The role of chronic conditions in influencing symptom attribution and anticipated help-seeking for potential lung cancer symptoms: a vignette-based study.
awareness
general practice
health knowledge
lung diseases (obstructive)
lung neoplasms
primary health care
Journal
BJGP open
ISSN: 2398-3795
Titre abrégé: BJGP Open
Pays: England
ID NLM: 101713531
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
received:
20
01
2020
accepted:
07
02
2020
pubmed:
21
8
2020
medline:
21
8
2020
entrez:
21
8
2020
Statut:
epublish
Résumé
Very little is known about the influence of chronic conditions on symptom attribution and help-seeking for potential cancer symptoms. To determine if symptom attribution and anticipated help-seeking for potential lung cancer symptoms is influenced by pre-existing respiratory conditions (often referred to as comorbidity), such as asthma or chronic obstructive pulmonary disease (COPD). A total of 2143 adults (1081 with and 1062 without a respiratory condition) took part in an online vignette survey. The vignette described potential lung cancer symptoms (persistent cough and breathlessness) after which questions were asked on symptom attribution and anticipated help-seeking. Attribution of symptoms to cancer was similar in participants with and without respiratory conditions (21.5% and 22.1%, respectively). Participants with respiratory conditions, compared with those without, were more likely to attribute the new or changing cough and breathlessness to asthma or COPD (adjusted odds ratio [OR] = 3.64, 95% confidence interval [CI] = 3.02 to 4.39). Overall, 56.5% of participants reported intention to seek help from a GP within 3 weeks if experiencing the potential lung cancer symptoms. Having a respiratory condition increased the odds of prompt help-seeking (OR = 1.25, 95% CI = 1.04 to 1.49). Regular healthcare appointments were associated with higher odds of anticipated help-seeking. Only one in five participants identified persistent cough and breathlessness as potential cancer symptoms, and half said they would promptly seek help from a GP, indicating scope for promoting help-seeking for new or changing symptoms. Chronic respiratory conditions did not appear to interfere with anticipated help-seeking, which might be explained by regular appointments to manage chronic conditions.
Sections du résumé
BACKGROUND
BACKGROUND
Very little is known about the influence of chronic conditions on symptom attribution and help-seeking for potential cancer symptoms.
AIM
OBJECTIVE
To determine if symptom attribution and anticipated help-seeking for potential lung cancer symptoms is influenced by pre-existing respiratory conditions (often referred to as comorbidity), such as asthma or chronic obstructive pulmonary disease (COPD).
DESIGN & SETTING
METHODS
A total of 2143 adults (1081 with and 1062 without a respiratory condition) took part in an online vignette survey.
METHOD
METHODS
The vignette described potential lung cancer symptoms (persistent cough and breathlessness) after which questions were asked on symptom attribution and anticipated help-seeking.
RESULTS
RESULTS
Attribution of symptoms to cancer was similar in participants with and without respiratory conditions (21.5% and 22.1%, respectively). Participants with respiratory conditions, compared with those without, were more likely to attribute the new or changing cough and breathlessness to asthma or COPD (adjusted odds ratio [OR] = 3.64, 95% confidence interval [CI] = 3.02 to 4.39). Overall, 56.5% of participants reported intention to seek help from a GP within 3 weeks if experiencing the potential lung cancer symptoms. Having a respiratory condition increased the odds of prompt help-seeking (OR = 1.25, 95% CI = 1.04 to 1.49). Regular healthcare appointments were associated with higher odds of anticipated help-seeking.
CONCLUSION
CONCLUSIONS
Only one in five participants identified persistent cough and breathlessness as potential cancer symptoms, and half said they would promptly seek help from a GP, indicating scope for promoting help-seeking for new or changing symptoms. Chronic respiratory conditions did not appear to interfere with anticipated help-seeking, which might be explained by regular appointments to manage chronic conditions.
Identifiants
pubmed: 32816742
pii: bjgpopen20X101086
doi: 10.3399/bjgpopen20X101086
pmc: PMC7606154
pii:
doi:
Types de publication
Journal Article
Langues
eng
Informations de copyright
Copyright © 2020, The Authors.
Références
Lung Cancer. 2015 Nov;90(2):121-7
pubmed: 26363803
Qual Life Res. 2015 Apr;24(4):909-18
pubmed: 25344816
BMJ. 2016 Nov 9;355:i5515
pubmed: 28291732
Br J Cancer. 2015 Mar 31;112 Suppl 1:S22-6
pubmed: 25734386
Br J Cancer. 2015 Nov 3;113(9):1375-80
pubmed: 26461060
Nat Rev Clin Oncol. 2014 Jan;11(1):38-48
pubmed: 24247164
BMJ Open. 2015 May 27;5(5):e007212
pubmed: 26017370
Lancet Oncol. 2014 Feb;15(2):232-40
pubmed: 24433682
Psychooncology. 2017 Aug;26(8):1070-1079
pubmed: 27643482
BMC Public Health. 2016 Nov 21;16(1):1172
pubmed: 27871273
Lancet. 2005 Sep 3-9;366(9488):825-31
pubmed: 16139657
Thorax. 2009 Jun;64(6):523-31
pubmed: 19052045
Med Decis Making. 2019 Jan;39(1):21-31
pubmed: 30799690
Health Psychol. 1988;7(4):355-86
pubmed: 3049068
Trials. 2014 Sep 17;15:364
pubmed: 25230772
Fam Pract. 2015 Oct;32(5):568-77
pubmed: 26099812
Br J Cancer. 2014 Jul 29;111(3):577-80
pubmed: 24921910
Lancet. 2012 Jul 7;380(9836):37-43
pubmed: 22579043
Lancet Oncol. 2015 Sep;16(12):1231-72
pubmed: 26431866
Psychooncology. 2019 Apr;28(4):718-725
pubmed: 30693608
Eur Respir J. 2011 Feb;37(2):264-72
pubmed: 21115606
Br J Gen Pract. 2013 Jan;63(606):e47-54
pubmed: 23336469
BMC Fam Pract. 2009 Aug 22;10:57
pubmed: 19698140
Cancer. 2014 May 1;120(9):1290-314
pubmed: 24343171
PLoS One. 2015 Aug 07;10(8):e0135027
pubmed: 26252203
BMC Med Res Methodol. 2006 Jul 26;6:35
pubmed: 16872487
CA Cancer J Clin. 2016 Jul;66(4):337-50
pubmed: 26891458
Int J Cancer. 2020 Aug 1;147(3):747-756
pubmed: 31709530
Nat Rev Clin Oncol. 2019 Dec;16(12):746-761
pubmed: 31350467
J Health Serv Res Policy. 2012 Apr;17(2):110-8
pubmed: 22008712
Br J Cancer. 2015 Mar 31;112 Suppl 1:S27-34
pubmed: 25734385
Thorax. 2012 May;67(5):426-32
pubmed: 22426791
Int J Qual Health Care. 2018 Feb 1;30(1):2-8
pubmed: 29329438
Respirology. 2002 Dec;7(4):325-31
pubmed: 12421240
Psychooncology. 2016 Oct;25(10):1191-1197
pubmed: 27218858
Br J Cancer. 2013 Feb 5;108(2):292-300
pubmed: 23370208
Soc Sci Med. 2006 Mar;62(6):1381-91
pubmed: 16168544
Colorectal Dis. 2013 Aug;15(8):963-7
pubmed: 23656572
BMJ Open Respir Res. 2014 Dec 11;1(1):e000067
pubmed: 25553249
Thorax. 2019 Apr;74(4):362-370
pubmed: 30630891
Postgrad Med J. 2013 Jul;89(1053):390-3
pubmed: 23572594
Br J Cancer. 2017 Jun 6;116(12):1536-1543
pubmed: 28494470
Eur Respir J. 2009 Aug;34(2):380-6
pubmed: 19196816
Br J Cancer. 2012 Mar 27;106(7):1262-7
pubmed: 22415239
J Health Psychol. 2009 Oct;14(7):861-71
pubmed: 19786512
Br J Gen Pract. 2018 Nov;68(676):e757-e764
pubmed: 30297435
Epidemiology. 1990 Jan;1(1):43-6
pubmed: 2081237
JAMA Intern Med. 2013 Nov 25;173(21):1952-8
pubmed: 23979070
Patient Educ Couns. 2017 Feb;100(2):e1-e24
pubmed: 27692493
Br J Cancer. 2015 Jan 6;112(1):207-16
pubmed: 25461805
PLoS One. 2009 Oct 08;4(10):e7380
pubmed: 19812684
BMJ Qual Saf. 2017 Jun;26(6):449-459
pubmed: 27651515
J Public Health (Oxf). 2018 Jun 1;40(2):340-349
pubmed: 28655212