Willingness to Participate in Lung Cancer Screening: Race and Gender Differences among Informed, Screening- Eligible Individuals
Recommended Citation
Johanson H, Aspiras O, Thaker H, Wang A, Dawadi A, Poisson LM, Lucas T, Okereke IC. Willingness to Participate in Lung Cancer Screening: Race and Gender Differences among Informed, Screening- Eligible Individuals. J Am Coll Surg 2023; 237(5):S488-S489.
Document Type
Conference Proceeding
Publication Date
11-1-2023
Publication Title
J Am Coll Surg
Abstract
Introduction: Lung cancer is the leading cause of cancer-related death worldwide. Although lung cancer screening has been shown to reduce mortality, only a fraction of eligible people receive screening. This study sought to educate screening-eligible individuals about lung cancer screening and to consider race and gender as predictors of willingness once educated. Methods: An online lung cancer screening learning module was created and distributed to convenience samples of screening-eligible White Americans (N=229) and Black Americans (N=71) between November 2022 and February 2023. Participants viewed educational modules about lung cancer risks, prevention, and screening. Thereafter, participants rated their willingness to consider future screening using a Theory of Planned Behavior measurement framework (attitudes, norms, perceived control, and intentions to screen). Higher scores indicated greater willingness. Participant demographics were recorded. Results: Table 1 shows willingness to consider lung cancer screening as a function of race and gender. Black Americans were no less receptive to lung cancer screening than White Americans across all measures and reported higher perceived control over obtaining screening than White Americans. Women showed more willingness to be screened than men across all outcomes measures. Conclusion: Once informed about lung cancer risks, prevention, and screening recommendations, Black Americans may be as willing to undergo screening as White Americans, highlighting potential causal factors other than willingness for existing racial disparities in lung cancer screening uptake. Although race differences were not observed, gender differences in willingness persisted after being educated about lung cancer screening, highlighting a critical need for gender-targeted outreach and communication. (Figure Presented).
Volume
237
Issue
5
First Page
S488
Last Page
S489
