Knowledge and attitudes about lung cancer screening amongst American Indian adults who use commercial tobacco

Objectives Lung cancer is the leading cause of cancer related death in the US and the world. In some parts of the US, American Indian adults experience extreme disparities in lung cancer incidence and mortality that mirror commercial tobacco use disparities. Lung cancer screening (LCS) with low-dose...

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Main Authors: Abbie Begnaud, Wyatt Pickner, Antony Stately, Dylan Jennings, Ebiere Okah, Katelyn M. Tessier, Michael Businelle, Dana Carroll
Format: Article
Language:English
Published: Elsevier 2025-10-01
Series:Preventive Medicine Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2211335525002128
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author Abbie Begnaud
Wyatt Pickner
Antony Stately
Dylan Jennings
Ebiere Okah
Katelyn M. Tessier
Michael Businelle
Dana Carroll
author_facet Abbie Begnaud
Wyatt Pickner
Antony Stately
Dylan Jennings
Ebiere Okah
Katelyn M. Tessier
Michael Businelle
Dana Carroll
author_sort Abbie Begnaud
collection DOAJ
description Objectives Lung cancer is the leading cause of cancer related death in the US and the world. In some parts of the US, American Indian adults experience extreme disparities in lung cancer incidence and mortality that mirror commercial tobacco use disparities. Lung cancer screening (LCS) with low-dose chest computed tomography has been underutilized in all groups, including in American Indian communities, although they have the greatest proportion of people who smoke older than 50 years of age eligible for LCS. Methods This is a secondary analysis of LCS knowledge, attitudes and behavior collected during a pilot study testing a culturally aligned digital tool for smoking cessation. Data were collected in 2023 via web surveys from American Indian adults residing in the Midwestern US. Results We found striking similarities to national studies showing most participants are unaware of, but open to, LCS and are looking to their doctors and clinics to provide recommendations for screening. Conclusions American Indian adults who use commercial tobacco have knowledge, attitudes and intentions similar to other Americans eligible for LCS. Healthcare organizations must find systematic ways to offer LCS to eligible persons.
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series Preventive Medicine Reports
spelling doaj-art-9c5cfa18db5243fa878e77c7ca9c3f5b2025-08-20T05:06:25ZengElsevierPreventive Medicine Reports2211-33552025-10-015810317310.1016/j.pmedr.2025.103173Knowledge and attitudes about lung cancer screening amongst American Indian adults who use commercial tobaccoAbbie Begnaud0Wyatt Pickner1Antony Stately2Dylan Jennings3Ebiere Okah4Katelyn M. Tessier5Michael Businelle6Dana Carroll7Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, University of Minnesota Medical School, Minneapolis, MN, USA; Corresponding author.American Indian Cancer Foundation, Minneapolis, MN, USACommunity Engagement for Decolonizing and Advancing Research (CEDAR) Center at Native American Community Clinic, Minneapolis, MN, USASigurd Olson Environmental Institute, Northland College, Ashland, WI, USADepartment of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, USAMasonic Cancer Center, Biostatistics Core, University of Minnesota, Minneapolis, MN, USATSET Health Promotion Research Center, Stephenson Cancer Center, Oklahoma City, OK, USA; Department of Family and Preventive Medicine, University of Oklahoma Health Sciences, Oklahoma City, OK, USADivision of Environmental Health Sciences, University of Minnesota School of Public Health, Minneapolis, MN, USAObjectives Lung cancer is the leading cause of cancer related death in the US and the world. In some parts of the US, American Indian adults experience extreme disparities in lung cancer incidence and mortality that mirror commercial tobacco use disparities. Lung cancer screening (LCS) with low-dose chest computed tomography has been underutilized in all groups, including in American Indian communities, although they have the greatest proportion of people who smoke older than 50 years of age eligible for LCS. Methods This is a secondary analysis of LCS knowledge, attitudes and behavior collected during a pilot study testing a culturally aligned digital tool for smoking cessation. Data were collected in 2023 via web surveys from American Indian adults residing in the Midwestern US. Results We found striking similarities to national studies showing most participants are unaware of, but open to, LCS and are looking to their doctors and clinics to provide recommendations for screening. Conclusions American Indian adults who use commercial tobacco have knowledge, attitudes and intentions similar to other Americans eligible for LCS. Healthcare organizations must find systematic ways to offer LCS to eligible persons.http://www.sciencedirect.com/science/article/pii/S2211335525002128Cancer early detectionEarly diagnosis of CancerCancer early diagnosiscancer screeningScreening, CancerAmerican Indian
spellingShingle Abbie Begnaud
Wyatt Pickner
Antony Stately
Dylan Jennings
Ebiere Okah
Katelyn M. Tessier
Michael Businelle
Dana Carroll
Knowledge and attitudes about lung cancer screening amongst American Indian adults who use commercial tobacco
Preventive Medicine Reports
Cancer early detection
Early diagnosis of Cancer
Cancer early diagnosis
cancer screening
Screening, Cancer
American Indian
title Knowledge and attitudes about lung cancer screening amongst American Indian adults who use commercial tobacco
title_full Knowledge and attitudes about lung cancer screening amongst American Indian adults who use commercial tobacco
title_fullStr Knowledge and attitudes about lung cancer screening amongst American Indian adults who use commercial tobacco
title_full_unstemmed Knowledge and attitudes about lung cancer screening amongst American Indian adults who use commercial tobacco
title_short Knowledge and attitudes about lung cancer screening amongst American Indian adults who use commercial tobacco
title_sort knowledge and attitudes about lung cancer screening amongst american indian adults who use commercial tobacco
topic Cancer early detection
Early diagnosis of Cancer
Cancer early diagnosis
cancer screening
Screening, Cancer
American Indian
url http://www.sciencedirect.com/science/article/pii/S2211335525002128
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