Evidence map›Paper›PMID 26070037›Full record

ArticleJournal of women's health (2002)2015

Delays in Cancer Care Among Low-Income Minorities Despite Access.

Narissa J Nonzee, Daiva M Ragas, Thanh Ha Luu, Ava M Phisuthikul, Laura Tom, XinQi Dong, Melissa A Simon

Open access · greenAbstract read
In one paragraph

Article in Journal of women's health (2002), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
3.2field-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

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 84 citations in OpenAlex.

  1. Pooled it
  2. Implementation of an Evidence-Based Intervention with Safety Net Clinics to Improve Mammography Appointment Adherence Among Underserved Women.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
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  4. Kin KeeperJournal of cancer education : the official journal of the American Association for Cancer Education · 2026
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  11. "Not even my husband knows that I have this [breast cancer]": survivors' experiences in accessing, navigating and coping with treatment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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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

7 authors at 2 institutions in 1 country.

Narissa J Nonzee1 Institute for Public Health and Medicine, Northwestern University , Chicago, Illinois.
Daiva M Ragas3 Department of Obstetrics and Gynecology, Northwestern University , Chicago, Illinois.
Thanh Ha Luu3 Department of Obstetrics and Gynecology, Northwestern University , Chicago, Illinois.
Ava M Phisuthikul3 Department of Obstetrics and Gynecology, Northwestern University , Chicago, Illinois.
Laura Tom1 Institute for Public Health and Medicine, Northwestern University , Chicago, Illinois.
XinQi Dong4 Rush Institute for Healthy Aging, Rush University Medical Center , Chicago, Illinois.
Melissa A Simon1 Institute for Public Health and Medicine, Northwestern University , Chicago, Illinois.
Northwestern University · USRush University Medical Center · US

Funding

Tumor Environment and Metastasis (TEAM) Research ProgramP30CA060553 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Daniela E Matei · 1993 to 2026
$153.9M
Research Career Development in Obstetrics and GynecologyK12HD050121 · NICHD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Serdar E. Bulun · 2005 to 2026
$7.2M
Chicago Cancer Navigation ProjectU01CA116875 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI ROSEN, STEVEN TERRY · 2005 to 2011
$4.5M
Extending Cancer Navigation to Underserved Suburban WomenR24MD001650 · NIMHD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SIMON, MELISSA A. · 2005 to 2012
$3.1M
UCLA Clinical and Translational Science InstituteTL1TR000121 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$2.7M
NCATS NIH HHS TL1 TR000121NCI NIH HHS P30 CA060553NCI NIH HHS U01 CA116875NICHD NIH HHS K12 HD050121NIMHD NIH HHS R24 MD001650
6 · The paper itself

Abstract

introductionNarrowing the racial/ethnic and socioeconomic disparities in breast and cervical cancer requires an in-depth understanding of motivation for adherence to cancer screening and follow-up care. To inform patient-centered interventions, this study aimed to identify reasons why low-income women adhered to or delayed breast or cervical cancer screening, follow-up and treatment despite access to cancer care-related services.

methodsSemistructured qualitative interviews were conducted among women with access to cancer care-related services receiving care at an academic cancer center, federally qualified health centers, or free clinics in the Chicago metropolitan area. Transcripts were coded and analyzed for themes related to rationales for adherence.

resultsAmong 138 participants, most were African American (46%) or Hispanic (36%), English speaking (70%), and between ages 41 and 65 years (64%). Primary drivers of nonadherence included lack of knowledge of resources, denial or fear, competing obligations, and embarrassment. Facilitators included abnormality identification, patient activation, provider-initiated actions, and motivation from family or friends.

conclusionsInterventions targeting increased adherence to care among low-income and ethnic minority women should direct efforts to proactive, culturally and patient-informed education that enables patients to access resources and use the health care system, address misconceptions about cancer, ensure health care providers' communication of screening guidelines, and leverage the patient's social support network.

Indexed as

Health Knowledge, Attitudes, PracticeAdultAgedBreast NeoplasmsChicagoDelayed DiagnosisFearFemaleHumansInterviews as TopicMammographyMass ScreeningMiddle AgedMinority GroupsPatient Acceptance of Health CarePoverty

Identifiers

PMID26070037
PMCPMC4490771
OpenAlexW1706093900

What OpenQuestion holds

Textmetadata
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.