Evidence map›Paper›PMID 28730185›Full record

ArticleJournal of the Georgia Public Health Association2017

Social networks as predictors of colorectal cancer screening in African Americans.

Ernest Alema-Mensah, Selina A Smith, Mechelle Claridy, Victor Ede, Benjamin Ansa, Daniel S Blumenthal

Open access · diamondAbstract read
In one paragraph

Article in Journal of the Georgia Public Health Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 40% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Rise Up, Get Tested, and Live: an Arts-Based Colorectal Cancer Educational Program in a Faith-Based Setting.Journal of cancer education : the official journal of the American Association for Cancer Education · 2019
    Article
  4. 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 at 3 institutions in 1 country.

Ernest Alema-MensahDepartment of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA.
Selina A SmithDepartment of Family Medicine, Medical College of Georgia, Augusta University, Augusta, GA.
Mechelle ClaridyDepartment of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA.
Victor EdeSatcher Health Leadership Institute, Division of Behavioral Health, Morehouse School of Medicine, Atlanta, GA.
Benjamin AnsaInstitute of Public and Preventive Health, Augusta University, Augusta, GA.
Daniel S BlumenthalDepartment of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA.
Morehouse School of Medicine · USAugusta University · USAugusta University Health · US

Funding

Health Pomotion and Disease Prevention Research CenterU48DP000049 · DP · MOREHOUSE SCHOOL OF MEDICINE · PI BLUMENTHAL, DANIEL S. · 2004 to 2008
$5.1M
Efficacy-to-Effectiveness Transition of an Educational Program to Increase Colorectal Cancer ScreeningR01CA166785 · NCI · MOREHOUSE SCHOOL OF MEDICINE · PI HOBBS, JOSEPH · 2012 to 2016
$2.2M
NCCDPHP CDC HHS U48 DP000049NCI NIH HHS R01 CA166785
6 · The paper itself

Abstract

backgroundEarly detection can reduce colorectal cancer (CRC) mortality by 15%-33%, and screening is widely recommended for average-risk adults beginning at age 50 years. Colorectal cancer mortality rates are higher in African Americans than in whites, while screening rates are somewhat lower. Individual social networks can reduce emotional and/or logistical barriers to health-promoting but distasteful procedures such as CRC screening. The aim of this study was to examine social network interactions, and their impact on CRC screening among African Americans. We hypothesized a positive association between social network index (SNI) scores and CRC screening.

methodsIn a community intervention trial with four arms, we previously demonstrated the efficacy of a small group educational intervention to promote CRC screening among African Americans. This intervention outperformed a one-on-one educational intervention, a reduced out-of-pocket expense intervention, and a control condition. In the present analysis, we compared the SNI scores for participants in the small group intervention cohort with a comparison group comprised of the other three cohorts. Social networks were assessed using the Social Network Index developed by Cohen.

resultsSmall group participants had a significantly higher network diversity score (Mean difference 0.71; 95% CI, 0.12-1.31; p=0.0017) than the comparison group. In the second component of the SNI score - the number of people talked to over a two week period - the small group intervention cohort also scored significantly higher than the comparison group. (Mean difference, 9.29; 95% CI, 3.963-14.6266; p=0.0004).

conclusionsThe findings suggest that social interaction and support was at least partially responsible for the relatively high post-intervention screening rate in the small group intervention participants. Education in small groups could foster strong social networks. Strong and positive network diversity and a large number of people in social networks may enhance CRC screening rates among African Americans.

Indexed as

African AmericansColorectal cancer screeningsocial networks

Identifiers

PMID28730185
PMCPMC5515378
OpenAlexW2767138993

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.