Evidence map›Paper›PMID 31422226›Full record

ArticlePreventive medicine2019

Challenges of using nationally representative, population-based surveys to assess rural cancer disparities.

Whitney E Zahnd, Natoshia Askelson, Robin C Vanderpool, Lindsay Stradtman, Jean Edward, Paige E Farris, Victoria Petermann, Jan M Eberth

Abstract read
In one paragraph

Article in Preventive medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–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

20 citing papers in PubMed.

  1. Article
  2. Access Is Progress: Understanding Rural Secondary Student Access and Outcomes of Advanced Placement Courses.European journal of investigation in health, psychology and education · 2025
    Article
  3. Article
  4. Article
  5. Deconstructing rurality to better "place" health data.International journal of geographical information science : IJGIS · 2025
    Article
  6. Article
  7. How rural is All of Us? Comparing characteristics of rural participants in the National Institute of Health's All of Us Research Program to other national data sources.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2024
    Article
  8. Canadian COVID-19 Outbreak Surveillance System: implementation of national surveillance during a global pandemic.Canadian journal of public health = Revue canadienne de sante publique · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. The Intersection of Rural Residence and Minority Race/Ethnicity in Cancer Disparities in the United States.International journal of environmental research and public health · 2021
    Review
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

8 authors.

Whitney E ZahndRural and Minority Health Research Center, Arnold School of Public Health, University of South Carolina, 220 Stoneridge Dr. Suite 204, Columbia, SC 29210, United States of America. Electronic address: zahnd@mailbox.sc.edu.
Natoshia AskelsonDepartment of Community and Behavioral Health, College of Public Health, University of Iowa, 145 N. Riverside Drive, Iowa City, IA 52242, United States of America. Electronic address: natoshia-askelson@uiowa.edu.
Robin C VanderpoolDepartment of Health, Behavior & Society, College of Public Health, University of Kentucky, 111 Washington Avenue, Lexington, KY 40536, United States of America. Electronic address: robin@kcr.uky.edu.
Lindsay StradtmanDepartment of Health, Behavior & Society, College of Public Health, University of Kentucky, 111 Washington Avenue, Lexington, KY 40536, United States of America. Electronic address: lindsay.stradtman@uky.edu.
Jean EdwardCollege of Nursing, University of Kentucky, 751 Rose Street, Lexington, KY 40536, United States of America. Electronic address: jean.edward@uky.edu.
Paige E FarrisOHSU-PSU School of Public Health, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239, United States of America. Electronic address: farrisp@ohsu.edu.
Victoria PetermannSchool of Nursing, University of North Carolina at Chapel Hill, Carrington Hall Campus Box #7460, Chapel Hill, NC 27599-7460, United States of America. Electronic address: vpeterma@live.unc.edu.
Jan M EberthRural and Minority Health Research Center, Arnold School of Public Health, University of South Carolina, 220 Stoneridge Dr. Suite 204, Columbia, SC 29210, United States of America; Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, 915 Greene Street, Columbia, SC 29208, United States of America; Cancer Prevention and Control Program, University of South Carolina, 915 Greene Street, Columbia, SC 29208, United States of America. Electronic address: jmeberth@mailbox.sc.edu.

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Christopher K Laubenthal · 2000 to 2026
$70.0M
Health Promotion and Disease Prevention Research CenterU48DP005013 · DP · UNIVERSITY OF WASHINGTON · PI HANNON, MARGARET A · 2014 to 2018
$13.3M
Rural Cancer Prevention Center __ Early Detection of Colorectal Cancer and PolypsU48DP005014 · DP · UNIVERSITY OF KENTUCKY · PI CROSBY, RICHARD A · 2014 to 2018
$6.3M
Dissemination, Implementation, and Evaluation of Native STAND in AI CommunitiesU48DP005006 · DP · OREGON HEALTH & SCIENCE UNIVERSITY · PI BECKER, THOMAS MARK · 2014 to 2018
$6.3M
Faith, Activity, and Nutrition: Dissemination in Underserved CommunitiesU48DP005000 · DP · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI WILCOX, SARA · 2014 to 2019
$5.9M
University of Iowa Prevention Research Center for Rural HealthU48DP005021 · DP · UNIVERSITY OF IOWA · PI BAQUERO, BARBARA I, PARKER, EDITH A · 2014 to 2018
$5.6M
Cancer Control Education ProgramT32CA057726 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Melissa B Gilkey, Melissa A. Troester · 2017 to 2026
$3.7M
NCCDPHP CDC HHS U48 DP005000NCCDPHP CDC HHS U48 DP005006NCCDPHP CDC HHS U48 DP005013NCCDPHP CDC HHS U48 DP005014NCCDPHP CDC HHS U48 DP005017NCCDPHP CDC HHS U48 DP005021NCI NIH HHS T32 CA057726
6 · The paper itself

Abstract

Population-based surveys provide important information about cancer-related health behaviors across the cancer care continuum, from prevention to survivorship, to inform cancer control efforts. These surveys can illuminate cancer disparities among specific populations, including rural communities. However, due to small rural sample sizes, varying sampling methods, and/or other study design or analytical concerns, there are challenges in using population-based surveys for rural cancer control research and practice. Our objective is three-fold. First, we examined the characterization of "rural" in four, population-based surveys commonly referenced in the literature: 1) Health Information National Trends Survey (HINTS); 2) National Health Interview Survey (NHIS); 3) Behavioral Risk Factor Surveillance System (BRFSS); and 4) Medical Expenditures Panel Survey (MEPS). Second, we identified and described the challenges of using these surveys in rural cancer studies. Third, we proposed solutions to address these challenges. We found that these surveys varied in use of rural-urban classifications, sampling methodology, and available cancer-related variables. Further, we found that accessibility of these data to non-federal researchers has changed over time. Survey data have become restricted based on small numbers (i.e., BRFSS) and have made rural-urban measures only available for analysis at Research Data Centers (i.e., NHIS and MEPS). Additionally, studies that used these surveys reported varying proportions of rural participants with noted limitations in sufficient representation of rural minorities and/or cancer survivors. In order to mitigate these challenges, we propose two solutions: 1) make rural-urban measures more accessible to non-federal researchers and 2) implement sampling approaches to oversample rural populations.

Indexed as

Healthcare DisparitiesHealth SurveysPopulation SurveillanceResearch DesignRural PopulationFemaleHealth BehaviorHumansMaleNeoplasmsUnited StatesCancerHealth care surveyHealth status disparitiesRural health

Identifiers

PMID31422226
PMCPMC7289622

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.