Gudina Abdi T, Kamen Charles, Mattick Lindsey J, Cartujano-Barrera Francisco, Janelsins Michelle C, Ossip Deborah, Rivera M Patricia, Fiscella Kevin, Cupertino Ana-Paula
Department of Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Division of Supportive Care in Cancer, Department of Surgery, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Transl Lung Cancer Res. 2024 Aug 31;13(8):1877-1887. doi: 10.21037/tlcr-24-269. Epub 2024 Aug 12.
Despite its efficacy in reducing lung cancer (LC)-specific mortality by 20%, screening with low-dose computed tomography (LDCT) in eligible groups remains low (5-16%). Black individuals are more commonly affected by LC than other racial/ethnic groups in the United States (U.S.) but less likely to undergo LC screening (LCS). Our study aimed to explore the knowledge and beliefs of Black individuals at high risk regarding LCS.
Black individuals (n=17) who met the 2021 United States Preventive Services Task Force (USPSTF) LCS eligibility criteria were recruited in upstate New York. In-depth semi-structured interviews were conducted, audio recorded, and transcribed to explore knowledge and beliefs that could influence the uptake of LCS. A qualitative thematic analysis method was used to identify and analyze themes within the data.
We identified principal themes about LC and LCS. Although most participants reported that smoking was the major risk factor for LC, some participants placed more emphasis on other factors as the major risk factors for LC and de-emphasized the role of smoking. Most participants were not aware that screening for LC existed. Several barriers and facilitators for LCS were identified.
Awareness about LCS among Black individuals is low. Addressing barriers may help increase LCS rates among Black individuals, ultimately reducing their LC mortality. The findings from our study have important implications in designing more effective interventions involving community health workers and healthcare clinicians to increase LCS uptake among Black individuals at high risk.
尽管低剂量计算机断层扫描（LDCT）筛查可将肺癌（LC）特异性死亡率降低20%，但符合条件人群的筛查率仍然很低（5%-16%）。在美国，黑人比其他种族/族裔群体更易患LC，但接受LC筛查（LCS）的可能性更小。我们的研究旨在探讨高危黑人个体对LCS的认知和信念。
在纽约州北部招募了符合2021年美国预防服务工作组（USPSTF）LCS资格标准的黑人个体（n=17）。进行了深入的半结构化访谈，进行了录音并转录，以探讨可能影响LCS接受度的知识和信念。采用定性主题分析方法来识别和分析数据中的主题。
我们确定了关于LC和LCS的主要主题。尽管大多数参与者报告吸烟是LC的主要危险因素，但一些参与者更强调其他因素是LC的主要危险因素，并淡化了吸烟的作用。大多数参与者不知道存在LC筛查。确定了LCS的几个障碍和促进因素。
黑人个体对LCS的认知度较低。消除障碍可能有助于提高黑人个体的LCS率，最终降低他们的LC死亡率。我们研究的结果对于设计更有效的干预措施具有重要意义，这些干预措施涉及社区卫生工作者和医疗保健临床医生，以提高高危黑人个体对LCS的接受度。
