Evidence map›Paper›PMID 28530514›Full record

ArticleJournal of medical screening2018

Public understanding of the purpose of cancer screening: A population-based survey.

Amanda J Chorley, Yasemin Hirst, Charlotte Vrinten, Christian von Wagner, Jane Wardle, Jo Waller

Abstract read
In one paragraph

Article in Journal of medical screening, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Behind the Screen: An Exploratory Study of Factors Influencing Breast Screening Uptake in Lancashire (UK).Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Revisiting Candidacy: What Might It Offer Cancer Prevention?International journal of environmental research and public health · 2021
    Article
  11. Article
  12. Article
  13. How Do Women Interpret the NHS Information Leaflet about Cervical Cancer Screening?Medical decision making : an international journal of the Society for Medical Decision Making · 2019
    Article
  14. Article
  15. Article
  16. Epidemiology of HPV Infection and HPV-Related Cancers in Kazakhstan: a ReviewAsian Pacific journal of cancer prevention : APJCP · 2018
    Review
  17. 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

6 authors.

Amanda J ChorleyResearch Department of Behavioural Science and Health, UCL, London, UK.
Yasemin HirstResearch Department of Behavioural Science and Health, UCL, London, UK.
Charlotte VrintenResearch Department of Behavioural Science and Health, UCL, London, UK.
Christian von WagnerResearch Department of Behavioural Science and Health, UCL, London, UK.
Jane WardleResearch Department of Behavioural Science and Health, UCL, London, UK.
Jo WallerResearch Department of Behavioural Science and Health, UCL, London, UK.

Funding

Cancer Research UK 14134Cancer Research UK C1418/A414134Cancer Research UK C7492/A17219
6 · The paper itself

Abstract

Objectives In examining informed choice in cancer screening, we investigated public awareness that some screening programmes aim to prevent cancer, while others seek to detect cancer at an early stage. Methods A population-based survey of adults aged 50-70 in England (n = 1433), including data on demographic characteristics and screening experience. Participants were asked to select the main purpose of cervical, breast, and colorectal cancer screening (both faecal occult blood testing and flexible sigmoidoscopy). Results Across all four screening programmes, most people thought the main aim was to catch cancer early (71-78%). Only 18 and 14% knew that cervical screening and flexible sigmoidoscopy, respectively, are primarily preventive. Knowledge of the preventive aspect of these two programmes was low across the board, with few demographic patterns. By contrast, 78 and 73% of the sample were aware that breast screening and the faecal occult blood test, respectively, predominantly aim to detect cancer early. For these programmes, accurate knowledge was socially graded, lower in ethnic minority groups, and positively associated with previous participation in the programmes. Conclusions Our findings suggest that although awareness of the purpose of early detection screening is high, awareness that screening can prevent cancer is low across all demographic groups. Understanding the purpose of screening is a key aspect of informed choice but despite current communication strategies highlighting these differences, people do not seem to have a nuanced understanding of these differing aims. Our findings may be indicative of a broader public scepticism about the preventability of cancer.

Indexed as

Early Detection of CancerHealth Knowledge, Attitudes, PracticeAgedBreast NeoplasmsColorectal NeoplasmsEnglandEthnicityFemaleHumansLogistic ModelsMaleMiddle AgedState MedicineSurveys and QuestionnairesUterine Cervical Neoplasmscancer knowledgecancer preventionCancer screeningearly diagnosisinformed choicepublic awareness

Identifiers

PMID28530514
PMCPMC5956561

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.