ArticleJournal of the American College of Radiology : JACR2022
The Impact of Social Determinants of Health on Lung Cancer Screening Utilization.
Article in Journal of the American College of Radiology : JACR, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Racial inequalities in eligibility and access to lung cancer screening: systematic review of United States studies.BMC public health · 2025Pooled it
- Factors Affecting Medical Appointment Adherence among Adolescents and Young Adults with Kidney Disease: A Longitudinal Cohort Study.Journal of pediatrics. Clinical practice · 2026Article
- Article
- Access to Guideline-Concordant Oncology Genomic Testing: A Qualitative Study of Black Cancer Patients and Oncology Providers.Current oncology (Toronto, Ont.) · 2026Article
- Improving lung cancer screening diagnostic efficiency.Current opinion in pulmonary medicine · 2026Review
- The role of three important psychosocial factors on adherence to lung cancer screening recommendations in high-risk populations.Scientific reports · 2026Article
- Negative social determinants of health are linked to lung cancer screening underutilization.Lung cancer management · 2025Article
- Article
- Multi-level factors associated with low dose computed tomography lung cancer screening in the United States.Journal of the National Medical Association · 2025Article
- Social Risks and Nonadherence to Recommended Cancer Screening Among US Adults.JAMA network open · 2025Article
- Lung cancer screening provider recommendation and completion in black and White patients with a smoking history in two healthcare systems: a survey study.BMC primary care · 2024Article
- Sociodemographic factors and Child Opportunity Index disparities associated with missed care opportunities in pediatric patients with lymphoma and leukemia referred for FDG-PET/CT.Pediatric radiology · 2024Article
- Knowledge, attitudes, and current practices toward lung cancer palliative care management in China: a national survey.Frontiers in oncology · 2024Article
- Social Determinants of Health in Imaging-based Cancer Screening: A Case-based Primer with Strategies for Care Improvement.Radiographics : a review publication of the Radiological Society of North America, Inc · 2023Article
- Gender disparities in lung cancer incidence in the United States during 2001-2019.Scientific reports · 2023Article
- The Role of Sublobar Resection for the Surgical Treatment of Non-Small Cell Lung Cancer.Current oncology (Toronto, Ont.) · 2023Review
- Factors Associated With Nonadherence to Lung Cancer Screening Across Multiple Screening Time Points.JAMA network open · 2023Article
- Addressing Lung Cancer Screening Disparities: What Does It Mean to Be Centralized?Annals of the American Thoracic Society · 2022Article
- Socioeconomic Inequalities in Cancer Incidence: A Comparative Investigation Based on Population of Iranian Provinces.Current health sciences journalArticle
- Clinician Awareness of Patient-Reported Health-Related Social Needs: There's Room for Improvement.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
purposeThe purpose of this study was to understand how social determinants of health might influence lung cancer screening (LCS) adherence.
methodsAll LCS low-dose CT appointments scheduled at an urban, tertiary care academic medical center in the New England region between January 1, 2015, and December 31, 2018, were included. Demographics, insurance type, information on social determinants of health, and appointment status were obtained from the electronic medical records. Multivariate logistic regression was performed to evaluate the associations between the appointment status and the explanatory variables.
resultsDuring the study period, 2,797 patients had 4,747 scheduled LCS appointments. Forty-one percent of patients had at least one missed appointment, and 32.7% of all scheduled appointments were missed. The retention rate of patients after the baseline examination was approximately 50%. Self-reported Black race was independently associated with 1.5 times the odds of missing appointments compared with White race (P = .012). Patients with Medicaid had 6.1 times the odds of missing appointments compared with patients with private insurance and 4.6 times the odds of missing appointments compared with patients with Medicare (P < .0001). Housing insecurity was a risk factor for failing to follow up after the baseline examination, with an odds ratio of 5.3 (P = .0013).
conclusionsThe high rate of missed LCS appointments underscores the need to improve screening compliance. The identification of specific social determinants of health that contribute to disparities in access to LCS could empower policymakers, hospital systems, and providers to use targeted interventions to promote more equitable access.
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