ArticleCancer epidemiology2015
Associations between contextual factors and colorectal cancer screening in a racially and ethnically diverse population in Texas.
Article in Cancer epidemiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
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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.
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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.
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Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- Multilevel factors influencing colorectal cancer screening adherence: A systematic literature review.PloS one · 2026Pooled it
- Barriers to cancer screening uptake and approaches to overcome them: a systematic literature review.Frontiers in oncology · 2025Pooled it
- Housing and Cancer Care and Outcomes: A Systematic Review.Journal of the National Cancer Institute · 2022Pooled it
- Colorectal cancer screening, incidence, and mortality among aging veterans in the U.S. Department of Veterans Affairs healthcare system by housing status.GeroScience · 2026Article
- Association of Historical Housing Discrimination and Colon Cancer Treatment and Outcomes in the United States.JCO oncology practice · 2024Article
- The impact of neighborhood disadvantage on colorectal cancer screening among African Americans in Chicago.Preventive medicine reports · 2023Article
- Prostate cancer aggressiveness and financial toxicity among prostate cancer patients.The Prostate · 2023Article
- Socioeconomic status and colorectal cancer screening behaviors in a vulnerable multiethnic population.Ethnicity & health · 2022Article
- Colorectal cancer and potential predictors of never screened for faecal occult blood test: a narrative review.Journal of public health research · 2021Article
- Do neighborhood characteristics contribute beyond individual demographics to cancer control behaviors among African American adults?Cancer epidemiology · 2020Article
- Correlates of colorectal cancer screening rates in primary care clinics serving low income, medically underserved populations.Preventive medicine · 2019Article
- Utilization of Census Tract-Based Neighborhood Poverty Rates to Predict Non-adherence to Screening Colonoscopy.Digestive diseases and sciences · 2019Observational
- Social determinants of influenza hospitalization in the United States.Influenza and other respiratory viruses · 2017Article
- Geographic and population-level disparities in colorectal cancer testing: A multilevel analysis of Medicaid and commercial claims data.Preventive medicine · 2017Article
- Area-level Socioeconomic Inequalities in the Use of Mammography Screening: A Multilevel Analysis of the Health of Houston Survey.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundColorectal cancer is the third most commonly diagnosed cancer and the third leading cause of cancer death in the United States. Increased attention has been given to understanding the role of local contexts on cancer screening behaviors. We examined the associations between multiple tract-level socioeconomic measures and adherence to colorectal cancer screening (CRCS) in Harris County and the City of Houston, Texas.
methodsWe conducted a cross-sectional multilevel study linking individual-level data on CRCS from the 2010 Health of Houston Survey with contextual data from the U.S. Census and the U.S. Department of Housing and Urban Development. We examined tract-level poverty, education, employment, income inequality, and foreclosure measures across 543 Census tracts. Analyses were limited to individuals aged 50-74 years (N=1720).
resultsOverall, 58.0% of the sample was adherent to any recommended CRCS test. In bivariate analyses, increasing levels of area poverty, low education, unemployment, and foreclosures were associated with lower odds of adherence to CRCS. After controlling for individual-level covariates, only tract-level unemployment remained associated with adherence to CRCS (adjusted OR=0.80; 95% CI: 0.66-0.99; P=.037).
conclusionsNeighborhood socioeconomic disadvantage is increasingly recognized as a determinant of health, and our study suggests that the contextual effect of area unemployment may extend to cancer screening outcomes. Our finding is important to cancer control planners because we identified a contextual marker of disparity that can be used to target local interventions to promote CRCS and thereby reduce cancer disparities among non-adherent individuals who reside in communities with high unemployment rates.
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