Manchester’s ‘Lung Health Check’ pilot utilised mobile CT scanners in convenient retail locations to deliver lung cancer screening to socioeconomically disadvantaged communities. We assessed whether screening location was an important factor for those attending the service. Location was important for 74.7% (n=701/938) and 23% (n=216/938) reported being less likely to attend an equivalent hospital-based programme. This preference was most common in current smokers (27% current smokers vs 19% former smokers; AdjOR 1.46, 95% CI 1.03 to 2.08, p=0.036) and those in the lowest deprivation quartile (25% lowest quartile vs 17.6% highest quartile; AdjOR 2.0, 95% CI 1.24 to 3.24, p=0.005). Practical issues related to travel were most important in those less willing to attend a hospital-based service, with 83.3% citing at least one travel related barrier to non-attendance. A convenient community-based screening programme may reduce inequalities in screening adherence especially in those at high risk of lung cancer in deprived areas.

中文翻译：

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曼彻斯特肺部健康检查试点的参加者表达了对基于社区的肺癌筛查的偏好


曼彻斯特的“肺部健康检查”试点利用便利零售点的移动 CT 扫描仪，为社会经济弱势群体提供肺癌筛查。我们评估了筛查地点对于参加服务的人来说是否是一个重要因素。 74.7% (n=701/938) 和 23% (n=216/938) 的受访者表示地点很重要，他们不太可能参加同等的医院项目。这种偏好在当前吸烟者中最常见（当前吸烟者为 27%，以前吸烟者为 19%；AdjOR 1.46，95% CI 1.03 至 2.08，p=0.036）和处于最低剥夺四分位数的人群（最低四分位数为 25%，最高四分位数为 17.6%） ；AdjOR 2.0，95% CI 1.24 至 3.24，p=0.005）。对于那些不太愿意参加医院服务的人来说，与旅行相关的实际问题最为重要，83.3% 的人表示至少有一个与旅行相关的障碍导致他们无法参加医院服务。方便的基于社区的筛查计划可以减少筛查依从性方面的不平等，特别是对于贫困地区肺癌高风险人群。