cigarette smoking as a barrier to cancer screening, focusing on women aged 40-75, and will seek to identify factors that need to be addressed in multiple risk interventions designed both to promote appropriate cancer screening and to promote smoking cessation. The investigators will undertake two major activities: (1) unprecedented secondary analyses of National Health Interview Survey (NHIS) data; and (2) focus groups with women smokers and non-smokers to determine why women who smoke may be less likely to obtain regular breast and cervical cancer screening. NHIS data from 1990 through 1994 (and 1995 if available) will be analyzed to answer the following questions: (1) is a woman's smoking status associated with the recency of mammography and Pap testing; (2) is there an association between intensity of smoking and the receipt of cancer screening; (3) is the association with smoking status similar for breast and for cervical screening; and (4) how do the resources that a woman has available to her (e.g., income, education, social support) modify the association between smoking and screening. Eight focus groups (six with smokers, two with non-smokers) will be conducted to explore why women who smoke may fail to comply with regular cancer screening, and to solicit advice on how to encourage screening and how best to integrate screening and smoking cessation interventions. Data from the NHIS analyses will be used to determine major variables to be explored in focus group discussions (e.g., smoking intensity, quitting intentions, medical advice to quit, partner smoking status).

Grant Details

Amount Awarded $49,993.00

Awarded on: 6/25/1997

Time frame: 7/1/1997 - 6/30/1998

Grant Number: 30879


Brown University Warren Alpert Medical School

Box G-A
Providence, RI, 02912-0001


William Rakowski
Project Director


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