Evidence map›Paper›PMID 24740200›Full record

ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2014

Financial strain and cancer risk behaviors among African Americans.

Pragati S Advani, Lorraine R Reitzel, Nga T Nguyen, Felicia D Fisher, Elaine J Savoy, Adolfo G Cuevas, David W Wetter, Lorna H McNeill

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 7% 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, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

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  10. The social and economic toll of cancer survivorship: a complex web of financial sacrifice.Journal of cancer survivorship : research and practice · 2019
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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.

Pragati S AdvaniAuthors' Affiliations: Departments of Health Disparities Research and Biostatistics, The University of Texas MD Anderson Cancer Center; Department of Health Promotion and Behavioral Sciences, The University of Texas School of Public Health; Department of Educational Psychology, College of Education and Department of Psychology, College of Liberal Arts and Social Sciences, The University of Houston, Houston, Texas; and Department of Psychology, College of Liberal Arts & Sciences, The Portland State University, Portland, OregonAuthors' Affiliations: Departments of Health Disparities Research and Biostatistics, The University of Texas MD Anderson Cancer Center; Department of Health Promotion and Behavioral Sciences, The University of Texas School of Public Health; Department of Educational Psychology, College of Education and Department of Psychology, College of Liberal Arts and Social Sciences, The University of Houston, Houston, Texas; and Department of Psychology, College of Liberal Arts & Sciences, The Portland State University, Portland, Oregon.
Lorraine R ReitzelAuthors' Affiliations: Departments of Health Disparities Research and Biostatistics, The University of Texas MD Anderson Cancer Center; Department of Health Promotion and Behavioral Sciences, The University of Texas School of Public Health; Department of Educational Psychology, College of Education and Department of Psychology, College of Liberal Arts and Social Sciences, The University of Houston, Houston, Texas; and Department of Psychology, College of Liberal Arts & Sciences, The Portland State University, Portland, Oregon Lrreitzel@uh.edu.
Nga T NguyenAuthors' Affiliations: Departments of Health Disparities Research and Biostatistics, The University of Texas MD Anderson Cancer Center; Department of Health Promotion and Behavioral Sciences, The University of Texas School of Public Health; Department of Educational Psychology, College of Education and Department of Psychology, College of Liberal Arts and Social Sciences, The University of Houston, Houston, Texas; and Department of Psychology, College of Liberal Arts & Sciences, The Portland State University, Portland, Oregon.
Felicia D FisherAuthors' Affiliations: Departments of Health Disparities Research and Biostatistics, The University of Texas MD Anderson Cancer Center; Department of Health Promotion and Behavioral Sciences, The University of Texas School of Public Health; Department of Educational Psychology, College of Education and Department of Psychology, College of Liberal Arts and Social Sciences, The University of Houston, Houston, Texas; and Department of Psychology, College of Liberal Arts & Sciences, The Portland State University, Portland, Oregon.
Elaine J SavoyAuthors' Affiliations: Departments of Health Disparities Research and Biostatistics, The University of Texas MD Anderson Cancer Center; Department of Health Promotion and Behavioral Sciences, The University of Texas School of Public Health; Department of Educational Psychology, College of Education and Department of Psychology, College of Liberal Arts and Social Sciences, The University of Houston, Houston, Texas; and Department of Psychology, College of Liberal Arts & Sciences, The Portland State University, Portland, Oregon.
Adolfo G CuevasAuthors' Affiliations: Departments of Health Disparities Research and Biostatistics, The University of Texas MD Anderson Cancer Center; Department of Health Promotion and Behavioral Sciences, The University of Texas School of Public Health; Department of Educational Psychology, College of Education and Department of Psychology, College of Liberal Arts and Social Sciences, The University of Houston, Houston, Texas; and Department of Psychology, College of Liberal Arts & Sciences, The Portland State University, Portland, Oregon.
David W WetterAuthors' Affiliations: Departments of Health Disparities Research and Biostatistics, The University of Texas MD Anderson Cancer Center; Department of Health Promotion and Behavioral Sciences, The University of Texas School of Public Health; Department of Educational Psychology, College of Education and Department of Psychology, College of Liberal Arts and Social Sciences, The University of Houston, Houston, Texas; and Department of Psychology, College of Liberal Arts & Sciences, The Portland State University, Portland, Oregon.
Lorna H McNeillAuthors' Affiliations: Departments of Health Disparities Research and Biostatistics, The University of Texas MD Anderson Cancer Center; Department of Health Promotion and Behavioral Sciences, The University of Texas School of Public Health; Department of Educational Psychology, College of Education and Department of Psychology, College of Liberal Arts and Social Sciences, The University of Houston, Houston, Texas; and Department of Psychology, College of Liberal Arts & Sciences, The Portland State University, Portland, Oregon.
The University of Texas MD Anderson Cancer Center · USPortland State University · USUniversity of Houston · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Kathrin Milbury · 1985 to 2026
$290.8M
CANCER PREVENTION EDUCAT--STUDENT RESEARCH EXPERIENCESR25CA056452 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Shine Chang · 1992 to 2026
$6.9M
NCI NIH HHS P30 CA016672NCI NIH HHS R25 CA056452
6 · The paper itself

Abstract

backgroundAfrican Americans suffer disproportionately from the adverse consequences of behavioral risk factors for cancer relative to other ethnic groups. Recent studies have assessed how financial strain might uniquely contribute to engagement in modifiable behavioral risk factors for cancer, but not among African Americans. The current study examined associations between financial strain and modifiable cancer risk factors (smoking, at-risk alcohol use, overweight/obesity, insufficient physical activity, inadequate fruit and vegetable intake, and multiple risk factors) among 1,278 African American adults (age, 46.5 ± 12.6 years; 77% female) and explored potential mediators (stress and depressive symptoms) of those associations.

methodsLogistic regression models were used to examine associations between financial strain and cancer risk factors. Analyses were adjusted for age, sex, partner status, income, educational level, and employment status. Analyses involving overweight/obesity status additionally controlled for fruit and vegetable intake and physical activity. Nonparametric bootstrapping procedures were used to assess mediation.

resultsGreater financial strain was associated with greater odds of insufficient physical activity (P < 0.003) and smoking (P = 0.005) and was positively associated with the total number of cancer risk factors (P < 0.0001). There was a significant indirect effect of both stress and depressive symptoms on the relations of financial strain with physical inactivity and multiple risk factors, respectively.

conclusionsFuture interventions aimed at reducing cancer disparities should focus on African Americans experiencing higher financial strain while addressing their stress and depressive symptoms. IMPACT: Longitudinal studies are needed to assess the temporal and causal relations between financial strain and modifiable behavioral cancer risk factors among African Americans.

Indexed as

Black or African AmericanRisk-TakingCohort StudiesFemaleHumansLongitudinal StudiesMaleMiddle AgedNeoplasmsRisk Factors

Identifiers

PMID24740200
PMCPMC4047153
OpenAlexW2027192637

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.