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Public Attitudes on Lung Cancer Screening and Radiation Risk: A Best-Worst Experiment
journal contribution
posted on 2023-02-16, 04:07 authored by R Norman, R Moorin, S Maxwell, Suzanne RobinsonSuzanne Robinson, F BrimsObjectives: To measure Australian population preferences for lung cancer screening and to explore whether these preferences are related to respondent characteristics and lung cancer risk. Methods: An online ranking task was administered to a sample of 521 Australians between the ages of 50 and 80 with a history of cigarette smoking. Choice sets contained 2 alternative lungs screens and an opt-out, and respondents were asked to rank the 3 options. Both conditional logit and mixed logit analyses were conducted exploring both the forced choice between the 2 screens and identifying the types of respondent most likely to opt out of any screening. For this, respondent 6-year lung cancer risk was estimated and used as a covariate. Results: Respondents valued tests that involved breath or blood tests in addition to computerized tomography (CT), locations that were close to home, receiving results quickly, and minimizing radiation from the CT scan. Willingness to pay differed between relatively higher and lower risk individuals; higher risk individuals placed greater emphasis on convenience, result timeliness, and radiation. Respondent characteristics that predicted opting out of any screening included being male, fewer years of smoking, and not having a previous cancer diagnosis. Lung cancer risk did not influence the likelihood of opting out. Conclusions: Uptake of lung cancer screening is likely to be changeable if different modalities of screening are provided, with effects likely differing across population subgroups.
History
Journal
Value in HealthVolume
23Pagination
495-505Location
United StatesPublisher DOI
ISSN
1098-3015eISSN
1524-4733Language
EnglishPublication classification
C1.1 Refereed article in a scholarly journalIssue
4Publisher
ELSEVIER SCIENCE INCUsage metrics
Keywords
Social SciencesScience & TechnologyLife Sciences & BiomedicineEconomicsHealth Care Sciences & ServicesHealth Policy & ServicesBusiness & Economicsdiscrete choice experimentlung cancerscreeningDISCRETE-CHOICE EXPERIMENTPATIENTS PREFERENCESEXTERNAL VALIDITYPARTICIPATIONWILLINGNESSTRIALAgedAged, 80 and overAttitude to HealthAustraliaChoice BehaviorCigarette SmokingEarly Detection of CancerFemaleHumansLung NeoplasmsMaleMass ScreeningMiddle AgedPatient PreferencePublic OpinionRiskSex FactorsSmokersTobacco Smoke and HealthTobaccoLungCancerLung CancerClinical ResearchPrevention4.4 Population screening4 Detection, screening and diagnosisApplied Economics not elsewhere classifiedPublic Health and Health Services not elsewhere classified
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