拉丁裔和非拉丁裔当前及既往吸烟者在肺癌筛查方面的障碍与意愿
Barriers to and Interest in Lung Cancer Screening Among Latino and Non-Latino Current and Former Smokers.
作者信息
Percac-Lima Sanja, Ashburner Jeffrey M, Atlas Steven J, Rigotti Nancy A, Flores Efren J, Kuchukhidze Salome, Park Elyse R
机构信息
Division of General Internal Medicine Massachusetts General Hospital, 100 Cambridge Street, Suite 1647, 02114, Boston, MA, USA.
Harvard Medical School, Boston, MA, USA.
出版信息
J Immigr Minor Health. 2019 Dec;21(6):1313-1324. doi: 10.1007/s10903-019-00860-2.
Lung cancer is a leading cause of cancer death in Latinos. In a telephone survey, we assessed perceptions about lung cancer and awareness of, interest in, and barriers to lung screening among older current and former smokers. We compared Latino and non-Latino responses adjusting for age, sex, education, and smoking status using logistic regression models. Of the 460 patients who completed the survey (51.5% response rate), 58.0% were women, 49.3% former smokers, 15.7% Latino, with mean age 63.6 years. More Latinos believed that lung cancer could be prevented compared to non-Latinos (74.6% vs. 48.2%, OR 3.07, CI 1.89-5.01), and less worried about developing lung cancer (34.8% vs. 50.3%, OR 0.44, CI 0.27-0.72). Most participants were not aware of lung screening (44.1% Latinos vs. 34.3% Non-Latinos, OR 1.24, CI 0.79-1.94), but when informed, more Latinos wanted to be screened (90.7% vs. 67%, OR 4.58, CI 2.31-9.05). Latinos reported fewer barriers to lung screening.
肺癌是拉丁裔人群癌症死亡的主要原因。在一项电话调查中，我们评估了老年当前吸烟者和既往吸烟者对肺癌的看法以及对肺癌筛查的知晓度、兴趣和障碍。我们使用逻辑回归模型，在对年龄、性别、教育程度和吸烟状况进行调整后，比较了拉丁裔和非拉丁裔的回答。在完成调查的460名患者中（回复率为51.5%），58.0%为女性，49.3%为既往吸烟者，15.7%为拉丁裔，平均年龄63.6岁。与非拉丁裔相比，更多拉丁裔认为肺癌可以预防（74.6%对48.2%，比值比3.07，可信区间1.89 - 5.01），且对患肺癌的担忧较少（34.8%对50.3%，比值比0.44，可信区间0.27 - 0.72）。大多数参与者不知道肺癌筛查（44.1%的拉丁裔对34.3%的非拉丁裔，比值比1.24，可信区间0.79 - 1.94），但在得知后，更多拉丁裔希望接受筛查（90.7%对67%，比值比4.58，可信区间2.31 - 9.05）。拉丁裔报告的肺癌筛查障碍较少。
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