ArticlePloS one2021
Advancing health equity in cancer care: The lived experiences of poverty and access to lung cancer screening.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Facilitators and barriers of lung cancer screening participation: umbrella and systematic review of the global evidence.BMC public health · 2025Pooled it
- Facilitators and Barriers to Lung Cancer Screening during Long COVID: A Global Systematic Review and Meta-Study Synthesis of Qualitative Research.International journal of environmental research and public health · 2024Pooled it
- Article
- Prevention and treatment of early-stage non-small-cell lung cancer: the Value-Based Healthcare approach to address social disparities.Future oncology (London, England) · 2026Article
- "There's just such a mismatch": a qualitative exploration of health systems and organizational-level barriers to accessing cancer services among people experiencing structural marginalization.International journal for equity in health · 2025Article
- Exploring the social context of smoking behaviours: insights from stop-smoking advisors in deprived communities in Northwest of England UK.BMC public health · 2025Article
- Racism, discrimination, medical mistrust, stigma, and lung cancer screening: a scoping review.Ethnicity & health · 2025Article
- Lung cancer disparities in rural, persistent poverty counties: a secondary data analysis.BMC public health · 2025Article
- Identifying lung cancer in Emergency Department patients outside national lung cancer screening guidelines.Journal of thoracic disease · 2025Article
- Toward an Understanding of Cancer as an Issue of Social Justice: Perspectives and Implications for Oncology Nursing.Current oncology (Toronto, Ont.) · 2025Review
- Creating Safe Connections: A Co-Designed E-Learning Module to Advance Equity and Social Accountability in Preventative Primary Care.Advances in medical education and practice · 2025Article
- Ethical Dimensions of Population-Based Lung Cancer Screening in Canada: Key Informant Qualitative Description Study.Public health ethics · 2024Article
- Barriers to cancer treatment for people experiencing socioeconomic disadvantage in high-income countries: a scoping review.BMC health services research · 2024Article
- Lung Cancer Prevalence in Virginia: A Spatial Zipcode-Level Analysis via INLA.Current oncology (Toronto, Ont.) · 2024Article
- Article
- Barriers, facilitators, and priority needs related to cancer prevention, control, and research in rural, persistent poverty areas.Cancer causes & control : CCC · 2023Article
- Preventive care recommendations to promote health equity.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Article
- Interventions Designed to Increase the Uptake of Lung Cancer Screening: An Equity-Oriented Scoping Review.JTO clinical and research reports · 2023Article
- Health and healthcare equity within the Canadian cancer care sector: a rapid scoping review.International journal for equity in health · 2023Article
- Toward equity-oriented cancer care: a Strategy for Patient-Oriented Research (SPOR) protocol to promote equitable access to lung cancer screening.Research involvement and engagement · 2022Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundIndividuals living with low income are more likely to smoke, have a higher risk of lung cancer, and are less likely to participate in preventative healthcare (i.e., low-dose computed tomography (LDCT) for lung cancer screening), leading to equity concerns. To inform the delivery of an organized pilot lung cancer screening program in Ontario, we sought to contextualize the lived experiences of poverty and the choice to participate in lung cancer screening.
methodsAt three Toronto academic primary-care clinics, high-risk screen-eligible patients who chose or declined LDCT screening were consented; sociodemographic data was collected. Qualitative interviews were conducted. Theoretical thematic analysis was used to organize, describe and interpret the data using the morphogenetic approach as a guiding theoretical lens.
resultsEight participants chose to undergo screening; ten did not. From interviews, we identified three themes: Pathways of disadvantage (social trajectories of events that influence lung-cancer risk and health-seeking behaviour), lung-cancer risk and early detection (upstream factors that shape smoking behaviour and lung-cancer screening choices), and safe spaces of care (care that is free of bias, conflict, criticism, or potentially threatening actions, ideas or conversations). We illuminate how 'choice' is contextual to the availability of material resources such as income and housing, and how 'choice' is influenced by having access to spaces of care that are free of judgement and personal bias.
conclusionUnderserved populations will require multiprong interventions that work at the individual, system and structural level to reduce inequities in lung-cancer risk and access to healthcare services such as cancer screening.
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