Document Type

Article

Publication Date

7-1-2026

Comments

This article is the author's final published version in Preventive Medicine Reports, Volume 67, July 2026, Article Number 103521.

The published version is available at https://doi.org/10.1016/j.pmedr.2026.103521. Copyright © 2026 The Authors.

Abstract

OBJECTIVE: Asian Americans experience disproportionately late-stage lung cancer diagnoses and lower lung cancer screening (LCS) rates than other racial groups. This study evaluated the association between the

METHODS: This pilot randomized controlled trial, conducted April 2023-January 2024 within a Philadelphia health system, tested a culturally and linguistically tailored intervention led by community health workers. LCS completion and LCS-Health Belief Scale (LCS-HBS) responses were compared between control and intervention participants (

RESULTS: LCS completion was higher in the intervention group (45%) than in the control (31.3%). Control participants who completed LCS reported higher perceived lung cancer risk, greater perceived benefits, and fewer perceived barriers than those who did not. Intervention participants who completed LCS reported higher self-efficacy for LCS. Completion was higher among participants with lower socioeconomic status (SES). Median time to completion was shorter in the intervention group (6.1 months versus 17.1 months).

CONCLUSIONS: This tailored navigation intervention was associated with increased LCS completion, especially among patients with lower SES. Baseline health beliefs differed between those who did and did not complete LCS. These findings identify targets for future interventions to increase LCS uptake.

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

PubMed ID

42294126

Language

English

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