TABLE 2.
Comparison of racial disparities among respondents eligible for LCS with 2021 USPSTF recommendation
| Non‐Hispanic White | Non‐Hispanic Black | p‐value a | |||||||
|---|---|---|---|---|---|---|---|---|---|
| % | SE | 95% CI | % | SE | 95% CI | ||||
| Male | 54.5 | 1.6 | 51.46 | 57.55 | 59.8 | 3.7 | 52.56 | 67.04 | 0.190 |
| Female | 45.5 | 1.6 | 42.45 | 48.54 | 40.2 | 3.7 | 32.96 | 47.44 | |
| Less than high school/GED attained | 17.0 | 1.3 | 14.6 | 19.5 | 28.7 | 4.1 | 20.7 | 36.8 | 0.002 |
| Income to poverty ratio <1 | 14.9 | 1.3 | 12.3 | 17.5 | 26.2 | 3.7 | 18.9 | 33.5 | <0.001 |
| Have not worked in past 12 months | 53.9 | 1.6 | 50.7 | 57.0 | 66.5 | 4.3 | 58.0 | 75.0 | 0.009 |
| Health insurance (individuals <65 years) | 0.045 | ||||||||
| Private | 59.4 | 2.0 | 55.5 | 63.3 | 44.5 | 5.6 | 33.5 | 55.4 | |
| Medicaid and other public | 16.6 | 1.7 | 13.3 | 19.8 | 26.0 | 5.1 | 16.0 | 36.1 | |
| Other coverage | 13.8 | 1.4 | 11.0 | 16.6 | 16.2 | 4.0 | 8.3 | 24.1 | |
| No insurance | 10.2 | 1.1 | 8.0 | 12.4 | 13.3 | 3.1 | 7.2 | 19.4 | |
| Health insurance (individuals 65+ years) | 0.088 | ||||||||
| Private | 35.4 | 2.5 | 30.6 | 40.2 | 18.9 | 4.5 | 10.1 | 27.8 | |
| Dual eligible | 7.4 | 1.6 | 4.3 | 10.5 | 14.0 | 4.2 | 5.7 | 22.2 | |
| Medicare only | 24.1 | 2.1 | 19.9 | 28.2 | 24.6 | 5.4 | 14.0 | 35.2 | |
| Other coverage | 22.1 | 1.9 | 18.4 | 25.8 | 29.9 | 5.7 | 18.7 | 41.1 | |
| Uninsured | 10.9 | 1.6 | 7.7 | 14.0 | 12.5 | 4.3 | 4.1 | 21.0 | |
| Preventive care | 0.066 | ||||||||
| Does not get preventive care | 49.4 | 4.6 | 40.4 | 58.5 | 41.1 | 10.9 | 19.7 | 62.5 | |
| Clinic or health center | 10.8 | 2.6 | 5.8 | 15.9 | 12.8 | 7.1 | −1.1 | 26.7 | |
| Doctor's office or HMO | 26.1 | 3.9 | 18.4 | 33.8 | 23.0 | 9.8 | 3.8 | 42.1 | |
| Hospital emergency room | 1.7 | 1.1 | −0.5 | 3.8 | 6.0 | 3.6 | −1.1 | 13.1 | |
| Hospital outpatient | 0.4 | 0.4 | −0.3 | 1.1 | 7.0 | 6.9 | −6.4 | 20.5 | |
| Some other place | 3.0 | 1.3 | 0.4 | 5.6 | 4.9 | 4.8 | −4.5 | 14.4 | |
| Does not go to one place most often | 8.5 | 2.2 | 4.2 | 12.8 | 5.1 | 3.1 | −1.0 | 11.2 | |
| Reasons for delaying medical care in the past 12 months | |||||||||
| Could not get through on phone (Y) | 2.9 | 0.6 | 1.8 | 4.0 | 5.7 | 2.5 | 0.8 | 10.6 | 0.162 |
| Could not get appointment soon enough (Y) | 6.6 | 0.8 | 5.1 | 8.1 | 10.5 | 3.2 | 4.3 | 16.7 | 0.154 |
| Wait too long in doctor's office (Y) | 4.9 | 0.7 | 3.6 | 6.1 | 10.4 | 3.0 | 4.6 | 16.2 | 0.023 |
| Not open when you could go (Y) | 2.9 | 0.6 | 1.8 | 4.0 | 3.4 | 1.7 | 0.0 | 6.8 | 0.766 |
| No transportation (Y) | 3.6 | 0.7 | 2.3 | 4.9 | 11.1 | 3.1 | 5.0 | 17.2 | <0.001 |
Note: Analysis included individuals who would be eligible for LCS using the 2021 USPSTF recommendation.
Abbreviations: CI, confidence interval; LCS, lung cancer screening; SE, standard error; USPSTF, U.S. Preventive Services Task Force.
a
p‐value for Rao‐Scott adjusted Pearson chi‐square.