Lung cancer screening decisional needs among African American smokers of lower socioeconomic status.
Lung cancer screening decisional needs among African American smokers of lower socioeconomic status.
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DOI：
10.1080/13557858.2020.1771681
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发表时间：
2022-04
影响因子：
3.1
通讯作者：
Knott CL
中科院分区：
文献类型：
--
作者：
Williams RM;Beck KH;Butler J 3rd;Lee S;Wang MQ;Taylor KL;Knott CL
非裔美国人对大多数基于证据的癌症筛查的依从性较低，这是由于系统和个人层面的因素导致了持续的差异。鉴于在肺癌高风险人群中推荐低剂量计算机断层扫描（LDCT）筛查，我们试图描述非裔美国人进行LDCT决策的各个方面，并检查决策的选择组成部分与筛查相关意图之间的关联。招募55 ~ 80岁、有长期吸烟史、无肺癌的非裔美国人（N=119）参加横断面调查。我们测量了与肺癌筛查相关的知识、意识、决策冲突、偏好和价值观。大多数研究人群的社会经济地位较低（67.2%的年收入≤20,000美元）和长期吸烟者（79%）。参与者的吸烟史中位数为20包年。大多数参与者（65.8%）没有听说过LDCT，肺癌筛查知识总分为M=7.1/15.0 （SD=1.8）。在赞成和反对筛查的重要性上得分较高的参与者更有可能与医生、家人和朋友谈论筛查（p < 0.10）。研究结果有助于解决社会经济地位较低的非裔美国人当前和曾经吸烟者的决策需求，以促进LDCT的知情决策。
Adherence to most evidence-based cancer screenings is lower among African Americans due to system- and individual-level factors that contribute to persistent disparities. Given the recommendation for low-dose computed tomography (LDCT) screening among individuals at high risk for lung cancer, we sought to describe aspects of decision-making for LDCT among African Americans and to examine associations between select components of decision-making and screening-related intentions. African Americans (N=119) with a long-term smoking history, aged 55 to 80 years, and without lung cancer were recruited to participate in a cross-sectional survey. We measured knowledge, awareness, decisional conflict, preferences, and values related to lung cancer screening. The majority of the study population was of lower socioeconomic status (67.2% had an annual income of ≤$20,000) and long-term current (79%) smokers. Participants had a median 20 pack-years smoking history. Most participants (65.8%) had not heard of LDCT and the total lung cancer screening knowledge score was M=7.1/15.0 (SD=1.8). Participants with higher scores on the importance of the pros and cons of screening expressed greater likelihood of talking with a doctor, family, and friends about screening (p’s <.10). Findings have implications for addressing the decisional needs of lower socioeconomic African American current and former smokers to promote informed decision-making for LDCT.
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DOI：
10.1164/rccm.201502-0259oc
发表时间：
2015-07-15
影响因子：
24.7
作者：
Tanner, Nichole T.;Gebregziabher, Mulugeta;Silvestri, Gerard A.
通讯作者：
Silvestri, Gerard A.
影响因子：
3
作者：
Kuder, G. F.;Richardson, M. W.
通讯作者：
Richardson, M. W.
影响因子：
3.8
作者：
Adams, Jared R.;Drake, Robert E.;Wolford, George L.
通讯作者：
Wolford, George L.
影响因子：
1.7
作者：
Lau, Yan Kwan;Caverly, Tanner J.;Meza, Rafael
通讯作者：
Meza, Rafael
影响因子：
--
作者：
O'Connor, AM;Rostom, A;Jones, J
通讯作者：
Jones, J