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• W4379618523 abstract "To examine 1) the rate of lung cancer screening (LCS) utilization in a large healthcare system in South Carolina; 2) associations of urbanicity and travel time with LCS utilization. LCS-eligible patients from 2019 were identified. The outcome was LCS utilization. The exposures were zip-code level urbanicity and travel time from the centroid of zip-code area to the nearest screening site (<10,10-<20, ≥20 min). Covariates included age, sex, race, marital status, insurance, body mass index, chronic obstructive pulmonary disease, Charlson Comorbidity Index (0, 1, 2, ≥3), and zip-code level median income. Chi-square tests and logistic regressions were employed. The analysis included 6930 patients, among whom 1432 (20.66%) received LCS. After adjusting for covariates, living in a non-metropolitan area (adjusted odds ratio: 0.32; 95% confidence interval: 0.26–0.40) and having longer travel time (0.80 [0.65–0.98] and 0.68 [0.54–0.86] for 10-<20 and ≥20 min travel time, respectively, compared to <10 min travel time) were significantly associated with lower odds of LCS utilization. The LCS utilization rate of a healthcare system was about 20% in 2019. Living in non-metropolitan areas or having longer travel time to LCS site were associated with lower LCS utilization." @default.
• W4379618523 created "2023-06-08" @default.
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• W4379618523 date "2023-08-01" @default.
• W4379618523 modified "2023-09-27" @default.
• W4379618523 title "The association of urbanicity and travel time with lung cancer screening utilization" @default.
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• W4379618523 doi "https://doi.org/10.1016/j.canep.2023.102396" @default.
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