美国预防服务工作组指南修订版中的肺癌筛查接受率:评估差异

IF 3.7 3区 医学 Q2 ONCOLOGY
Abdi T. Gudina, Charles S. Kamen, Kelly A. Hirko, David H. Adler, Deborah J. Ossip, Edith M. Williams, Vinay K. Cheruvu, Ana-Paula Cupertino
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引用次数: 0

摘要

背景:使用低剂量计算机断层扫描可将高危人群的肺癌死亡率降低 20%。尽管肺癌筛查(LCS)效果显著,但其接受率仍然很低。我们的研究旨在估算各州和全国范围内符合条件者的肺癌筛查率,并评估肺癌筛查接受率的差异。方法:本研究的数据来自 2022 年的 BRFSS。使用多变量逻辑回归模型来模拟预测因素和结果变量之间的关联,并检查各州的 LCS 变异性。结果:在 28071 名符合 LCS 条件的参与者中,17.24% 接受了 LCS。65 -79 岁的参与者(OR:1.75,95%CI:1.54 -1.99)比年轻人更有可能接受 LCS。女性(OR:0.83,95%CI:0.73 - 0.94)、离婚、分居或丧偶(OR:0.85,95%CI:0.74-0.98)、无医疗保险(OR:0.34,95%CI:0.22-0.53)、无初级保健提供者(OR:0.29,95%CI:0.19-0.44)、无慢性阻塞性肺病(COPD)或未披露其慢性阻塞性肺病状况(OR:0.35,95%CI:0.31-0.40)和(OR:0.37,95%CI:0.19-0.73))的患者接受 LCS 的可能性低于他们各自的同行。美国各州的 LCS 使用率也有很大差异。结论:我们观察到,LCS 的总体接受率较低,而根据社会人口学和健康相关因素以及居住州的不同,LCS 的接受率也存在显著差异。影响:这项研究的结果对社区卫生工作者和医疗临床医生具有重要意义,并表明有必要针对特定人群和美国特定州设计有效的干预措施,以提高LCS的使用率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Lung Cancer Screening Uptake Under the Revised United States Preventive Service Task Force Guideline: Assessing Disparities
Background: Scanning with low-dose computed tomography reduces lung cancer mortality by 20% among high-risk individuals. Despite its efficacy, the uptake of lung cancer screening (LCS) remains low. Our study aimed to estimate state-level and nationwide LCS rates among eligible individuals and to assess disparities in LCS uptake. Methods: Data for this study were obtained from the 2022 BRFSS. Multivariable logistic regression models were used to model the associations between predictors and outcome variables and to examine LCS variability across states. Results: Of the 28,071 participants eligible for LCS, 17.24% underwent LCS. Participants aged 65 -79 years were (OR: 1.75, 95%CI: 1.54 -1.99) more likely to undergo LCS than their younger counterparts. Those who were female (OR: 0.83, 95%CI: 0.73 - 0.94), divorced, separated, or widowed (OR: 0.85, 95%CI: 0.74-0.98), without health insurance (OR: 0.34, 95%CI: 0.22-0.53), without a primary care provider (OR: 0.29, 95%CI: 0.19-0.44), without COPD or those who did not disclose their COPD status ((OR: 0.35, 95%CI: 0.31-0.40) and (OR: 0.37, 95%CI: 0.19-0.73) respectively)) were less likely to undergo LCS than their respective counterparts. LCS uptake also varied significantly across U.S. states. Conclusions: We observed low uptake of LCS overall, and significant variability in LCS uptake by sociodemographic and health-related factors as well as by state of residence. Impact: The findings from this study have important implications for community health workers and healthcare clinicians and indicate the need to design effective interventions to increase LCS uptake targeting specific subgroups of populations and particular U.S. states.
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来源期刊
Cancer Epidemiology Biomarkers & Prevention
Cancer Epidemiology Biomarkers & Prevention 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
2.60%
发文量
538
审稿时长
1.6 months
期刊介绍: Cancer Epidemiology, Biomarkers & Prevention publishes original peer-reviewed, population-based research on cancer etiology, prevention, surveillance, and survivorship. The following topics are of special interest: descriptive, analytical, and molecular epidemiology; biomarkers including assay development, validation, and application; chemoprevention and other types of prevention research in the context of descriptive and observational studies; the role of behavioral factors in cancer etiology and prevention; survivorship studies; risk factors; implementation science and cancer care delivery; and the science of cancer health disparities. Besides welcoming manuscripts that address individual subjects in any of the relevant disciplines, CEBP editors encourage the submission of manuscripts with a transdisciplinary approach.
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