ArticleBritish journal of cancer2016
Is cancer survival associated with cancer symptom awareness and barriers to seeking medical help in England? An ecological study.
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 37 papers, 1 of them a synthesis that pooled it.
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Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Patient and carer perceived barriers to early presentation and diagnosis of lung cancer: a systematic review.BMC cancer · 2019Pooled it
- Knowledge about cervical cancer in young Portuguese women: a cross-sectional study.Frontiers in public health · 2024Trial
- Targeted encouragement of GP consultations for possible cancer symptoms: a randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Trial
- The Web-Based Randomized Controlled Intervention as the Enhancer of Cancer Prevention.Medicina (Kaunas, Lithuania) · 2019Trial
- Cause-specific mortality beyond prostate cancer in young men: a population-based study of second malignancies and non-tumor causes.American journal of translational research · 2026Article
- Re-validation of the Cancer Research UK Cancer Awareness Measure 'plus' (CAM+): a study protocol.Frontiers in public health · 2026Article
- Low levels of awareness and motivation towards cancer prevention amongst the general public in Sweden: a cross-sectional study focusing on the European Code Against Cancer.BMC public health · 2025Article
- Patients' transition experience and care from predialysis to dialysis: a theory-guided integrative review.BMC nephrology · 2025Review
- Health inequalities in cancer care: a literature review of pathways to diagnosis in the United Kingdom.EClinicalMedicine · 2024Review
- The Co-Production, Pilot and Qualitative Evaluation of a Cancer Prevention Programme With High-Risk Women Delivered on Group Walks by Cancer Champions: Shoulder to Shoulder, Walk and Talk.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Transcultural Adaptation of the Breast Cancer Awareness Measure in a Rural Border Area of Greece.Cureus · 2024Article
- Rethinking screening mammography in Japan: next-generation breast cancer screening through breast awareness and supplemental ultrasonography.Breast cancer (Tokyo, Japan) · 2024Review
- Common myths and misconceptions about breast cancer causation among Palestinian women: a national cross-sectional study.BMC public health · 2023Article
- Article
- Perceived barriers to early presentation and symptom-specific time to seek medical advice for possible colorectal cancer symptoms among Palestinians.Scientific reports · 2023Article
- Associations of Symptom Clusters and Health Outcomes in Adult Survivors of Childhood Cancer: A Report From the St Jude Lifetime Cohort Study.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023Article
- Assessment of barriers to optimal cancer control in adult cancer treatment centres in Cameroon.Ecancermedicalscience · 2023Article
- Article
- A prospective evaluation of the fourth national Be Clear on Cancer 'Blood in Pee' campaign in England.European journal of cancer care · 2022Article
- Socio-economic inequalities in cancer survival: how do they translate into Number of Life-Years Lost?British journal of cancer · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundCampaigns aimed at raising cancer awareness and encouraging early presentation have been implemented in England. However, little is known about whether people with low cancer awareness and increased barriers to seeking medical help have worse cancer survival, and whether there is a geographical variation in cancer awareness and barriers in England.
methodsFrom population-based surveys (n=35 308), using the Cancer Research UK Cancer Awareness Measure, we calculated the age- and sex-standardised symptom awareness and barriers scores for 52 primary care trusts (PCTs). These measures were evaluated in relation to the sex-, age-, and type of cancer-standardised cancer survival index of the corresponding PCT, from the National Cancer Registry, using linear regression. Breast, lung, and bowel cancer survival were analysed separately.
resultsCancer symptom awareness and barriers scores varied greatly between geographical regions in England, with the worst scores observed in socioeconomically deprived parts of East London. Low cancer awareness score was associated with poor cancer survival at PCT level (estimated slope=1.56, 95% CI: 0.56; 2.57). The barriers score was not associated with overall cancer survival, but it was associated with breast cancer survival (estimated slope=-0.66, 95% CI: -1.20; -0.11). Specific barriers, such as embarrassment and difficulties in arranging transport to the doctor's surgery, were associated with worse breast cancer survival.
conclusionsCancer symptom awareness and cancer survival are associated. Campaigns should focus on improving awareness about cancer symptoms, especially in socioeconomically deprived areas. Efforts should be made to alleviate barriers to seeking medical help in women with symptoms of breast cancer.
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