Rural areas are disproportionately impacted by smoking and lung cancer
Rural populations have higher rates of late stage lung cancer incidence and mortality compared to urban populations, making them important target populations for low dose computed tomography (LDCT) screening. LDCT screening has been shown to reduce lung cancer mortality and is recommended by the Uni...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2018-06-01
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| Series: | Preventive Medicine Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335518300494 |
| _version_ | 1818791321682313216 |
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| author | Wiley D. Jenkins Alicia K. Matthews Angie Bailey Whitney E. Zahnd Karriem S. Watson Georgia Mueller-Luckey Yamile Molina David Crumly Julie Patera |
| author_facet | Wiley D. Jenkins Alicia K. Matthews Angie Bailey Whitney E. Zahnd Karriem S. Watson Georgia Mueller-Luckey Yamile Molina David Crumly Julie Patera |
| author_sort | Wiley D. Jenkins |
| collection | DOAJ |
| description | Rural populations have higher rates of late stage lung cancer incidence and mortality compared to urban populations, making them important target populations for low dose computed tomography (LDCT) screening. LDCT screening has been shown to reduce lung cancer mortality and is recommended by the United States Preventive Services Task Force for individuals who meet certain risk criteria. However, rural populations may experience greater system, provider, and individual-level barriers to screening and related health-seeking behavior (e.g. smoking cessation). LDCT screening was first tested in urban, academic centers, so it is still unknown how readily it may be implemented in rural areas. Additionally, rural populations have limited access to both primary care physicians who may refer to LDCT screening and specialty physicians who may perform the screening. Further, rural populations may be less likely to seek screening due to lack of awareness and understanding or other unknown knowledge or psychosocial barriers. There are several strategies that may address these rural specific challenges. First, further research is needed to better understand the individual-level barriers that rural patients experience. Second, to reduce system-level barriers, additional efforts should be made to increase rural access to screening through improved referral processes. Third, creation of decision support materials to equip rural providers to engage their patients in a shared decision making process regarding screening may help reduce physician level barriers. Fourth, development of a holistic approach to smoking cessation may help reduce lung cancer risk in conjunction with LDCT screening. Keywords: Rural cancer disparities, Lung cancer, Screening, Low dose computed tomography |
| first_indexed | 2024-12-18T15:09:30Z |
| format | Article |
| id | doaj.art-d674f10523ab4730ac8c790f3c196b19 |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-12-18T15:09:30Z |
| publishDate | 2018-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-d674f10523ab4730ac8c790f3c196b192022-12-21T21:03:42ZengElsevierPreventive Medicine Reports2211-33552018-06-0110200203Rural areas are disproportionately impacted by smoking and lung cancerWiley D. Jenkins0Alicia K. Matthews1Angie Bailey2Whitney E. Zahnd3Karriem S. Watson4Georgia Mueller-Luckey5Yamile Molina6David Crumly7Julie Patera8Office of Population Science and Policy, SIU School of Medicine, Springfield, IL 62794-9664, United StatesCollege of Nursing, University of Illinois at Chicago, Chicago, IL, United StatesSouthern Illinois Healthcare, Carbondale, IL 62902, United StatesOffice of Population Science and Policy, SIU School of Medicine, Springfield, IL 62794-9664, United StatesCommunity Engaged Research and Implementation Science, University of Illinois at Chicago, Chicago, IL, United States; Division of Community Health Sciences, School of Public Health, University of Illinois at Chicago, Chicago, IL, United StatesApplied Health Department, Southern Illinois University, Edwardsville, IL, United StatesCommunity Engaged Research and Implementation Science, University of Illinois at Chicago, Chicago, IL, United States; Division of Community Health Sciences, School of Public Health, University of Illinois at Chicago, Chicago, IL, United StatesOffice of Population Science and Policy, SIU School of Medicine, Springfield, IL 62794-9664, United States; Corresponding author.Southern Illinois Healthcare, Carbondale, IL 62902, United StatesRural populations have higher rates of late stage lung cancer incidence and mortality compared to urban populations, making them important target populations for low dose computed tomography (LDCT) screening. LDCT screening has been shown to reduce lung cancer mortality and is recommended by the United States Preventive Services Task Force for individuals who meet certain risk criteria. However, rural populations may experience greater system, provider, and individual-level barriers to screening and related health-seeking behavior (e.g. smoking cessation). LDCT screening was first tested in urban, academic centers, so it is still unknown how readily it may be implemented in rural areas. Additionally, rural populations have limited access to both primary care physicians who may refer to LDCT screening and specialty physicians who may perform the screening. Further, rural populations may be less likely to seek screening due to lack of awareness and understanding or other unknown knowledge or psychosocial barriers. There are several strategies that may address these rural specific challenges. First, further research is needed to better understand the individual-level barriers that rural patients experience. Second, to reduce system-level barriers, additional efforts should be made to increase rural access to screening through improved referral processes. Third, creation of decision support materials to equip rural providers to engage their patients in a shared decision making process regarding screening may help reduce physician level barriers. Fourth, development of a holistic approach to smoking cessation may help reduce lung cancer risk in conjunction with LDCT screening. Keywords: Rural cancer disparities, Lung cancer, Screening, Low dose computed tomographyhttp://www.sciencedirect.com/science/article/pii/S2211335518300494 |
| spellingShingle | Wiley D. Jenkins Alicia K. Matthews Angie Bailey Whitney E. Zahnd Karriem S. Watson Georgia Mueller-Luckey Yamile Molina David Crumly Julie Patera Rural areas are disproportionately impacted by smoking and lung cancer Preventive Medicine Reports |
| title | Rural areas are disproportionately impacted by smoking and lung cancer |
| title_full | Rural areas are disproportionately impacted by smoking and lung cancer |
| title_fullStr | Rural areas are disproportionately impacted by smoking and lung cancer |
| title_full_unstemmed | Rural areas are disproportionately impacted by smoking and lung cancer |
| title_short | Rural areas are disproportionately impacted by smoking and lung cancer |
| title_sort | rural areas are disproportionately impacted by smoking and lung cancer |
| url | http://www.sciencedirect.com/science/article/pii/S2211335518300494 |
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