Evidence map›Paper›PMID 22926896›Full record

ArticlePsycho-oncology2013

Barriers to oral cancer screening: a focus group study of rural Black American adults.

Jennifer L Howell, James A Shepperd, Henrietta Logan

Abstract read
In one paragraph

Article in Psycho-oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

24 citing papers in PubMed, 44 citations in OpenAlex.

  1. Effects of a case management program on patients with oral precancerous lesions: a randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016
    Trial
  2. Article
  3. Article
  4. Utilization of an AI-Powered Chatbot for Enhancing Oral Cancer Awareness among African Americans: Expert Feedback on Usability.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Effectiveness of Health Belief Model on Oral Cancer Prevention in Smoker Men.Journal of cancer education : the official journal of the American Association for Cancer Education · 2019
    Article
  15. Article
  16. Article
  17. Predicting Scheduling and Attending for an Oral Cancer Examination.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2015
    Article
  18. Avoiding cancer risk information.Social science & medicine (1982) · 2015
    Article
  19. Article
  20. 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

3 authors at 1 institution in 2 countries.

Jennifer L HowellDepartment of Psychology, University of Florida, Gainesville, FL 32611-2250, USA. jenny.howell@ufl.edu
James A Shepperd
Henrietta Logan
University of Florida · US

Funding

Statistics and Data Coordinating CenterU54DE019261 · NIDCR · UNIVERSITY OF FLORIDA · PI RILEY, JOSEPH L · 2008 to 2012
$5.4M
NIDCR NIH HHS 1U54DE019261-01NIDCR NIH HHS U54 DE019261
6 · The paper itself

Abstract

objectiveMortality from mouth and throat cancer (MTC) is higher among Black Americans than White Americans partially because of late stage detection through screening. The disparity in mortality is particularly problematic among Black Americans living in rural areas who have limited access to preventative resources. Our study explored barriers to screening for MTC among Black Americans.

methodsWe conducted nine focus groups among rural Black Americans age 40 years and older (N = 80).

resultsContent coding of the transcripts of the focus groups revealed three primary barriers to screening. Lack of knowledge (e.g., not knowing about MTC and not knowing MTC symptoms) accounted for 31.8% of all barriers mentioned, lack of resources (e.g., lack of money and health insurance) accounted for 25.0% of all barriers mentioned, and fear (e.g., fear of screening and diagnosis) accounted for 22.9% of all barriers mentioned.

conclusionsWe placed these barriers within the Theory of Planned Behavior and conclude that interventions aimed at increasing MTC screening among rural Black Americans should first focus on changing people's attitudes about screening by increasing knowledge about MTC and reducing fear.

Indexed as

Health BehaviorHealth Knowledge, Attitudes, PracticeAdultAgedAged, 80 and overBlack or African AmericanEarly Detection of CancerFearFemaleFocus GroupsHealth Services AccessibilityHumansMaleMass ScreeningMiddle AgedMouth Neoplasms

Identifiers

PMID22926896
PMCPMC3698600
OpenAlexW1922688600

What OpenQuestion holds

Textmetadata
LicenceTDM
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.