Sirisha Jonnalagadda|Cara Bergamo|Jenny Lin|Linda Lurslurchachai|Michael A. Diefenbach|Cardinale B. Smith|Judith E. Nelson|Juan P. Wisnivesky
Beliefs and attitudes about lung cancer screening among smokers
Icahn School of Medicine at Mount Sinai|Icahn School of Medicine at Mount Sinai|Icahn School of Medicine at Mount Sinai|Icahn School of Medicine at Mount Sinai|Icahn School of Medicine at Mount Sinai|Icahn School of Medicine at Mount Sinai
national lung screening trial nlst recently reported annual computed tomography ct screening associated decreased lung cancer mortality highrisk smokers beliefs lung cancer screening particularly across race ethnicity influence ct screening utilization largely unexamined study recruited asymptomatic highrisk smokers 5574 years age primary care clinics academic urban hospital guided selfregulation theory evaluated cognitive affective beliefs lung cancer intention screen lung cancer ct scan assessed selfreport used univariate logistic regression analyses compare beliefs screening intention screen among minority blacks hispanics nonminority participants overall enrolled 108 participants 40 black 34 hispanic mean age 623 years median packyears smoking 26 found intention screen similar among minorities nonminorities p019 however hispanics less likely report intention screen pay test p002 fatalistic beliefs fear radiation exposure anxiety related ct scans significantly associated decreased intention screen p005 several differences observed minority versus nonminority participants beliefs toward lung cancer screening conclusion found concerns cost particularly prominent among hispanics well fatalism radiation exposure fears may constitute barriers lung cancer screening lung cancer screening programs address factors ensure broad participation particularly among minorities