Attendees of Manchester’s Lung Health Check pilot express a preference for community-based lung cancer screening
Autor: | Denis Colligan, Sarah Taylor, Kathryn Slevin, Anna Sharman, P. Barber, Janet Tonge, Sara Waplington, M. Kirwan, Matthew Evison, Haval Balata, Juliette Novasio, Richard Booton, Phil Crosbie, Peter Elton |
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Rok vydání: | 2019 |
Předmět: |
Male
Pulmonary and Respiratory Medicine Lung Neoplasms Pilot Projects Health Services Accessibility Screening programme 03 medical and health sciences 0302 clinical medicine medicine Humans Mass Screening Community Health Services 030212 general & internal medicine Lung cancer Early Detection of Cancer Aged Community based business.industry Smoking Patient Preference Middle Aged Patient Acceptance of Health Care medicine.disease Former Smoker Preference England Socioeconomic Factors 030228 respiratory system Quartile Lung health Female Tomography X-Ray Computed business Delivery of Health Care Mobile Health Units Lung cancer screening Demography |
Zdroj: | Thorax. 74:1176-1178 |
ISSN: | 1468-3296 0040-6376 |
DOI: | 10.1136/thoraxjnl-2018-212601 |
Popis: | 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. |
Databáze: | OpenAIRE |
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