Equitable Implementation of Lung Cancer Screening: Avoiding its Potential to Mirror Existing Inequities Among People Who Use Tobacco

Details

• Alternative Title:
  Cancer Causes Control
• Personal Author:
  Bilenduke, Emily ; Anderson, Shacoria ; Brenner, Alison ; Currier, Jessica ; Eberth, Jan M. ; King, Jaron ; Land, Stephanie R. ; Risendal, Betsy C. ; Shannon, Jackilen ; Siegel, Leeann N. ; Wangen, Mary ; Waters, Austin R. ; Zahnd, Whitney E. ; Studts, Jamie L.
• Description:
  Purpose:
  
  Lung cancer is the leading cause of cancer death, but the advent of lung cancer screening using low-dose computed tomography offers a tremendous opportunity to improve lung cancer outcomes. Unfortunately, implementation of lung cancer screening has been hampered by substantial barriers and remains suboptimal. Specifically, the commentary emphasizes the intersectionality of smoking history and several important sociodemographic characteristics and identities that should inform lung cancer screening outreach and engagement efforts, including socioeconomic considerations (e.g., health insurance status), racial and ethnic identity, LGBTQ+ identity, mental health history, military experience/veteran status, and geographic residence in addressing specific community risk factors and future interventions in efforts to make strides towards equitable lung cancer screening.
  
  Methods:
  
  Members of the Equitable Implementation of Lung Cancer Screening Interest Group with the Cancer Prevention and Control Network (CPCRN) provide a critical commentary based on existing literature regarding smoking trends in the US and lung cancer screening uptake to propose opportunities to enhance implementation and support equitable distribution of the benefits of lung cancer screening.
  
  Results/Conclusions:
  
  The present commentary utilizes information about historical trends in tobacco use to highlight opportunities for targeted outreach efforts to engage communities at high risk with information about the lung cancer screening opportunity. Future efforts toward equitable implementation of lung cancer screening should focus on multi-level implementation strategies that engage and work in concert with community partners to co-create approaches that leverage strengths and reduce barriers within specific communities to achieve the potential of lung cancer screening.
  
  
• Subjects:
  Early Detection Of Cancer Humans Lung Neoplasms Risk Factors Smoking
• Keywords:
  Community-engagement Equity Intersectionality Lung Cancer Screening Tobacco Use
• Source:
  Cancer Causes Control. 34(Suppl 1):209-216
• Pubmed ID:
  37713024
• Pubmed Central ID:
  PMC10689540
• Document Type:
  Journal Article
• Funding:
  U48 DP006401/DP/NCCDPHP CDC HHSUnited States/ ; U48 DP006400/DP/NCCDPHP CDC HHSUnited States/ ; U48 DP006399/DP/NCCDPHP CDC HHSUnited States/ ; U48 DP006389/DP/NCCDPHP CDC HHSUnited States/ ; R21CA234295/CA/NCI NIH HHSUnited States/ ; T32 CA116339/CA/NCI NIH HHSUnited States/ ; P30 CA069533/CA/NCI NIH HHSUnited States/ ; P30CA069533/CA/NCI NIH HHSUnited States/ ; R21 CA234295/CA/NCI NIH HHSUnited States/ ; P30 CA086862/CA/NCI NIH HHSUnited States/ ; R01 CA254734/CA/NCI NIH HHSUnited States/
• Volume:
  34
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:45d23072493e785603ef7e3d661c9debb0ced02de8abbd1b94061fe34dbfa56e
• Download URL:
  https://stacks.cdc.gov/view/cdc/147634/cdc_147634_DS1.pdf
• File Type:
  [PDF - 81.29 KB ]