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Racial Differences in Lung Cancer Screening Beliefs and Screening Adherence.
Barta, Julie A; Shusted, Christine S; Ruane, Brooke; Pimpinelli, Marcella; McIntire, Russell K; Zeigler-Johnson, Charnita; Myers, Ronald E; Evans, Nathaniel R; Kane, Gregory C; Juon, Hee-Soon.
Afiliação
  • Barta JA; The Jane and Leonard Korman Respiratory Institute at Thomas Jefferson University, Division of Pulmonary and Critical Care Medicine, Philadelphia, PA.
  • Shusted CS; The Jane and Leonard Korman Respiratory Institute at Thomas Jefferson University, Department of Medicine, Philadelphia, PA.
  • Ruane B; The Jane and Leonard Korman Respiratory Institute at Thomas Jefferson University, Division of Pulmonary and Critical Care Medicine, Philadelphia, PA.
  • Pimpinelli M; Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA.
  • McIntire RK; Thomas Jefferson University, Jefferson College of Population Health, Philadelphia, PA.
  • Zeigler-Johnson C; Thomas Jefferson University, Department of Medical Oncology, Division of Population Science, Philadelphia, PA.
  • Myers RE; Thomas Jefferson University, Department of Medical Oncology, Division of Population Science, Philadelphia, PA.
  • Evans NR; The Jane and Leonard Korman Respiratory Institute at Thomas Jefferson University, Division of Thoracic Surgery, Philadelphia, PA.
  • Kane GC; The Jane and Leonard Korman Respiratory Institute at Thomas Jefferson University, Department of Medicine, Philadelphia, PA.
  • Juon HS; Thomas Jefferson University, Department of Medical Oncology, Division of Population Science, Philadelphia, PA. Electronic address: Hee-soon.Juon@jefferson.edu.
Clin Lung Cancer ; 22(6): 570-578, 2021 11.
Article em En | MEDLINE | ID: mdl-34257020
BACKGROUND: One challenge in high-quality lung cancer screening (LCS) is maintaining adherence with annual and short-interval follow-up screens among high-risk individuals who have undergone baseline low-dose CT (LDCT). This study aimed to characterize attitudes and beliefs toward lung cancer and LCS and to identify factors associated with LCS adherence. METHODS: We administered a questionnaire to 269 LCS participants to assess attitudes and beliefs toward lung cancer and LCS. Clinical data including sociodemographics and screening adherence were obtained from the LCS Program Registry. RESULTS: African-American individuals had significantly greater lung cancer worries compared with Whites (6.10 vs. 4.66, P < .001). In making the decision to undergo LCS, African-American participants described screening convenience and cost as very important factors significantly more frequently than Whites (60% vs. 26.8%, P< .001 and 58.4% vs. 37.8%, P = .001; respectively). African-American individuals with greater than high school education had significantly higher odds of LCS adherence (aOR 2.55; 95% CI, 1.14-5.60) than Whites with less than high school education. Participants who described screening convenience and cost as "very important" had significantly lower odds of completing screening follow-up after adjusting for demographic and other factors (aOR 0.56; 95% CI, 0.33-0.97 and aOR 0.54; 95% CI, 0.33-0.91, respectively). CONCLUSION: Racial differences in beliefs about lung cancer and LCS exist among African-American and White individuals enrolled in an LCS program. Cost, convenience, and low educational attainment may be barriers to LCS adherence, specifically among African-American individuals. IMPACT: More research is needed on how barriers can be overcome to improve LCS adherence.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Programas de Rastreamento / Disparidades em Assistência à Saúde / Detecção Precoce de Câncer / Fatores Raciais / Neoplasias Pulmonares Tipo de estudo: Diagnostic_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Aspecto: Determinantes_sociais_saude Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Clin Lung Cancer Assunto da revista: NEOPLASIAS Ano de publicação: 2021 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
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XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Programas de Rastreamento / Disparidades em Assistência à Saúde / Detecção Precoce de Câncer / Fatores Raciais / Neoplasias Pulmonares Tipo de estudo: Diagnostic_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Aspecto: Determinantes_sociais_saude Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Clin Lung Cancer Assunto da revista: NEOPLASIAS Ano de publicação: 2021 Tipo de documento: Article País de publicação: Estados Unidos