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Tobacco smoking is the leading preventable cause of death and the main risk factor for lung and head and neck cancers

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Under the 2013 USPSTF guidelines, the average annual rate of lung cancer screening in our study was 0.95%, modestly higher than the estimated 0.7% annual rate for California by the American Lung Associations 2022 State of Lung Cancer Report ( Notably, the annual screening proportions were lower than the overall screening proportion observed across the entire study period