Department of Psychology, University of Colorado Denver, Denver, CO, USA.
Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Cancer Causes Control. 2023 Dec;34(Suppl 1):209-216. doi: 10.1007/s10552-023-01790-z. Epub 2023 Sep 15.
Lung cancer is the leading cause of cancer death, but the advent of lung cancer screening using low-dose computed tomography offers a tremendous opportunity to improve lung cancer outcomes. Unfortunately, implementation of lung cancer screening has been hampered by substantial barriers and remains suboptimal. Specifically, the commentary emphasizes the intersectionality of smoking history and several important sociodemographic characteristics and identities that should inform lung cancer screening outreach and engagement efforts, including socioeconomic considerations (e.g., health insurance status), racial and ethnic identity, LGBTQ + identity, mental health history, military experience/veteran status, and geographic residence in addressing specific community risk factors and future interventions in efforts to make strides toward equitable lung cancer screening.
Members of the Equitable Implementation of Lung Cancer Screening Interest Group with the Cancer Prevention and Control Network (CPCRN) provide a critical commentary based on existing literature regarding smoking trends in the US and lung cancer screening uptake to propose opportunities to enhance implementation and support equitable distribution of the benefits of lung cancer screening.
The present commentary utilizes information about historical trends in tobacco use to highlight opportunities for targeted outreach efforts to engage communities at high risk with information about the lung cancer screening opportunity. Future efforts toward equitable implementation of lung cancer screening should focus on multi-level implementation strategies that engage and work in concert with community partners to co-create approaches that leverage strengths and reduce barriers within specific communities to achieve the potential of lung cancer screening.
肺癌是癌症死亡的主要原因，但低剂量计算机断层扫描（CT）肺癌筛查的出现为改善肺癌预后提供了巨大的机会。不幸的是，由于存在诸多障碍，肺癌筛查的实施仍不尽如人意。具体而言，本评论强调了吸烟史与几个重要的社会人口特征和身份之间的交叉性，这些特征和身份应告知肺癌筛查推广和参与工作，包括社会经济方面的考虑因素（如健康保险状况）、种族和民族身份、LGBTQ+身份、心理健康史、军事经历/退伍军人身份以及地理位置，以解决特定社区的风险因素和未来干预措施，努力朝着公平的肺癌筛查迈进。
癌症预防与控制网络（CPCRN）肺癌筛查实施公平性兴趣小组成员根据美国吸烟趋势和肺癌筛查参与度的现有文献提供了批判性评论，提出了加强实施和支持公平分配肺癌筛查益处的机会。
本评论利用有关烟草使用历史趋势的信息，突出了有针对性的外展工作的机会，以使处于高风险的社区获得有关肺癌筛查机会的信息。未来实现肺癌筛查公平实施的工作应侧重于多层次的实施策略，这些策略与社区合作伙伴合作，共同制定利用特定社区优势并减少障碍的方法，以发挥肺癌筛查的潜力。
