PMID- 28575258
OWN - NLM
STAT- MEDLINE
DCOM- 20170821
LR  - 20221207
IS  - 1758-535X (Electronic)
IS  - 1079-5006 (Linking)
VI  - 72
IP  - suppl_1
DP  - 2017 Jul 1
TI  - Examination of Chronic Smoking Behavior and Eligibility for Low-Dose Computed 
      Tomography for Lung Cancer Screening Among Older Chinese Male Smokers.
PG  - S22-S25
LID - 10.1093/gerona/glw202 [doi]
AB  - BACKGROUND: Low-dose computed tomography lung cancer (LDCT) screening is an 
      effective way to decrease lung cancer mortality. Both Medicare and private 
      insurers offer coverage of LDCT screening to beneficiaries who are at high risk 
      of developing lung cancer. In this study, we examined rates and predictors of 
      chronic smoking behavior and eligibility for coverage of LDCT screening among 
      older Chinese men living in the greater Chicago area. METHODS: Data were obtained 
      from the Population Study of Chinese Elderly in Chicago, a population-based 
      survey of community-dwelling, older Chinese adults in the Chicago metropolitan 
      area. Eligibility criteria according to Centers of Medicare and Medicaid Services 
      (CMS) and U.S. Preventive Services Task Force (USPSTF) for LDCT screening were 
      used. Multivariate logistic regression was conducted to determine predictors of 
      chronic smoking behavior which was operationalized as meeting criteria for LDCT 
      screening. RESULTS: A quarter of the sample were current smokers and 42.5% 
      reported a prior history of smoking. Eighteen percent and 22% of older Chinese 
      men met the eligibility criteria for appropriateness for CMS and USPSTF LDCT 
      screening, respectively. Furthermore, education, marital status, and number of 
      children were significantly associated with chronic smoking behavior. CONCLUSION: 
      Older Chinese men with chronic smoking behavior are at high risk of developing 
      lung cancer and nearly one in five meet eligibility for LDCT screening. Increased 
      outreach and education regarding early detection of lung cancer and smoking 
      cessation are needed for this vulnerable and high-risk population.
CI  - (c) The Author 2017. Published by Oxford University Press on behalf of The 
      Gerontological Society of America. All rights reserved. For permissions, please 
      e-mail: journals.permissions@oup.com.
FAU - Li, Chien-Ching
AU  - Li CC
AD  - Department of Health Systems Management, Rush University, Chicago, Illinois.
FAU - Matthews, Alicia K
AU  - Matthews AK
AD  - Department of Health Systems Science, University of Illinois at Chicago.
FAU - Dong, XinQi
AU  - Dong X
AD  - Rush Institute for Healthy Aging, Rush University Medical Center, Chicago, 
      Illinois.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Gerontol A Biol Sci Med Sci
JT  - The journals of gerontology. Series A, Biological sciences and medical sciences
JID - 9502837
SB  - IM
MH  - Aged
MH  - Asian/*statistics & numerical data
MH  - Chicago/epidemiology
MH  - *Early Detection of Cancer/methods
MH  - Female
MH  - Humans
MH  - Independent Living
MH  - Lung Neoplasms/*diagnostic imaging/*ethnology
MH  - Male
MH  - Medicaid/statistics & numerical data
MH  - Medicare/statistics & numerical data
MH  - Predictive Value of Tests
MH  - Radiation Dosage
MH  - Risk Factors
MH  - Sensitivity and Specificity
MH  - Smoking/adverse effects/*epidemiology
MH  - Surveys and Questionnaires
MH  - *Tomography, X-Ray Computed
MH  - United States/epidemiology
OTO - NOTNLM
OT  - Chinese
OT  - Low-dose computed tomography
OT  - Lung cancer screening
OT  - Smoking
EDAT- 2017/06/03 06:00
MHDA- 2017/08/22 06:00
CRDT- 2017/06/03 06:00
PHST- 2016/01/22 00:00 [received]
PHST- 2016/09/24 00:00 [accepted]
PHST- 2017/06/03 06:00 [entrez]
PHST- 2017/06/03 06:00 [pubmed]
PHST- 2017/08/22 06:00 [medline]
AID - 3859668 [pii]
AID - 10.1093/gerona/glw202 [doi]
PST - ppublish
SO  - J Gerontol A Biol Sci Med Sci. 2017 Jul 1;72(suppl_1):S22-S25. doi: 
      10.1093/gerona/glw202.