Evidence map›Paper›PMID 28439739›Full record

SynthesisJournal of community health2017

Medical Mistrust and Colorectal Cancer Screening Among African Americans.

Leslie B Adams, Jennifer Richmond, Giselle Corbie-Smith, Wizdom Powell

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Journal of community health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 4 pooled it
2.8field-weighted citation impact, top 8% 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

95 citing papers in PubMed, 4 syntheses or guidelines pooled it, 167 citations in OpenAlex.

  1. Pooled it
  2. Barriers and Facilitators to Participation in Health Screening: an Umbrella Review Across Conditions.Prevention science : the official journal of the Society for Prevention Research · 2022
    Pooled it
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  5. Trial
  6. Trial
  7. Article
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  9. Review
  10. Monitoring of Colorectal Cancer Screening Adherence Among African American Patients of North Florida Community Health Centers.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
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  20. Understanding the Impact of Psychosocial Barriers on Colorectal Cancer Knowledge in Emerging Adult Black Men.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article

35 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

4 authors at 1 institution in 1 country.

Leslie B AdamsDepartment of Health Behavior, UNC Gillings School of Global Public Health, Chapel Hill, NC, USA.
Jennifer RichmondDepartment of Health Behavior, UNC Gillings School of Global Public Health, Chapel Hill, NC, USA.
Giselle Corbie-SmithCenter for Health Equity Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Wizdom PowellDepartment of Health Behavior, UNC Gillings School of Global Public Health, Chapel Hill, NC, USA. wizdomp@email.unc.edu.
University of North Carolina at Chapel Hill · US

Funding

UNC-CH TRAINING PROGRAM IN HEALTH SERVICES RESEARCHT32HS000032 · AHRQ · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HOLMES, GEORGE M · 1989 to 2024
$8.2M
Neighborhoods, daily stress, affect regulation, & Black male substance useK01DA032611 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI POWELL, WIZDOM A · 2014 to 2018
$825k
Agency for Healthcare Research and Quality 5T32 HS000032-28AHRQ HHS T32 HS000032National Cancer Institute 5U54CA15673306-07National Institute of Minority Health and Health Disparities L60 MD010134National Institute on Drug Abuse 1K01 DA032611-01A1NIDA NIH HHS K01 DA032611NIMHD NIH HHS L60 MD010134Robert Wood Johnson Foundation 73921
6 · The paper itself

Abstract

Despite well-documented benefits of colorectal cancer (CRC) screening, African Americans are less likely to be screened and have higher CRC incidence and mortality than Whites. Emerging evidence suggests medical mistrust may influence CRC screening disparities among African Americans. The goal of this systematic review was to summarize evidence investigating associations between medical mistrust and CRC screening among African Americans, and variations in these associations by gender, CRC screening type, and level of mistrust. MEDLINE, CINAHL, Web of Science, PsycINFO, Google Scholar, Cochrane Database, and EMBASE were searched for English-language articles published from January 2000 to November 2016. 27 articles were included for this review (15 quantitative, 11 qualitative and 1 mixed methods study). The majority of quantitative studies linked higher mistrust scores with lower rates of CRC screening among African Americans. Most studies examined mistrust at the physician level, but few quantitative studies analyzed mistrust at an organizational level (i.e. healthcare systems, insurance, etc.). Quantitative differences in mistrust and CRC screening by gender were mixed, but qualitative studies highlighted fear of experimentation and intrusiveness of screening methods as unique themes among African American men. Limitations include heterogeneity in mistrust and CRC measures, and possible publication bias. Future studies should address methodological challenges found in this review, such as limited use of validated and reliable mistrust measures, examination of CRC screening outcomes beyond beliefs and intent, and a more thorough analysis of gender roles in the cancer screening process.

Indexed as

Black or African AmericanColorectal NeoplasmsEarly Detection of CancerAdolescentAdultFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedTrustYoung AdultAfrican AmericansColorectal cancerMedical mistrustPreventive screening

Identifiers

PMID28439739
PMCPMC5654700
OpenAlexW2608265470

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.