Common mental disorders in Taiwanese consumers of commercial low-dose computed tomography lung cancer screening: Comparison with a nationally representative sample

Chen, Cheng Che; Wu, Wen Chi; Chang, Shu Sen; Yang, Justin Cheng-Ta; Su, Hung Kuang; Chan, Ding Cheng

doi:10.1016/j.jfma.2019.11.006

Cited by 3 publications

(2 citation statements)

References 30 publications

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“…Based on a large Taiwanese population study with individual-level smoking information, we studied age-, sex-, stage-, and diagnosis year-specific incidence rates of lung ADC by smoking status from 2011 to 2019, a period in which LDCT lung cancer screening was not reimbursed by the National Health Insurance Program but was available commercially. 15,32,33 We found that although smoking was generally more common among males, higher incidence rates of stage-specific lung ADC in females were observed among both never and ever smokers, and IRRs comparing ever smokers with never smokers were higher than 1 for late-stage lung ADC but not always for early-stage lung ADC among younger people.…”

Section: Discussionmentioning

confidence: 72%

Incidence of Lung Adenocarcinoma by Age, Sex, and Smoking Status in Taiwan

Chien,

Jiang,

Tsai

et al. 2023

JAMA Netw Open

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ImportanceKnowing whether the effects of smoking and other risk factors with lung adenocarcinoma (ADC) incidence varies by sex would provide information on lung cancer prevention strategies.ObjectiveTo evaluate whether women in Taiwan have higher age- and tumor stage–specific lung ADC incidence rates than men irrespective of smoking status (ie, ever smoker or never smoker).Design, Setting, and ParticipantsThis population-based cohort study used data sets synthesized from the Taiwan Cancer Registry (TCR) from 1979 to 2019; the TCR Long Form (TCRLF) from 2011 to 2019, which provides individual-level smoking and tumor stage information; the Taiwan Cause of Death Database (TCOD) from 1985 to 2019; the National Health Insurance Research Database (NHIRD) from 2000 to 2020; the Monthly Bulletin of Interior Statistics (MBIS) from 2011 to 2019; the National Health Interview Survey from 2001, 2005, 2009, 2013, and 2017; and Taiwan Biobank data from 2008 to 2021. Included patients were aged 40 to 84 years and had any invasive lung cancer from January 1, 2011, to December 31, 2019.ExposureSmoking status.Main Outcomes and MeasuresThe main outcomes were age-specific female-to-male incidence rate ratios (IRRs) of lung ADC by smoking status and tumor stage. Linked data from the TCR, TCOD, NHIRD, Taiwan National Health Interview Survey, and MBIS were used to estimate the age- and sex-specific numbers of cancer-free individuals at midyears from 2011 to 2019 by smoking status. Using the TCR and TCRLF, age-, sex-, tumor stage–, and diagnosis year–specific numbers of patients with lung ADC from 2011 to 2019 by smoking status were estimated.ResultsA total of 61 285 patients (32 599 women [53.2%]) aged 40 to 84 years (mean [SD] age, 64.66 [10.79] years) in the Taiwanese population of approximately 23 million were diagnosed with invasive lung ADC as their first lifetime cancer between 2011 and 2019. Among smokers, men had higher tobacco use by almost all examined metrics, including nearly twice the mean (SD) number of pack-years smoked (eg, 7.87 [8.30] for men aged 30-34 years vs 4.38 [5.27] for women aged 30-34 years). For 5-year age bands between 40 and 84 years, incidence of lung ADC was significantly higher among females than males for nearly all age groups irrespective of tumor stage and smoking status (eg, for the age group 70-74 years, the female-to-male IRR for late-stage lung ADC among never smokers was 1.38 [95% CI, 1.30-1.50]).Conclusions and RelevanceIn this cohort study, women had higher age- and stage-specific lung ADC incidence rates than men in Taiwan for both never and ever smokers, suggesting the possibility of differential exposures between sexes to risk factors other than smoking and the potential modification of ADC risk factors by sex. Further work is needed to determine whether this pattern replicates in other populations, discover the causes of lung ADC, and put preventive measures in place.

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Section: Discussionmentioning

confidence: 72%

Incidence of Lung Adenocarcinoma by Age, Sex, and Smoking Status in Taiwan

Chien,

Jiang,

Tsai

et al. 2023

JAMA Netw Open

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“…GHQ was started by Goldberg [45] in the 1970s and was used to assist family physicians to detect general patients without mental disorders as a screening tool of self-management, so it was also widely used by other scholars in hospitals and communities [46][47][48]. The majority of researchers take the assessment of Chong and Wilkinson [49] as the principle, that is to say, classifying the respondents whose scores >4 as the people who have poorer health statuses [50,51]. Therefore, this study regards the respondents who score >4 as the people of Psychological Health statuses.…”

Section: Psychological Health Statusmentioning

confidence: 99%

The Impact of the Moderating Effect of Psychological Health Status on Nurse Healthcare Management Information System Usage Intention

Hsiao

Tseng

2020

Healthcare

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Nurses play a key role in healthcare but work in a highly stressful and unfriendly environment. Therefore, many medical institutions have adopted nurse healthcare management information systems for nurses to relieve symptoms of mental stress and even improve their psychological health. The key to the success of these systems depends on how nurses intend to use them. In this study, the moderating effect of nurses’ psychological health status on their usage of these systems are discussed. This study used a mail survey method for nurses to obtain 1565 valid samples. The results show that perceived usefulness is insignificant toward the usage intention of nurses with a positive psychological health status, which indicates that this system does not meet the needs of these healthy nurses. Furthermore, perceived ease of use is insignificant toward the usage intention of nurses with a negative psychological health status, which indicates that a negative psychological health status may affect one’s behavior due to impatience. This study raises the serious issue that nurses should maintain their psychological health in order to ensure the quality of care for patients. People in various fields are expected to pay attention to the psychological health status of nurses and create a win–win situation for both patients and nurses.

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Kao¹

2020

Journal of the Formosan Medical Association

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Common mental disorders in Taiwanese consumers of commercial low-dose computed tomography lung cancer screening: Comparison with a nationally representative sample

Cited by 3 publications

References 30 publications

Incidence of Lung Adenocarcinoma by Age, Sex, and Smoking Status in Taiwan

Incidence of Lung Adenocarcinoma by Age, Sex, and Smoking Status in Taiwan

The Impact of the Moderating Effect of Psychological Health Status on Nurse Healthcare Management Information System Usage Intention

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