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Cancer Causes & Control

, Volume 30, Issue 3, pp 235–240 | Cite as

Racial disparities in eligibility for low-dose computed tomography lung cancer screening among older adults with a history of smoking

  • Chien-Ching LiEmail author
  • Alicia K. Matthews
  • Mantle M. Rywant
  • Emily Hallgren
  • Raj C. Shah
Brief report

Abstract

Purpose

Lung 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.

Methods

Data 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.

Results

Overall, 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 < 0.001).

Conclusion

African American smokers were less likely to meet established lung cancer screening eligibility criteria compared to Whites. Current lung cancer screening criteria may not adequately capture African Americans at risk and may widen the health disparities in African Americans. Further longitudinal studies are needed to evaluate the efficacy of current lung cancer screening guideline.

Keywords

Lung cancer screening Racial disparities Low-dose computed tomography African American Smoking 

Notes

Acknowledgments

The Health and Retirement Study analyzed in the study is sponsored by the National Institute on Aging (NIA U01AG009740) and is conducted by the University of Michigan.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  1. 1.Department of Health Systems ManagementRush UniversityChicagoUSA
  2. 2.Department of Health Systems ScienceUniversity of Illinois at ChicagoChicagoUSA
  3. 3.Department of SociologyUniversity of Illinois at ChicagoChicagoUSA
  4. 4.Department of Family MedicineRush University Medical CanterChicagoUSA

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