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Lung Cancer Screening Uptake under the Revised United States Preventive Services Task Force Guideline: Assessing Disparities

  • 0Department of Public Health Sciences at the University of Rochester School of Medicine and Dentistry, Rochester, New York.
Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology +

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September 13, 2024

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September 13, 2024

View abstract on PubMed

Summary

This summary is machine-generated.

Lung cancer screening (LCS) uptake is low, with only 17.24% of eligible individuals screened. Significant disparities exist based on age, insurance, and health status, highlighting the need for targeted interventions to improve lung cancer screening rates.

Area Of Science

  • Public Health
  • Epidemiology
  • Cancer Screening

Background

  • Low-dose computed tomography (LDCT) screening reduces lung cancer mortality by 20% in high-risk individuals.
  • Despite proven efficacy, lung cancer screening (LCS) adoption remains suboptimal.
  • Understanding current LCS rates and disparities is crucial for improving public health outcomes.

Purpose Of The Study

  • To estimate state-level and nationwide LCS rates among eligible U.S. populations.
  • To identify sociodemographic and health-related factors associated with LCS uptake.
  • To assess geographic variations in LCS utilization across states.

Main Methods

  • Utilized data from the 2022 Behavioral Risk Factor Surveillance System (BRFSS).
  • Employed multivariable logistic regression to analyze predictors of LCS.
  • Examined LCS variability across different U.S. states.

Main Results

  • Only 17.24% of 28,071 eligible participants underwent LCS.
  • Older adults (65-79 years) were more likely to be screened (OR, 1.75).
  • Lower uptake observed among females, uninsured, those without a primary care provider, and individuals with or without COPD, indicating significant disparities.

Conclusions

  • Overall LCS uptake is low, with substantial variation based on individual characteristics and state of residence.
  • Significant disparities in LCS uptake exist across sociodemographic and health-related factors.
  • Targeted interventions are needed to address specific subgroups and geographic areas to improve LCS rates.

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