Background/Objective: Lung cancer is a leading cause of death in the US and it can be prevented. The United States Preventive Services Task Force (USPSTF) recommends annual lung cancer screening (LCS) which facilitates earlier detection and reduces lung cancer deaths. In this study, we investigated lung cancer screening uptake, racial disparity, and other factors affecting lung cancer screening.

Methods: Using the Behavioral Risk Factor Surveillance System (BRFSS), we extracted 3420 individuals who meet the USPSTF criteria for LCS.

Results: The LCS uptake among screening-eligible individuals was 18.4%. The odds of LCS in blacks and Hispanics were approximately 72% lower than whites. Uninsured individuals had a 73% lower chance of getting LCS than insured. Respondents with routine checkup within the last two or five or more years had lower odds of screening (64% and 71%, respectively). Multiple personal physicians associated with 156% higher odds of getting LCS. Respondents with fair or poor health tend to get LCS more.

Conclusions: The uptake of LCS is increasing but still low. LCS racial disparities against racial minorities exist.