LDCT lung cancer screening eligibility and use of CT scans for lung cancer among sexual minorities

doi:10.1016/j.canep.2019.03.009

. 2019 Jun:60:51-54.

doi: 10.1016/j.canep.2019.03.009. Epub 2019 Mar 23.

LDCT lung cancer screening eligibility and use of CT scans for lung cancer among sexual minorities

Philip Veliz¹, Alicia K Matthews², Cynthia Arslanian-Engoren³, Rebecca J Evans-Polce³, Joseph G L Lee⁴, Carol J Boyd⁵, Tonda Hughes⁶, Vita V McCabe⁷, Sean Esteban McCabe⁸

Affiliations

¹ Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls, Ann Arbor, MI 48109, USA; Institute for Research on Women and Gender, University of Michigan, 204 S. State St., Ann Arbor, MI 48109, USA. Electronic address: ptveliz@umich.edu.
² College of Nursing, University of Illinois at Chicago, 845 S. Damen Avenue, Chicago, IL, 60612, USA.
³ Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls, Ann Arbor, MI 48109, USA.
⁴ Department of Health Education and Promotion, College of Health and Human Performance, East Carolina University, 1000 East 5th Street, Greenville, NC, 27858, USA.
⁵ Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls, Ann Arbor, MI 48109, USA; Institute for Research on Women and Gender, University of Michigan, 204 S. State St., Ann Arbor, MI 48109, USA; Addiction Center, Department of Psychiatry, University of Michigan, Ann Arbor, MI 48109, USA.
⁶ School of Nursing, Columbia University, 560 W. 168th Street, New York, NY, 10032, USA.
⁷ Lung Care and Center for Tobacco-Free Living, St. Joseph Mercy Health System, 5333 McAuley Drive, RHB-4005, Ann Abor, MI 48197, USA.
⁸ Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls, Ann Arbor, MI 48109, USA; Institute for Research on Women and Gender, University of Michigan, 204 S. State St., Ann Arbor, MI 48109, USA; Institute for Healthcare Policy and Innovation, University of Michigan, 2800 Plymouth Road, North Campus Research Complex (NCRC), Building 16, Ann Arbor, MI 48109, USA.

PMID: 30909153
PMCID: PMC6527458
DOI: 10.1016/j.canep.2019.03.009

LDCT lung cancer screening eligibility and use of CT scans for lung cancer among sexual minorities

Philip Veliz et al. Cancer Epidemiol. 2019 Jun.

. 2019 Jun:60:51-54.

doi: 10.1016/j.canep.2019.03.009. Epub 2019 Mar 23.

Authors

Philip Veliz¹, Alicia K Matthews², Cynthia Arslanian-Engoren³, Rebecca J Evans-Polce³, Joseph G L Lee⁴, Carol J Boyd⁵, Tonda Hughes⁶, Vita V McCabe⁷, Sean Esteban McCabe⁸

Affiliations

¹ Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls, Ann Arbor, MI 48109, USA; Institute for Research on Women and Gender, University of Michigan, 204 S. State St., Ann Arbor, MI 48109, USA. Electronic address: ptveliz@umich.edu.
² College of Nursing, University of Illinois at Chicago, 845 S. Damen Avenue, Chicago, IL, 60612, USA.
³ Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls, Ann Arbor, MI 48109, USA.
⁴ Department of Health Education and Promotion, College of Health and Human Performance, East Carolina University, 1000 East 5th Street, Greenville, NC, 27858, USA.
⁵ Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls, Ann Arbor, MI 48109, USA; Institute for Research on Women and Gender, University of Michigan, 204 S. State St., Ann Arbor, MI 48109, USA; Addiction Center, Department of Psychiatry, University of Michigan, Ann Arbor, MI 48109, USA.
⁶ School of Nursing, Columbia University, 560 W. 168th Street, New York, NY, 10032, USA.
⁷ Lung Care and Center for Tobacco-Free Living, St. Joseph Mercy Health System, 5333 McAuley Drive, RHB-4005, Ann Abor, MI 48197, USA.
⁸ Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, 400 N. Ingalls, Ann Arbor, MI 48109, USA; Institute for Research on Women and Gender, University of Michigan, 204 S. State St., Ann Arbor, MI 48109, USA; Institute for Healthcare Policy and Innovation, University of Michigan, 2800 Plymouth Road, North Campus Research Complex (NCRC), Building 16, Ann Arbor, MI 48109, USA.

PMID: 30909153
PMCID: PMC6527458
DOI: 10.1016/j.canep.2019.03.009

Abstract

Objective: To compare eligibility for lung cancer screening and receipt of a CT scan for lung cancer among sexual minorities.

Methods: Secondary data analysis of cross-sectional data from older U.S. adults in the Behavioral Risk Factor Surveillance System survey during the 2017 cycle (n = 20,685).

Results: Rates of eligibility for low-dose helical computed tomography (LDCT) were roughly twice as high among sexual minorities than among heterosexuals (21.1% vs. 11.7%). The odds of gay men and lesbian women indicating eligibility for LDCT screening were four to five times higher when compared to their heterosexual peers. No statistically significant differences were found between sexual minorities and heterosexuals with respect to having a CT scan for lung cancer in the past year.

Conclusions: There are potential sexual-identity-related disparities in the utilization of lung cancer screening among eligible smokers. Interventions are needed to increase awareness and uptake of lung cancer screening in order to detect and manage this common form of cancer in the U.S.

Keywords: Lung cancer; Screening; Sexual minorities.

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Conflict of interest statement

Conflict of Interest Statement: All authors have no conflict of interests to report.

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References

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1. Cheung LC, Katki HA, Chaturvedi AK, Jemal A, Berg CD. Preventing lung cancer mortality by computed tomography screening: The effect of risk-based versus U.S. Preventive Services Task Force Eligibility Criteria;, 2005–2015. Ann Intern Med. 2018; 168(3): 229–32. - PMC - PubMed
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[1] Siegel RL, Miller KD, Jemal A. Cancer Statistics. CA Cancer J Clin. 2018; 68(1): 7–30. - PubMed

[2] Siegel RL, Miller KD, Jemal A. Cancer Statistics. CA Cancer J Clin. 2018; 68(1): 7–30. - PubMed

[3] Cheung LC, Katki HA, Chaturvedi AK, Jemal A, Berg CD. Preventing lung cancer mortality by computed tomography screening: The effect of risk-based versus U.S. Preventive Services Task Force Eligibility Criteria;, 2005–2015. Ann Intern Med. 2018; 168(3): 229–32. - PMC - PubMed

[4] Cheung LC, Katki HA, Chaturvedi AK, Jemal A, Berg CD. Preventing lung cancer mortality by computed tomography screening: The effect of risk-based versus U.S. Preventive Services Task Force Eligibility Criteria;, 2005–2015. Ann Intern Med. 2018; 168(3): 229–32. - PMC - PubMed

[5] Aberle DR, Adams AM, Berg CD et al. Reduced lung cancer mortality with low-dose computed tomographic screening. N Engl J Med. 2011; 365(5):395–409. - PMC - PubMed

[6] Aberle DR, Adams AM, Berg CD et al. Reduced lung cancer mortality with low-dose computed tomographic screening. N Engl J Med. 2011; 365(5):395–409. - PMC - PubMed

[7] Fredriksen-Goldsen KI, Kim H, Barkan SE, Muraco A, Hoy-Ellis CP. Health disparities among lesbian, gay, and bisexual older adults: results from a population-based study. Am J Public Health. 2013; 103(10):1802–1809. - PMC - PubMed

[8] Fredriksen-Goldsen KI, Kim H, Barkan SE, Muraco A, Hoy-Ellis CP. Health disparities among lesbian, gay, and bisexual older adults: results from a population-based study. Am J Public Health. 2013; 103(10):1802–1809. - PMC - PubMed

[9] Kasza KA, Ambrose BK, Conway KP et al. Tobacco-product use by adults and youths in the united states in 2013 and 2014. N Engl J Med. 2017; 376(4):342–353. - PMC - PubMed

[10] Kasza KA, Ambrose BK, Conway KP et al. Tobacco-product use by adults and youths in the united states in 2013 and 2014. N Engl J Med. 2017; 376(4):342–353. - PMC - PubMed

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LDCT lung cancer screening eligibility and use of CT scans for lung cancer among sexual minorities

Affiliations

LDCT lung cancer screening eligibility and use of CT scans for lung cancer among sexual minorities

Authors

Affiliations

Abstract

Conflict of interest statement

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Cited by

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Abstract

Conflict of interest statement

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