» Articles » PMID: 38428855

Knowledge, Attitude, and Practice of Lung Cancer Screening and Associated Factors Among High-risk Population in Lanzhou, China: A Cross-sectional Study

Overview
Specialty General Medicine
Date 2024 Mar 1
PMID 38428855
Authors
Affiliations
Soon will be listed here.
Abstract

This study aimed to assess the knowledge, attitude, and practice (KAP) of high-risk populations toward lung cancer screening in Lanzhou, China. Using convenience sampling, this cross-sectional study enrolled outpatients at high-risk for lung cancer at Lanzhou University Second Hospital between November 2022 and March 2023. An anonymous, self-administered online questionnaire was distributed to each participant via the Sojump website (https://www.wjx.cn/), comprising 40 items to collect demographic information and evaluate KAP toward lung cancer screening. The analyses were descriptive. A total of 577 participants (average age of 61.8 ± 7.1 years; 306 males) were included in the study. The participants' scores for KAP were 4.9 ± 2.2, 27.4 ± 3.0, and 7.0 ± 2.1, respectively. Participants with occupational exposure had significantly lower knowledge score (3.3 ± 2.4 vs 5.2 ± 2.1, P < .001), and practice score (5.6 ± 2.4 vs 7.3 ± 1.9, P < .001) than those without occupational exposure. Participants with smoking or passive smoking history had significantly higher attitude scores (27.6 ± 2.9 vs 25.8 ± 3.2, P < .001) and practice scores (7.1 ± 2.0 vs 6.5 ± 2.5, P = .014) than those without smoking history. A total of 360 (62.4%) participants endorsed the doctors' counseling on lung cancer screening, and 355 (61.5%) participants were willing to have screening for lung cancer as doctors advised. The study revealed that 390 (67.6%) participants identified low-dose computed tomography as the appropriate method for lung cancer screening, while 356 (61.7%) participants believed that X-rays were a reliable screening method for lung cancer. However, 365 (63.3%) participants thought that the treatment outcomes for early and late-diagnosed lung cancer were the same. Additionally, 416 (72.10%) participants believed that annual lung cancer CT scanning is unnecessary. On the other hand, 339 (58.8%) participants expressed concerns about exposure to radiation from CT scans, while 349 (60.5%) participants were worried about the cost of lung cancer screening. Only 142 (24.6%) participants reported having undergone annual lung cancer screening. The high-risk population had limited knowledge and insufficient attitude and practice toward lung cancer screening in Lanzhou, China.

References
1.
Aberle D, Adams A, Berg C, Black W, Clapp J, Fagerstrom R . Reduced lung-cancer mortality with low-dose computed tomographic screening. N Engl J Med. 2011; 365(5):395-409. PMC: 4356534. DOI: 10.1056/NEJMoa1102873. View

2.
Li R, Luo L, Tao W, Huang W, Bao T . Level of knowledge on low-dose CT lung cancer screening in Sichuan province, China: a cross-sectional study. BMJ Open. 2022; 12(9):e061987. PMC: 9490565. DOI: 10.1136/bmjopen-2022-061987. View

3.
Schluger N, Koppaka R . Lung disease in a global context. A call for public health action. Ann Am Thorac Soc. 2014; 11(3):407-16. DOI: 10.1513/AnnalsATS.201312-420PS. View

4.
Madkhali M, Alhazmi E, Hakami F, Darraj H, Hamdi S, Hakami K . A Cross-Sectional Study on the Knowledge and Awareness of Lung Cancer and Screening in Jazan Region, Saudi Arabia. J Multidiscip Healthc. 2023; 16:3857-3870. PMC: 10710187. DOI: 10.2147/JMDH.S435129. View

5.
She J, Yang P, Hong Q, Bai C . Lung cancer in China: challenges and interventions. Chest. 2013; 143(4):1117-1126. DOI: 10.1378/chest.11-2948. View