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

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.