Evidence map›Paper›PMID 31340970›Full record

ArticleBMJ open2019

Awareness of risk factors and warning symptoms and attitude towards gastric cancer screening among the general public in China: a cross-sectional study.

Qi Liu, Xi Zeng, Wen Wang, Ruo-Lin Huang, Yan-Jin Huang, Shan Liu, Ying-Hui Huang, Ying-Xin Wang, Qing-Hong Fang, Guoping He and 1 more

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Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 2 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

52 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

11 authors.

Qi Liu *School of Nursing, University of South China, Hengyang, China.
Xi Zeng *Hunan Province Key Laboratory of Tumor Cellular & Molecular Pathology, Cancer Research Institute, University of South China, Hengyang, China.
Wen WangSchool of Nursing, University of South China, Hengyang, China.
Ruo-Lin HuangSchool of Nursing, University of South China, Hengyang, China.
Yan-Jin HuangSchool of Nursing, University of South China, Hengyang, China.
Shan LiuSchool of Nursing, University of South China, Hengyang, China.
Ying-Hui HuangSchool of Nursing, University of South China, Hengyang, China.
Ying-Xin WangSchool of Nursing, University of South China, Hengyang, China.
Qing-Hong FangSchool of Nursing, University of South China, Hengyang, China.
Guoping HeSchool of Nursing, University of South China, Hengyang, China.
Ying ZengSchool of Nursing, University of South China, Hengyang, China zengying2003@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to assess the knowledge of risk factors and warning symptoms and attitude towards gastric cancer screening among the general population in China.

settingHunan province, China

participantsIndividuals aged older than 18 years were recruited using a cluster sampling method.

designA cross-sectional study, and a pretested structured questionnaire was used to assess participants' awareness of gastric cancer. PRIMARY AND SECONDARY OUTCOME MEASURES: Knowledge level of risk factors and warning symptoms of gastric cancer, gastric cancer screening attitude, sociodemographic factors associated with gastric cancer knowledge and screening behaviour.

resultsThis study comprised 1200 participants with a mean age of 40.31 (SD 16.73) years, of whom 622 (51.8%) were women. The mean score for gastric cancer knowledge was 8.85/22 (SD 6.48). There were 47.0% of the participants who had a low knowledge level about the risk factors and warning symptoms of gastric cancer. In total, 83.8% believed screening is helpful for early detection of gastric cancer, and 15.2% had undergone gastric cancer screening. The most common reason for not undergoing screening was having 'no symptoms' (63.0%), followed by 'fear of undergoing gastroscopy' (38.1%). Independent factors related to lower knowledge levels included male sex, living in rural areas, lower educational level, working as a farmer and without a family history of gastric cancer (p<0.05). Factors independently associated with screening behaviour included white-collar employment, higher income and having upper gastrointestinal tract diseases (p<0.05).

conclusionsIn China, people have poor knowledge about risk factors and warning symptoms of gastric cancer, but a majority have a positive attitude towards the benefits of gastric cancer screening. Being asymptomatic and having a fear of gastroscopy were the main self-reported reasons for not undergoing screening. These results highlight the urgent need for educational campaigns to improve gastric cancer awareness.

Indexed as

Health Knowledge, Attitudes, PracticeAdultChinaCross-Sectional StudiesEarly Detection of CancerFemaleHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisRisk FactorsStomach NeoplasmsSurveys and Questionnairesgastric cancerknowledgepreventionscreening

Identifiers

PMID31340970
PMCPMC6661546

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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.