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Increasing Lung Cancer Screening for High-Risk Smokers in a Frontier Population.

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Journal of Cancer Education : the Official Journal of the American Association for Cancer Education
|September 9, 2023
PubMed
Summary

Provider and community education significantly increased low-dose computed tomography (LDCT) screening for lung cancer among Northern Plains American Indians. This intervention led to a 90.9% rise in LDCT utilization, reducing lung cancer mortality risks.

Keywords:
American IndianCommunity educationLow-dose computed tomographyLung cancerProvider educationScreening

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Area of Science:

  • Public Health
  • Oncology
  • Radiology

Background:

  • Northern Plains American Indians face disproportionately high lung cancer mortality rates.
  • Low-dose computed tomography (LDCT) screening is underutilized in this high-risk population despite eligibility.

Purpose of the Study:

  • To investigate provider and community interventions to increase LDCT screening utilization.
  • To reduce lung cancer mortality rates in a high-risk American Indian population.

Main Methods:

  • Utilized the Precaution Adoption Model for provider and community interventions in western South Dakota.
  • Compared baseline and 6-month follow-up intake surveys and LDCT screenings.
  • Interventions included provider education workshops and community awareness sessions.

Main Results:

  • LDCT utilization increased by 90.9% (from 640 to 1706) over the study period.
  • Provider recommendation was the primary driver for LDCT screening (88% of patients).
  • Provider interventions showed the strongest impact on LDCT utilization.

Conclusions:

  • Provider-focused interventions are effective in increasing LDCT screening rates.
  • Community education enhances awareness of LDCT benefits for lung cancer prevention.
  • Combined interventions show promise for reducing lung cancer mortality in high-risk populations.