期刊
THORAX
卷 74, 期 12, 页码 1176-1178出版社
BMJ PUBLISHING GROUP
DOI: 10.1136/thoraxjnl-2018-212601
关键词
Lung Cancer; Non-Small Cell Lung Cancer
资金
- Macmillan Cancer Support
- CRUK [C147/A18083, C147/A25254]
- NIHR Manchester Biomedical Research Centre
Manchester's 'Lung Health Check' pilot utilised mobile CT scanners in convenient retail locations to deliver lung cancer screening to socioeconomically disadvantaged communities. We assessed whether screening location was an important factor for those attending the service. Location was important for 74.7% (n=701/938) and 23% (n=216/938) reported being less likely to attend an equivalent hospital-based programme. This preference was most common in current smokers (27% current smokers vs 19% former smokers; AdjOR 1.46, 95%CI 1.03 to 2.08, p=0.036) and those in the lowest deprivation quartile (25% lowest quartile vs 17.6% highest quartile; AdjOR 2.0, 95%CI 1.24 to 3.24, p=0.005). Practical issues related to travel were most important in those less willing to attend a hospital-based service, with 83.3% citing at least one travel related barrier to non-attendance. A convenient community-based screening programme may reduce inequalities in screening adherence especially in those at high risk of lung cancer in deprived areas.
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