Evidence map›Paper›PMID 19956159›Full record

Trial reportBritish journal of cancer2009

Awareness of cancer symptoms and anticipated help seeking among ethnic minority groups in England.

J Waller, K Robb, S Stubbings, A Ramirez, U Macleod, J Austoker, S Hiom, J Wardle

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of cancer, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 pooled it
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 3 syntheses or guidelines pooled it, 111 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Diagnostic errors in spinal metastases: a systematic review of contributing clinical and systemic factors.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Review
  7. Article
  8. Exploring cancer knowledge and sources of information among the public: An analytical study.African journal of primary health care & family medicine · 2025
    Article
  9. Article
  10. Article
  11. Racioethnic Disparities in Endometrial Cancer Outcomes.Diagnostics (Basel, Switzerland) · 2024
    Review
  12. Article
  13. Symptom appraisal and help seeking in males with symptoms of possible prostate cancer: a qualitative study with an ethnically diverse sample in London.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Article
  14. Article
  15. Article
  16. Article
  17. Article
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  19. Article
  20. Cancer Awareness and Barriers to Medical Treatment Among Syrian Refugees and Lebanese Citizens in Lebanon.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

J WallerDepartment of Epidemiology and Public Health, Cancer Research UK Health Behaviour Research Centre, University College London, Gower Street, London, UK. j.waller@ucl.ac.uk
K Robb
S Stubbings
A Ramirez
U Macleod
J Austoker
S Hiom
J Wardle
Cancer Research UK · GBUniversity College London · GBUniversity of Glasgow · GB

Funding

Cancer Research UK 8933Department of Health
6 · The paper itself

Abstract

objectiveLittle is known about ethnic differences in awareness of cancer-warning signs or help-seeking behaviour in Britain. As part of the National Awareness and Early Diagnosis Initiative (NAEDI), this study aimed to explore these factors as possible contributors to delay in cancer diagnosis.

methodsWe used quota sampling to recruit 1500 men and women from the six largest minority ethnic groups in England (Indian, Pakistani, Bangladeshi, Caribbean, African and Chinese). In face-to-face interviews, participants completed the newly developed cancer awareness measure (CAM), which includes questions about warning signs for cancer, speed of consultation for possible cancer symptoms and barriers to help seeking.

resultsAwareness of warning signs was low across all ethnic groups, especially using the open-ended (recall) question format, with lowest awareness in the African group. Women identified more emotional barriers and men more practical barriers to help seeking, with considerable ethnic variation. Anticipated delay in help seeking was higher in individuals who identified fewer warning signs and more barriers.

conclusionsThe study suggests the need for culturally sensitive, community-based interventions to raise awareness and encourage early presentation.

Indexed as

Health Knowledge, Attitudes, PracticePatient Acceptance of Health CareAdolescentAdultAgedDelayed DiagnosisEnglandFemaleHumansLanguageMaleMiddle AgedMinority GroupsNeoplasms

Identifiers

PMID19956159
PMCPMC2790709
OpenAlexW2078440642

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.