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To ensure early detection, the German Social Accident Insurance (DGUV) offers lung cancer screening including a low-dose computed tomography (LDCT) for individuals with long-term occupational exposure to asbestos dust and a smoking history of at least 30 pack years. However, evidence remains scarce about what encourages this group of people to participate in LDCT screening after medical consultation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A secondary data analysis using routinely collected medical and administrative data between 2014 and 2024 was conducted in a cross-sectional design. This study aimed to investigate factors that could be used to predict the uptake of LDCT screening following a medical consultation. Exploratory logistic regression analysis was used to identify and assess possible predictors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The sample included\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200914,491 individuals (97% male; average age 67 years; average asbestos dust exposure 21 years; average cigarette consumption 43 pack years). 74% of individuals underwent LDCT screening after medical consultation. 13 predictors were included in the regression model. The model demonstrated a low level of variance explanation (Nagelkerkes R\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.026). Younger individuals (OR: 0.96,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), individuals with prolonged exposure to asbestos dust (OR: 1.01,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.011) and with a history of pneumonia (OR: 1.16,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.011) were more likely to undergo LDCT screening.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The predictors showed only a low explanatory power. Further research should include non-participants and expand the exploratory model to include theoretically grounded predictors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12890-026-04780-4","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T15:41:56Z","timestamp":1791819716000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Who participates in LDCT screening for the early detection of lung cancer after long-term occupational exposure to asbestos dust? 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The original article has been corrected.","order":8,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The EVALUNG study was conducted in accordance with the principles of the Declaration of Helsinki. The study protocol was approved by the Ethics Committee of the Hamburg Medical Association (reference number 2022-100917-BO-ff). Informed consent was not required for secondary use of anonymised routine data.","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"VH declares the following COI: He is Director of the Institute for Occupational and Maritime Medicine (ZfAM). In the outpatient clinic of the ZfAM, preventive health care examinations and counselling on LDCT according to EVA-LCS are carried out. As head of the Scientific Advisory Board of EVA-LCS, he is reimbursed for travel and expenses. The other authors declare that they have no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"461"}}