Evidence map›Paper›PMID 26630979›Full record

ArticleHealth promotion practice2016

Addressing Risk and Reluctance at the Nexus of HIV and Anal Cancer Screening.

Lana Sue I Ka'opua, Kevin Cassel, Bruce Shiramizu, Rebecca L Stotzer, Andrew Robles, Cathy Kapua, Malulani Orton, Cris Milne, Maddalynn Sesepasara

Open access · bronzeAbstract read
In one paragraph

Article in Health promotion practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 36% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
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

9 authors at 3 institutions in 1 country.

Lana Sue I Ka'opuaUniversity of Hawai'i-Ma-noa, Honolulu, HI, USA University of Hawai'i Cancer Center, Honolulu, HI, USA lskaopua@hawaii.edu.
Kevin CasselUniversity of Hawai'i Cancer Center, Honolulu, HI, USA.
Bruce ShiramizuUniversity of Hawai'i-Ma-noa, Honolulu, HI, USA University of Hawai'i Cancer Center, Honolulu, HI, USA.
Rebecca L StotzerUniversity of Hawai'i-Ma-noa, Honolulu, HI, USA.
Andrew RoblesUniversity of Hawai'i-Ma-noa, Honolulu, HI, USA.
Cathy KapuaLife Foundation of O'ahu, Honolulu, HI, USA.
Malulani OrtonLife Foundation of O'ahu, Honolulu, HI, USA.
Cris MilneUniversity of Hawai'i-Ma-noa, Honolulu, HI, USA.
Maddalynn SesepasaraLife Foundation of O'ahu, Honolulu, HI, USA.
University of Hawaiʻi at Mānoa · USUniversity of Hawaii System · USCancer Center of Hawaii · US

Funding

RESEARCH DESIGN AND BIOSTATISTICS COREU54MD007584 · NIMHD · UNIVERSITY OF HAWAII AT MANOA · PI MOKUAU, NOREEN, SHIRAMIZU, BRUCE T · 2012 to 2018
$21.1M
NIMHD NIH HHS U54 MD007584
6 · The paper itself

Abstract

Anal cancer disproportionately burdens persons living with human immunodeficiency virus (PLHIV) regardless of natal sex, sexual orientation, gender expression, and ethnic identity. Culturally competent communications are recommended to address health disparities, with sociocultural relevance ensured through constituent dialogic processes. Results are presented from six provider focus groups conducted to inform the promotion/education component of a Hawai'i-based project on anal cancer screening tools. Krueger's focus group methodology guided discussion queries. Verbatim transcripts of digitally recorded discussions were analyzed using grounded theory and PEN-3 procedures. Adherence to an audit trail ensured analytic rigor. Grounded theory analysis detected the overall theme of risk and reluctance to anal cancer screening, characterized by anal cancer not being "on the radar" of PLHIV, conflicting attributions of the anus and anal sex, fear of sex-shaming/-blaming, and other interrelated conceptual categories. PEN-3 analysis revealed strategies for destigmatizing anal cancer, through "real talk" (proactive, candid, nonjudgmental discussion) nested in a framework of sexual health and overall well-being, with additional tailoring for relevance to Native Hawaiians/Pacific Islanders, transgender persons, and other marginalized groups. Application of strategies for health practice are specific to the Hawai'i context, yet may offer considerations for developing strengths-based, culturally relevant screening promotion/education with diverse PLHIV in other locales.

Indexed as

AdultAgedAnus NeoplasmsCultural CompetencyEarly Detection of CancerFemaleFocus GroupsHawaiiHealth Knowledge, Attitudes, PracticeHealth PromotionHealth Status DisparitiesHIV InfectionsHumansMaleMiddle AgedNative Hawaiian or Pacific Islanderanal cancer screeningcancer disparitiescultural competenceHIVNative Hawaiians/Pacific Islanderssexual minorities

Identifiers

PMID26630979
PMCPMC4684716
OpenAlexW2185666283

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.