Evidence map›Paper›PMID 27397651›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2017

Attitudes towards lung cancer screening in socioeconomically deprived and heavy smoking communities: informing screening communication.

Samantha L Quaife, Laura A V Marlow, Andy McEwen, Samuel M Janes, Jane Wardle

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04083859 (A Pragmatic Randomized-Controlled Trial of a Digital Outreach Intervention for Lung Cancer Screening), which is not on this map. Cited by 101 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
101citing papers in PubMed, 5 pooled it
11.5field-weighted citation impact, top 1% 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.

NCT04083859 nacompletednot on this mapstarted 2022, after this paper: background citation

A Pragmatic Randomized-Controlled Trial of a Digital Outreach Intervention for Lung Cancer Screening: mPATH-Lung (Mobile Patient Technology for Health-Lung)

TypeinterventionalSponsorWake Forest University Health SciencesRan2022 to 2024Enrolled26,998ConditionsLung CancerArmsmPATH-Lung, Lung health video
3 · Its place in the literature

Who cites it

101 citing papers in PubMed, 5 syntheses or guidelines pooled it, 171 citations in OpenAlex.

  1. Pooled it
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  3. Exploring Whether and How People Experiencing High Deprivation Access Diagnostic Services: A Qualitative Systematic Review.Health expectations : an international journal of public participation in health care and health policy · 2024
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  18. Understanding lung cancer screening motivation: cognitive, affective, and thought-based predictors in a UK screening-eligible sample.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2026
    Article
  19. Article
  20. Journal of health communication · 2026
    Article

41 more citing papers are in PubMed but not listed here.

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

5 authors at 3 institutions in 1 country.

Samantha L QuaifeHealth Behaviour Research Centre, Department of Epidemiology and Public Health, University College London, London, UK.
Laura A V MarlowHealth Behaviour Research Centre, Department of Epidemiology and Public Health, University College London, London, UK.
Andy McEwenHealth Behaviour Research Centre, Department of Epidemiology and Public Health, University College London, London, UK.
Samuel M JanesLungs for Living Research Centre, UCL Respiratory, Division of Medicine, University College London, London, UK.
Jane WardleHealth Behaviour Research Centre, Department of Epidemiology and Public Health, University College London, London, UK.
Public Health England · GBLiving Streets · GBUniversity College London · GB

Funding

Cancer Research UK 17976
6 · The paper itself

Abstract

backgroundWhile discussion continues over the future implementation of lung cancer screening, low participation from higher risk groups could limit the effectiveness of any national screening programme.

objectivesTo compare smokers' beliefs about lung cancer screening with those of former and never smokers within a low socioeconomic status (SES) sample, to explore the views of lower SES smokers and ex-smokers in-depth, and to provide insights into effective engagement strategies. DESIGN, SETTING AND

participantsUsing proactive, community-based recruitment methods, we surveyed 175 individuals from socioeconomically deprived communities with high smoking prevalence and subsequently interviewed 21 smokers and ex-smokers. Participants were approached in community settings or responded to a mail-out from their housing association.

resultsInterviewees were supportive of screening in principle, but many were doubtful about its ability to deliver long-term survival benefit for their generation of "heavy smokers." Lung cancer was perceived as an uncontrollable disease, and the survey data showed that fatalism, worry and perceived risk of lung cancer were particularly high among smokers compared with non-smokers. Perceived blame and stigma around lung cancer as a self-inflicted smokers' disease were implicated by interviewees as important social deterrents of screening participation. The belief that lungs are not a treatable organ appeared to be a common lay explanation for poor survival and undermined the potential value of screening.

conclusionsAttitudes towards screening among this high-risk group are complex. Invitation strategies need to be carefully devised to achieve equitable participation in screening.

Indexed as

CommunicationEarly Detection of CancerHealthcare DisparitiesHealth Knowledge, Attitudes, PracticeSmokersAdultFemaleHumansInterviews as TopicLung NeoplasmsMaleMass ScreeningMiddle AgedSmokingSurveys and Questionnairesinequalitieslung cancerscreeningsmokingsocioeconomic status

Identifiers

PMID27397651
PMCPMC5513004
OpenAlexW2461580983

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.