Table 3:
Factors Associated with Patient-Perceived Lung Cancer Screening Decisional Quality (N=529)
| Variable | Bivariable Model | Multivariable Modela |
|---|---|---|
|
| ||
| Gender | ||
| Female (n=235) | 0.91 (0.65, 1.29); p=.6043 | |
| Male (n=294) | Reference | |
|
| ||
| Race | ||
| White (n=463) | 1.42 (0.85, 2.38); p=.1817 | 1.25 (0.77, 2.04); p=.3607 |
| Non-White (n=66) | Reference | Reference |
|
| ||
| Education | ||
| Less than high school (n=20) | 0.31 (0.12, 0.81); p=.0574 | |
| High school graduate or equivalent (n=94) | 0.70 (0.42, 1.17); p=.4551 | |
| Some college (n=233) | 0.63 (0.42, 0.93); p=.8508 | |
| College graduate or higher (n=182) | Reference | |
|
| ||
| Perceived Financial Adequacy | ||
| Have enough for special things (n=288) | 1.38 (0.97, 1.94); p=.0701 | 1.23 (0.89, 1.70); p=.2204 |
| Barely or Not Enough (n=241) | Reference | Reference |
|
| ||
| Family History of Lung Cancer | ||
| Yes (n=143) | 1.30 (0.88, 1.93); p=.1858 | |
| No (n=386) | Reference | |
|
| ||
| Smoking Status | ||
| Currently Smokes (n=233) | 1.14 (0.81, 1.61); p=.4602 | |
| Used to Smoke (n=296) | Reference | |
|
| ||
| Age | 1.02 (0.99, 1.05); p=.1308 | 1.01 (0.98, 1.04); p=.5384 |
|
| ||
| Knowledge: Lung Cancer Risk & Screening | 1.43 (1.26, 1.63); p<.0001 | 1.33 (1.18, 1.49); p<.0001 |
|
| ||
| Lung Cancer Screening Health Beliefs | ||
|
| ||
| Perceived Risk of Lung Cancer | 0.89 (0.80, 0.98); p=.0180 | 0.94 (0.86, 1.03); p=.2045 |
|
| ||
| Perceived Benefits of Lung Cancer Screening | 0.82 (0.77, 0.88); p<.0001 | 0.90 (0.85, 0.96); p=.0004 |
|
| ||
| Perceived Barriers to Lung Cancer Screening | 1.10 (1.07, 1.12); p<.0001 | 1.07 (1.04, 1.09); p<.0001 |
|
| ||
| Self-Efficacy for Lung Cancer Screening | 1.27 (1.21, 1.34); p<.0001 | 1.13 (1.07, 1.18); p<.0001 |
|
| ||
| Psychological Characteristics | ||
|
| ||
| Stigma | 0.96 (0.90, 1.03); p=.2702 | |
|
| ||
| Mistrust (Trust) | 0.84 (0.79, 0.90); p<.0001 | 0.98 (0.92, 1.05); p=.5612 |
|
| ||
| Perception that Lung Cancer Screening Decision was Shared | 1.03 (1.03, 1.04); p<.0001 | 1.04 (1.03, 1.04); p<.0001 |
a
Multivariable model includes independent variables that had p<.20 from bivariate models.
Values are OR (95% CI) from logistic regression models of having low decision conflict (DCS <25 group, n=297, 56.1%) versus higher decision conflict (DCS ≥25, n=232, 43.9%). The odds ratio (OR) for continuous predictors is per a 1-point increase.