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Barriers to and Interest in Lung Cancer Screening Among Latino and Non-Latino Current and Former Smokers

Journal of Immigrant and Minority Health volume 21, pages 1313–1324 (2019)Cite this article

Abstract

Lung cancer is a leading cause of cancer death in Latinos. In a telephone survey, we assessed perceptions about lung cancer and awareness of, interest in, and barriers to lung screening among older current and former smokers. We compared Latino and non-Latino responses adjusting for age, sex, education, and smoking status using logistic regression models. Of the 460 patients who completed the survey (51.5% response rate), 58.0% were women, 49.3% former smokers, 15.7% Latino, with mean age 63.6 years. More Latinos believed that lung cancer could be prevented compared to non-Latinos (74.6% vs. 48.2%, OR 3.07, CI 1.89–5.01), and less worried about developing lung cancer (34.8% vs. 50.3%, OR 0.44, CI 0.27–0.72). Most participants were not aware of lung screening (44.1% Latinos vs. 34.3% Non-Latinos, OR 1.24, CI 0.79–1.94), but when informed, more Latinos wanted to be screened (90.7% vs. 67%, OR 4.58, CI 2.31–9.05). Latinos reported fewer barriers to lung screening.

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Acknowledgements

This study was supported by American Cancer Society: Cancer Control Career Development Award for Primary Care Physicians, CCCDAA-14-012-01-CCCDA and Lazarex Cancer Foundation.

Author information

Affiliations

  1. Division of General Internal Medicine Massachusetts General Hospital, 100 Cambridge Street, Suite 1647, 02114, Boston, MA, USA

    Sanja Percac-Lima, Jeffrey M. Ashburner, Steven J. Atlas & Nancy A. Rigotti

  2. Harvard Medical School, Boston, MA, USA

    Sanja Percac-Lima, Steven J. Atlas, Nancy A. Rigotti, Efren J. Flores, Salome Kuchukhidze & Elyse R. Park

  3. Mongan Institute for Health Policy Center Massachusetts General Hospital, Boston, MA, USA

    Sanja Percac-Lima, Steven J. Atlas, Nancy A. Rigotti & Elyse R. Park

  4. Massachusetts General Hospital Department of Radiology, Boston, MA, USA

    Efren J. Flores

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  1. Sanja Percac-Lima
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Correspondence to Sanja Percac-Lima.

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Appendices

Appendix 1

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Appendix 2

See Table 5.

Table 5 Respective reliability ratings for the three subscale barriers to lung cancer screening
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Percac-Lima, S., Ashburner, J.M., Atlas, S.J. et al. Barriers to and Interest in Lung Cancer Screening Among Latino and Non-Latino Current and Former Smokers. J Immigrant Minority Health 21, 1313–1324 (2019). https://doi.org/10.1007/s10903-019-00860-2

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Keywords

  • Lung cancer
  • Cancer screening
  • Barriers
  • Latino