Barriers to Low-Dose CT Lung Cancer Screening among Middle-Aged Chinese

Qike Jia, Hongliang Chen, Xuewei Chen and Qichuan Tang
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Qike Jia: School of Management, Zhejiang University of Technology, Hangzhou 310023, China
Hongliang Chen: College of Media and International Culture, Public Diplomacy and Strategic Communication Research Center, Zhejiang University, Hangzhou 310058, China
Xuewei Chen: School of Community Health Sciences, Counseling and Counseling Psychology, Oklahoma State University, Stillwater, OK 74078, USA
Qichuan Tang: College of Media and International Culture, Zhejiang University, Hangzhou 310058, China

IJERPH, 2020, vol. 17, issue 19, 1-13

Abstract: Purpose: The current study aims to explore the barriers for middle-aged Chinese to learn about and uptake low-dose computed tomography (LDCT) lung cancer screening. Methods: Data were collected via an online survey in December 2019. Final valid sample included 640 respondents, aged 40–60 years old, from 21 provinces of China. We performed multiple linear regressions to test the potential barriers to LDCT scan. Findings: Cost concerns, distrust in doctors, fears of disease, lack of knowledge, and optimistic bias are negatively associated with the intention to learn about and uptake LDCT scan. Implications: Our study contributes to understanding the negative predictors of middle-aged Chinese to get LDCT lung cancer scans. Future campaign programs should help audiences to build comprehensive understandings about lung cancer and LDCT scan. To better promote LDCT scan in China, the government should fund more trial programs continuously and public efforts should be made to rebuild the patient–doctor trust.

Keywords: low-dose CT; lung cancer screening; prevention (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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