Racial Differences in Lung Cancer Screening Beliefs and Screening Adherence.
Publication/Presentation Date
11-1-2021
Abstract
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.
Volume
22
Issue
6
First Page
570
Last Page
578
ISSN
1938-0690
Published In/Presented At
Barta, J. A., Shusted, C. S., Ruane, B., Pimpinelli, M., McIntire, R. K., Zeigler-Johnson, C., Myers, R. E., Evans, N. R., Kane, G. C., & Juon, H. S. (2021). Racial Differences in Lung Cancer Screening Beliefs and Screening Adherence. Clinical lung cancer, 22(6), 570–578. https://doi.org/10.1016/j.cllc.2021.06.003
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
34257020
Department(s)
Administration and Leadership
Document Type
Article