Lung Cancer Screening in People With HIV: A Mixed-Methods Study of Patient and Provider Perspectives.
Journal
American journal of preventive medicine
ISSN: 1873-2607
Titre abrégé: Am J Prev Med
Pays: Netherlands
ID NLM: 8704773
Informations de publication
Date de publication:
10 2023
10 2023
Historique:
received:
09
02
2023
revised:
01
05
2023
accepted:
01
05
2023
pmc-release:
01
10
2024
medline:
25
9
2023
pubmed:
6
5
2023
entrez:
5
5
2023
Statut:
ppublish
Résumé
People with HIV are at higher risk of lung cancer; however, there is limited research on attitudes, barriers, and facilitators to lung cancer screening in people with HIV. The objective of this study was to understand the perspectives on lung cancer screening among people with HIV and their providers. Surveys of people with HIV and HIV-care providers were complemented by qualitative focus groups and interviews designed to understand the determinants of lung cancer screening in people with HIV. Participants were recruited through an academic HIV clinic in Seattle, WA. Qualitative guides were developed by integrating the Consolidated Framework for Implementation Research and the Tailored Implementation of Chronic Diseases checklist. Themes that emerged from thematic analyses of qualitative data were compared with surveys in joint displays. All study components were conducted between 2021 and 2022. Sixty-four people with HIV completed surveys, and 43 participated in focus groups. Eleven providers completed surveys, and 10 were interviewed for the study. Themes from joint displays show overall enthusiasm for lung cancer screening among people with HIV and their providers, particularly with a tailored and evidence-based approach. Facilitators in this population may include longstanding engagement with providers and health systems and an emphasis on survivorship through preventive healthcare interventions. People with HIV may also face barriers acknowledged by providers, including a high level of medical comorbidities and competing issues such as substance abuse, mental health concerns, and economic instability. This study reveals that people with HIV and their providers have overall enthusiasm toward screening. However, tailored interventions may be needed to overcome specific barriers, including complex decision making in the setting of medical comorbidity and patient competing issues.
Identifiants
pubmed: 37146840
pii: S0749-3797(23)00204-0
doi: 10.1016/j.amepre.2023.05.001
pmc: PMC10524954
mid: NIHMS1899967
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
608-617Subventions
Organisme : NCI NIH HHS
ID : P30 CA015704
Pays : United States
Informations de copyright
Copyright © 2023 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
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