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LDCT lung cancer screening eligibility and use of CT scans for lung cancer among sexual minorities
Affiliation: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;2. Institute for Research on Women and Gender, University of Michigan, 204 S. State St., Ann Arbor, MI 48109, USA;3. College of Nursing, University of Illinois at Chicago, 845 S. Damen Avenue, Chicago, IL, 60612, 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. 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. Institute for Healthcare Policy and Innovation, University of Michigan, 2800 Plymouth Road, North Campus Research Complex (NCRC), Building 16, Ann Arbor, MI 48109, USA;1. Moffitt Cancer Center, Department of Health Outcomes and Behavior, 4115 E. Fowler Ave., Tampa, FL 33617, United States;2. Moffitt Cancer Center, Center for Immunization and Infection Research in Cancer, 12902 USF Magnolia Drive, Tampa, FL 33612, United States;3. Moffitt Cancer Center, Department of Cancer Epidemiology, 12902 USF Magnolia Drive, Tampa, FL 33612, United States;4. Moffitt Cancer Center, Department of Biostatistics and Bioinformatics, 12902 USF Magnolia Drive, Tampa, FL 33612, United States;5. University of South Florida, Department of Family Medicine, 13330 USF Laurel Drive, Tampa, FL 33612, United States;6. University of South Florida, Department of Epidemiology & Biostatistics, 13201 Bruce B Downs Blvd, Tampa, FL 33612, United States;8. University of Florida, Department of Medicine, 1600 SW Archer Rd., Gainesville, FL 32608, United States;9. University of Florida Health, Department of Health Outcomes and Biomedical Informatics, 2004 Mowry Road, Ste 2245, Gainesville, FL 32610, United States;10. University of Florida Health, Cancer Population Sciences, 2004 Mowry Road, Ste 2245, Gainesville, FL 32610, United States;1. Division of Public Health, Department of Family and Preventive Medicine, University of Utah School of Medicine and Huntsman Cancer Institute, Salt Lake City, UT, USA;2. Department of Preventive Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA;3. Genomics Research Center, Academia Sinica, Taipei, Taiwan;4. Graduate Institute of Epidemiology and Preventive Medicine, National Taiwan University, Taipei, Taiwan;5. Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan;6. Department of Epidemiology and Biostatistics, West China School of Public Health, Sichuan University, Sichuan, China;7. Department of Oral Surgery, West China Hospital of Stomatology, Sichuan University, Sichuan, China;8. Department of Epidemiology and Biostatistics, Jiangsu key lab of Cancer Biomarkers, Prevention and Treatment, Collaborative Innovation Center for Cancer Personalized Medicine, School of Public Health, Nanjing Medical University, China;9. Department of Epidemiology and Biostatistics, School of Public Health, Fujian Medical University, Fujian, China;10. Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center, Shanghai, China;11. Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China;12. Department of Pathology, Fudan University Shanghai Cancer Center, Shanghai, China;13. Department of Epidemiology, School of Public Health, China Medical University, Liaoning, China;14. Department of Head & Neck Oncology, Henan Cancer Hospital, Henan, China;15. Department of Otorhinolaryngology, Head and Neck Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan;p. Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York City, NY, USA;q. Department of Epidemiology and Center for Environmental Genomics, UCLA Fielding School of Public Health, Los Angeles, CA, USA;r. National Office of Cancer Prevention & Control Cancer Institute & Hospital, and Chinese Academy of Medical Sciences, Beijing, China;1. Faculty of Medicine, Dalhousie University, Halifax, Canada;2. School of Health Administration, Dalhousie University, Halifax, Canada;1. Department of ORL Head & Neck Surgery and Audiology, Odense University Hospital, University of Southern Denmark, Denmark;2. Department of Pathology, Odense University Hospital, Denmark;3. Department of ENT Head & Neck Surgery, Copenhagen University Hospital, Denmark;4. Department of ENT Head & Neck Surgery, Aalborg University Hospital, Denmark;5. Department of Oncology, Herlev Hospital, Denmark;6. Department of ENT Head & Neck Surgery, Aarhus University Hospital, Denmark;1. Léon Bérard Cancer Centre, 28 rue Laennec, 69008 Lyon, France;2. Cancer Research Centre of Lyon, UMR Inserm 1052 CNRS 5286 Centre Léon Bérard, 69008 Lyon, France;3. Section of Cancer Surveillance, International Agency for Research on Cancer, 150 Cours Albert Thomas, 69008 Lyon, France;4. Nutrition and Metabolism Section, Biomarkers Group, International Agency for Research on Cancer, 150 Cours Albert Thomas, 69008 Lyon, France;5. Nutrition and Metabolism Section, Nutritional Methodology and Biostatistics Group, International Agency for Research on Cancer, 150 Cours Albert Thomas, 69008 Lyon, France;6. Nutrition Risk Assessment Unit, French Agency for Food, Environmental and Occupational Health & Safety (ANSES), 14 rue Pierre et Marie Curie, 94701 Maisons-Alfort Cedex, France;7. Agence Nationale de Santé Publique, Université Paris 13, Centre de Recherche en Epidémiologie et Statistiques, COMUE Sorbonne Paris Cité, 74 rue Marcel Cachin, 93017 Bobigny cedex, France;1. Department of Population Health Science and Policy, Institute for Translational Epidemiology, Icahn School of Medicine at Mount Sinai, New York, NY;2. Departments of Radiation Oncology and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, NY;3. Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY
Abstract:ObjectiveTo compare eligibility for lung cancer screening and receipt of a CT scan for lung cancer among sexual minorities.MethodsSecondary 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).ResultsRates 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.ConclusionsThere 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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