低剂量CT肺癌筛查的资格以及性少数群体中用于肺癌筛查的CT扫描使用情况
LDCT lung cancer screening eligibility and use of CT scans for lung cancer among sexual minorities.
作者信息
Veliz Philip, Matthews Alicia K, Arslanian-Engoren Cynthia, Evans-Polce Rebecca J, Lee Joseph G L, Boyd Carol J, Hughes Tonda, McCabe Vita V, McCabe Sean Esteban
机构信息
Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls, Ann Arbor, MI 48109, USA; Institute for Research on Women and Gender, University of Michigan, 204 S. State St., Ann Arbor, MI 48109, USA.
College of Nursing, University of Illinois at Chicago, 845 S. Damen Avenue, Chicago, IL, 60612, USA.
出版信息
Cancer Epidemiol. 2019 Jun;60:51-54. doi: 10.1016/j.canep.2019.03.009. Epub 2019 Mar 23.
OBJECTIVE
To compare eligibility for lung cancer screening and receipt of a CT scan for lung cancer among sexual minorities.
METHODS
Secondary data analysis of cross-sectional data from older U.S. adults in the Behavioral Risk Factor Surveillance System survey during the 2017 cycle (n = 20,685).
RESULTS
Rates of eligibility for low-dose helical computed tomography (LDCT) were roughly twice as high among sexual minorities than among heterosexuals (21.1% vs. 11.7%). The odds of gay men and lesbian women indicating eligibility for LDCT screening were four to five times higher when compared to their heterosexual peers. No statistically significant differences were found between sexual minorities and heterosexuals with respect to having a CT scan for lung cancer in the past year.
CONCLUSIONS
There are potential sexual-identity-related disparities in the utilization of lung cancer screening among eligible smokers. Interventions are needed to increase awareness and uptake of lung cancer screening in order to detect and manage this common form of cancer in the U.S.
目的
比较性少数群体中肺癌筛查的资格以及接受肺癌CT扫描的情况。
方法
对2017年周期美国行为危险因素监测系统调查中美国老年成年人的横断面数据进行二次数据分析（n = 20,685）。
结果
性少数群体中低剂量螺旋计算机断层扫描（LDCT）的资格率大约是异性恋者的两倍（21.1%对11.7%）。与异性恋同龄人相比，男同性恋者和女同性恋者表明有资格进行LDCT筛查的几率高出四到五倍。在过去一年中，性少数群体和异性恋者在接受肺癌CT扫描方面未发现统计学上的显著差异。
结论
在符合条件的吸烟者中，肺癌筛查的利用存在与性取向相关的潜在差异。需要采取干预措施来提高对肺癌筛查的认识和接受度，以便在美国检测和管理这种常见的癌症形式。
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