Understanding Factors Associated with Uptake of Lung Cancer Screening among Individuals at High Risk

被引:2
作者
Gudina, Abdi T. [1 ,2 ,6 ]
Kamen, Charles [1 ,2 ]
Cheruvu, Vinay K. [3 ]
Cupertino, Paula [2 ,4 ]
Rivera, M. Patricia [2 ,5 ]
机构
[1] Univ Rochester, Div Support Care Canc, Dept Surg, Sch Med & Dent, Rochester, NY USA
[2] Univ Rochester, James P Wilmot Canc Inst, Sch Med & Dent, Rochester, NY USA
[3] Kent State Univ, Div Biostat Environm Hlth Sci & Epidemiol, Coll Publ Hlth, Kent, OH USA
[4] Univ Rochester, Sch Med & Dent, Dept Publ Hlth Sci, Rochester, NY USA
[5] Univ Rochester, Div Pulm & Crit Care Med, Dept Med, Rochester, NY USA
[6] Univ Rochester, Div Support Care Canc, Med Ctr, 265 Crittenden Blvd,Rm 2-223, Rochester, NY 14642 USA
关键词
Lung cancer; cancer screening; low-dose computed tomography; early detection; UNITED-STATES; DISPARITIES; INSURANCE; MORTALITY; STAGE;
D O I
10.1353/hpu.2023.0038
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Early detection using low -dose computed tomography scanning reduces lung cancer-specific mortality by 20% among high -risk individuals. Despite its efficacy, the uptake of lung cancer screening (LCS) remains low. This study aimed to identify fac-tors associated with the uptake of LCS in high -risk individuals. Data for this study were obtained from the Behavioral Risk Factor Surveillance System (n=11,297). Multivariable logistic regression models were used. Individuals with no health insurance (OR: 0.33, 95% CI: 0.19-0.58), no primary health care provider (OR: 0.40, 95% CI: 0.25-0.64), no chronic obstructive pulmonary disease (OR: 0.37, 95% CI: 0.28-0.49), and racial/ ethnic minorities other than Black and Hispanic (OR: 0.49, 95% CI: 0.31-0.78) were less likely to participate in annual LCS. Low -dose computed tomography uptake varied widely across the 24 U.S. states. The findings from this study have important implications for designing more effec-tive interventions to target specific U.S. states and subgroups for the uptake of annual LCS.
引用
收藏
页码:719 / 730
页数:13
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