Predictors of Lung Cancer Screening Utilization in a Population-Based Survey.

Journal of the American College of Radiology : JACR
Anja ZgodicJan M Eberth

Abstract

Annual low-dose CT (LDCT) screening in high-risk individuals has been recommended to detect lung cancer earlier and reduce mortality. The objective of this study was to identify demographic, financial, and health care factors associated with screening uptake in a population-based survey. Data from the Lung Cancer Screening Module and core modules of the 2017 Behavioral Risk Factor Surveillance System, a population-based survey administered via cell phone and landline, were analyzed to examine demographic, health, and financial factors associated with screening uptake among the 10 states that administered the screening module. Weighted frequencies and confidence intervals (CIs) were produced, and weighted Wald χ2 tests were used to compare differences in screening utilization by patient characteristics. A multivariate logistic mixed-effects model was constructed, in which participant clustering by state was accounted for with a random intercept. The uninsured were less likely to undergo LDCT screening (odds ratio [OR], 0.28; 95% CI, 0.12-0.65). LDCT screening uptake was higher for participants with chronic respiratory conditions (OR, 4.14; 95% CI, 2.33-7.35); those who were divorced, separated, widowed, or refused to answer (OR,...Continue Reading

Citations

Dec 5, 2020·Expert Review of Respiratory Medicine·Paul ZarogoulidisChrysanthi Sardeli
Feb 7, 2021·International Journal of Environmental Research and Public Health·Whitney E ZahndJan M Eberth
Mar 19, 2021·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Anja ZgodicJan M Eberth
Apr 3, 2021·Journal of the American College of Radiology : JACR·Erin A HirschStephen P Malkoski
Jul 9, 2021·JAMA Network Open·Eduardo R NúñezRenda Soylemez Wiener

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