pp 1–6 | Cite as

The Effects of Health Disparities on Perceptions About Lung Cancer Screening (LCS): Survey Results of a Patient Sample

  • Sarah Ellen Stephens
  • Kristie Long Foley
  • David Miller
  • Christina R. BellingerEmail author


Lung cancer screening (LCS) is currently advocated in a subset of current or former smokers with a thirty pack-year smoking history or higher. Studies report that few patients meeting the criteria for screening are undergoing LCS. We conducted a survey to assess if barriers to LCS (race, ethnicity, and socioeconomic status) affect the perceptions about LCS that could influence screening uptake. We did not detect different perceptions based on race, ethnicity, or socioeconomic status; however, our survey found that fewer barriers and more benefits to LCS may be perceived in patients who undergo other types of health screening and more benefits for those with internet capable devices.


Lung cancer screening Preventative medicine Patient survey screening 



Our study received funding from the North Carolina Lung Cancer Initiative.

Compliance with Ethical Standards

Conflict of interest

All authors report no conflicts of interest.

Ethical Approval

IRB Approval: IRB00033429


  1. 1.
    The National Lung Screening Trial Research TeamCrossRefPubMedCentralGoogle Scholar
  2. 2.
    Centers for Medicare & Medicaid Services (2015) Final National Coverage Determination on Screening for Lung Cancer with Low Dose Computed Tomography (LDCT) (CAG-00439N). Accessed 1 Oct 2018.
  3. 3.
    Gathirua-Mwangi W, Cohee A, Tarver WL, Marley A, Biederman E, Stump T et alCrossRefGoogle Scholar
  4. 4.
    Fair AM, Monahan PO, Russell K, Zhao Q, Champion VL (2012) The interaction of perceived risk and benefits and the relationship to predicting mammography adherence in African American women. Oncol Nurs Forum 39(1):53–60CrossRefGoogle Scholar
  5. 5.
    Kim J, Wang H, Young LO, Michaud TL, Siahpush M, Farazi, et al (2018) An examination of multilevel factors influencing colorectal cancer screening in primary care accountable care organization settings: a mixed-methods study. J Public Healh Manag Pract 25:562–570. CrossRefGoogle Scholar
  6. 6.
    Tan KK, Lopez V, Wong ML, Koh GC (2018) Uncovering the barriers to undergoing screening among first degree relatives of colorectal cancer patients: a review of qualitative literature. J Gastrointest Oncol 9(3):579–588CrossRefGoogle Scholar
  7. 7.
    Nagelhout E, Comarell K, Samadder JN, Wu YP (2015) Feeling like a group after a natural disaster: Common ingroup identity and relations with outgroup victims among majority and minority young children. British Journal of Social Psychology 42(4):791–796CrossRefGoogle Scholar
  8. 8.
    Jemal A, Fedewa SA (2017) Lung cancer screening with low-dose computed tomography in the United States—2010 to 2015. JAMA Oncol 3(9):1278–1281CrossRefGoogle Scholar
  9. 9.
    Zhang Y, Lauche R, Sibbritt D, Olaniran B, Cook R, Adams J (2017) Comparison of health information technology use between american adults with and without chronic health conditions: findings from the national health interview survey 2012. J Med Internet Res 19(10):e335CrossRefGoogle Scholar
  10. 10.
    Champion VL, Monahan PO, Springston JK, Russell K, Zollinger TW, Saywell RM et al (2008) Measuring mammography and breast cancer beliefs in african american women. J Health Psychol 13:827–837CrossRefGoogle Scholar
  11. 11.
    Smits SE, McCutchan GM, Hanson JA, Brain KE (2018) Attitudes towards lung cancer screening a population sample. Health Expect 21:1150–1158CrossRefGoogle Scholar
  12. 12.
    Hiatt RA, Klabunde C, Breen N, Swan J, Ballard-Barbash R et al (2002) Cancer screening practices from National Health Interview Surveys: past, present, and future. J Nat Cancer Inst 94:1837–1846CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Sarah Ellen Stephens
    • 1
  • Kristie Long Foley
    • 2
  • David Miller
    • 3
  • Christina R. Bellinger
    • 4
    Email author
  1. 1.Memorial Health Lung and Sleep Care, Memorial HealthSavannahUSA
  2. 2.Departments of Public Health SciencesWake Forest School of MedicineWinston SalemUSA
  3. 3.Departments of Internal Medicine and Public Health SciencesWake Forest School of MedicineWinston SalemUSA
  4. 4.Section On Pulmonary, Critical Care and AllergyWake Forest School of MedicineWinston SalemUSA

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