Evidence map›Paper›PMID 27280638›Full record

ArticleBritish journal of cancer2016

Ethnic differences in cancer symptom awareness and barriers to seeking medical help in England.

Maja Niksic, Bernard Rachet, Fiona G Warburton, Lindsay J L Forbes

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 16% 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

41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 76 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Maja NiksicCancer Epidemiology and Population Health, Division of Cancer Studies, King's College London, Bermondsey Wing, Guy's Hospital, Great Maze Pond, London SE1 9RT, UK.
Bernard RachetCancer Research UK Cancer Survival Group, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK.
Fiona G WarburtonCancer Epidemiology and Population Health, Division of Cancer Studies, King's College London, Bermondsey Wing, Guy's Hospital, Great Maze Pond, London SE1 9RT, UK.
Lindsay J L ForbesCancer Epidemiology and Population Health, Division of Cancer Studies, King's College London, Bermondsey Wing, Guy's Hospital, Great Maze Pond, London SE1 9RT, UK.
King's College London · GBCancer Research UK · GB

Funding

Cancer Research UK 11700Cancer Research UK 18525
6 · The paper itself

Abstract

backgroundEthnic differences in cancer symptom awareness and barriers to seeking medical help in the English population are not fully understood. We aimed to quantify these differences, to help develop more effective health campaigns, tailored to the needs of different ethnic groups.

methodsUsing a large national data set (n=38 492) of cross-sectional surveys that used the Cancer Research UK Cancer Awareness Measure, we examined how cancer symptom awareness and barriers varied by ethnicity, controlling for socio-economic position, age and gender. Data were analysed using multivariable logistic regression.

resultsAwareness of cancer symptoms was lower in minority ethnic groups than White participants, with the lowest awareness observed among Bangladeshis and Black Africans. Ethnic minorities were more likely than White British to report barriers to help-seeking. South Asians reported the highest emotional barriers, such as lack of confidence to talk to the doctor, and practical barriers, such as worry about many other things. The Irish were more likely than the White British to report practical barriers, such as being too busy to visit a doctor. White British participants were more likely than any other ethnic group to report that they would feel worried about wasting the doctor's time. Overall, Black Africans had the lowest barriers. All differences were statistically significant (P<0.01 level), after controlling for confounders.

conclusionsOur findings suggest the need for culturally sensitive and targeted health campaigns, focused on improving recognition of cancer symptoms among ethnic minorities. Campaigns should tackle the specific barriers prevalent in each ethnic group.

Indexed as

AdolescentAdultAgedAwarenessCross-Sectional StudiesEnglandEthnicityHealth Knowledge, Attitudes, PracticeHumansMiddle AgedNeoplasmsPatient Acceptance of Health CareYoung Adult

Identifiers

PMID27280638
PMCPMC4931374
OpenAlexW2418494338

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.