Compliance of lung cancer screening with low-dose computed tomography and influencing factors in urban area of Henan province
10.3760/cma.j.cn112338-20190730-00564
- VernacularTitle:河南省城市地区低剂量螺旋CT肺癌筛查依从性及其影响因素分析
- Author:
Lanwei GUO
1
;
Shaokai ZHANG
;
Shuzheng LIU
;
Funa YANG
;
Yue WU
;
Liyang ZHENG
;
Qiong CHEN
;
Xiaoqin CAO
;
Xibin SUN
;
Jiangong ZHANG
Author Information
1. 郑州大学附属肿瘤医院/河南省肿瘤医院 河南省肿瘤防控工程研究中心 河南省肿瘤预防国际联合实验室 河南省肿瘤防治研究办公室 450008
- Keywords:
Neoplasms, lung;
Screening;
Compliance
- From:
Chinese Journal of Epidemiology
2020;41(7):1076-1080
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the compliance of low-dose computed tomography (LDCT) screening for high-risk groups of lung cancer and influencing factors in urban area of Henan province during 2013-2017.Methods:Cluster sampling method was used to select the residents of 40-74 years old in Henan for cancer risk factor investigation and lung cancer risk assessment. Subjects with high risk of lung cancer received LDCT screening. The differences of LDCT receiving rates between groups were compared with χ2 tests, and the time trend of rates were tested with the Cochran- Armitage trend test. The potential factors correlating to the compliance of LDCT screening were identified with multivariate logistic regression models. Results:Overall, 35 672 participants who met the inclusion criteria were included in this analysis, and 13 383 of them received LDCT screening, the receiving rate was 37.52%. The receiving rate varied greatly across cities, ranging from 38.47% to 26.73% ( P<0.05). Moreover, the receiving rate varied greatly across periods, ranging from 29.22% during 2013-2014 to 43.30% during 2014-2015, and the receiving rate increases gradually as the screening year increases ( P<0.001). The multivariate logistic regression analyses showed that: being female, age 45-69 years, with education level of junior high school/high school, previous smoking, drinking or previous drinking, infrequent physical exercise, history of tuberculosis, history of chronic bronchitis, history of emphysema, history of asthma bronchiectasis and family history of lung cancer were positive factors for receiving LDCT screening (All P<0.05). Conclusions:The overall compliance of LDCT screening in high-risk population of lung cancer was still not high in urban area of Henan. Implementation of effective interventions targeting the specific high-risk populations might improve the overall compliance of LDCT screening in the future.
