Level of Education Matters in Regard to Participants’ Compliance With Screening in the National Lung Screening Trial

医学 顺从(心理学) 全国肺筛查试验 肺癌筛查 家庭医学 物理疗法 重症监护医学 内科学 社会心理学 心理学
作者
Akeel Alali
出处
期刊:Journal of Thoracic Imaging [Ovid Technologies (Wolters Kluwer)]
卷期号:39 (1): W1-W4
标识
DOI:10.1097/rti.0000000000000741
摘要

Purpose: The success of cancer screening depends on patient adherence to the screening program. The purpose of this study is to assess how the level of education might affect participants' compliance with screening in the National Lung Screening Trial (NLST). Materials and Methods: Secondary data analyses of the participants in the NLST were performed. A total of 50,104 participants were included in this study. Participants who enrolled in the trial but refused the initial screening were compared with those who completed the screening. A multivariate logistic regression model was used to assess the association between participant noncompliance and education level. Results: A total of 3712 (7.41%) participants refused lung cancer screening in the NLST. Compared with the reference group, participants with an education level of eighth grade or less (odds ratio [OR]: 2.1, CI: 1.68-2.76), ninth-11th grade (OR: 1.9, CI: 1.7-2.34), high school graduates (OR: 1.3, CI: 1.22-1.54), after high school training (OR: 1.1, CI: 1-1.31), or an associate’s degree (OR: 1.2, CI: 1.07-1.36) had significantly higher odds of refusing lung cancer screening. Participants with a bachelor’s degree showed no significant association with compliance with screening (OR: 0.9, P = 0.86). Multivariate regression analysis also showed that younger, single, male participants with a longer duration of smoking history had significantly higher odds of refusing the screening. Conclusion: A lower level of education was significantly associated with refusing lung cancer screening. A strategic targeted approach for this group might be necessary to promote their compliance rate.
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