Racial disparities in eligibility for low-dose computed tomography lung cancer screening among older adults with a history of smoking
Racial disparities in eligibility for low-dose computed tomography lung cancer screening among older adults with a history of smoking
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DOI：
10.1007/s10552-018-1092-2
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发表时间：
2019-03-01
影响因子：
2.3
通讯作者：
Shah, Raj C.
中科院分区：
文献类型：
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作者：
Li, Chien-Ching;Matthews, Alicia K.;Shah, Raj C.
目的肺癌早期筛查已被证明可以降低高危吸烟者的肺癌死亡率。本研究旨在探讨目前的筛查指南是否可能不成比例地排除非洲裔美国人吸烟者谁是在较高的整体风险为lung cancer.MethodsData从2014年健康和退休研究进行了分析。有吸烟史的老年非裔美国人和白人被纳入分析（n= 7，348）。使用美国预防服务工作组（USPSTF）为LDCT肺癌筛查建立的资格标准。进行多变量logistic回归分析，以检查种族差异的LDCT肺癌screening.ResultsOverall资格，21.1%的当前和10.5%的前吸烟者符合USPSTF的LDCT筛查的资格标准。在多变量logistic回归分析中，与白人相比，非裔美国人吸烟者更不可能符合LDCT肺癌筛查的条件（比值比=0.5; p
PurposeLung cancer early detection screening has been demonstrated to decrease lung cancer mortality among high-risk smokers. This study aimed to examine whether current screening guidelines may disproportionately exclude African American smokers who are at higher overall risk for lung cancer.MethodsData from the 2014 Health and Retirement Study were analyzed. Older African Americans and Whites with a history of smoking were included in the analyses (n=7,348). Eligibility criteria established by the U.S. Preventive Services Task Force (USPSTF) for LDCT lung cancer screening were used. Multivariate logistic regression analyses were conducted to examine racial differences in eligibility for LDCT lung cancer screening.ResultsOverall, 21.1% of current and 10.5% of former smokers met USPSTF's eligibility criteria for LDCT screening. In multivariate logistic regression analyses, African American smokers were less likely to be eligible for LDCT lung cancer screening compared to Whites (odds ratio=0.5; p