Department of Surgery, Section of Thoracic Surgery, Dartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03756, USA; The Geisel School of Medicine at Dartmouth, 1 Rope Ferry Rd, Hanover, NH 03755, USA; The Dartmouth Institute of Health Policy and Clinical Practice, Williamson Translational Research Building, Level 51 Medical Center Drive Lebanon, NH 03756, USA.
The Geisel School of Medicine at Dartmouth, 1 Rope Ferry Rd, Hanover, NH 03755, USA.
Thorac Surg Clin. 2023 Nov;33(4):353-363. doi: 10.1016/j.thorsurg.2023.03.003. Epub 2023 May 12.
Rural and racial/ethnic minority communities experience higher risk and mortality from lung cancer. Lung cancer screening with low-dose computed tomography reduces mortality. However, disparities persist in the uptake of lung cancer screening, especially in marginalized communities. Barriers to lung cancer screening are multilevel and include patient, provider, and system-level barriers. This discussion highlights the key barriers faced by rural and racial/ethnic minority communities.
农村和少数族裔社区患肺癌的风险和死亡率更高。低剂量计算机断层扫描肺癌筛查可降低死亡率。然而,肺癌筛查的接受率仍存在差异,尤其是在边缘化社区。肺癌筛查的障碍是多层次的,包括患者、提供者和系统层面的障碍。本文讨论了农村和少数族裔社区所面临的主要障碍。