Evidence map›Paper›PMID 28239007›Full record

Observational studyJournal of health care for the poor and underserved2017

Inadequate Cancer Screening: Lack of Provider Continuity is a Greater Obstacle than Medical Mistrust.

Lauren D Arnold, Martha M McGilvray, J Kyle Cooper, Aimee S James

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Journal of health care for the poor and underserved, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.5field-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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Screen to Save: Results from NCI's Colorectal Cancer Outreach and Screening Initiative to Promote Awareness and Knowledge of Colorectal Cancer in Racial/Ethnic and Rural Populations.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020
    Observational
  7. Article
  8. Article
  9. Cancer Health Impact Program (CHIP): Identifying Social and Demographic Associations of mHealth Access and Cancer Screening Behaviors Among Brooklyn, New York, Residents.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2019
    Article
  10. Prostate Cancer Screening among High-Risk Black Men.The journal for nurse practitioners : JNP · 2018
    Article
  11. Disparities in resection of hepatic metastases in colon cancer.Journal of gastrointestinal oncology · 2018
    Article
  12. Observational
  13. Article
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

4 authors at 2 institutions in 1 country.

Lauren D Arnold
Martha M McGilvray
J Kyle Cooper
Aimee S James
Harvard University · USWashington University in St. Louis · US

Funding

Training ProgramU54CA153460 · NCI · WASHINGTON UNIVERSITY · PI COLDITZ, GRAHAM A. · 2010 to 2015
$5.3M
NCI NIH HHS U54 CA153460
6 · The paper itself

Abstract

backgroundRacial minorities and low-income individuals are generally less likely to have adequate cancer screening than Whites or higher-income individuals. PURPOSE: To examine the roles of medical mistrust and lack of provider continuity in cancer screening in a low-income minority population.

methodsA total of 144 urban federally qualified health center patients completed a cross-sectional survey that included the Group Based Medical Mistrust Scale and questions on provider continuity and cancer-screening-history.

resultsBreast cancer screening was associated with continuity of care but not mistrust (respectively p = .002, p > .05); colon cancer screening was not significantly associated with either factor (p > .05).

conclusionsFindings suggest that among low-income minority adults continuity of care is more strongly associated with screening than medical mistrust. Shifting focus from medical mistrust-a patient-level issue-to establishing health care homes-a system-level issue-may be a more effective strategy for reducing racial and socioeconomic disparities in cancer screening.

Indexed as

TrustAdultBlack or African AmericanContinuity of Patient CareCross-Sectional StudiesEarly Detection of CancerFemaleHumansLongitudinal StudiesMaleMiddle AgedPatient-Centered CarePovertyRacial GroupsSafety-net ProvidersSocioeconomic Factors

Identifiers

PMID28239007
PMCPMC5483852
OpenAlexW2589912430

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.