Evidence map›Paper›PMID 33040009›Full record

ArticleBMJ open2020

What are the contextual risk factors for low colorectal cancer screening uptake in El Paso County, Texas? Spatial cross-sectional analysis.

Jennifer Salinas, Jacquelyn Brito, Cheyenne Rincones, Navkiran K Shokar

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 85% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

4 authors at 2 institutions in 1 country.

Jennifer SalinasFamily and Community Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, Texas, USA jennifer.salinas@ttuhsc.edu.ORCID 0000-0001-6276-7184
Jacquelyn BritoDepartment of Family Medicine, University Medical Center of El Paso, El Paso, Texas, USA.
Cheyenne RinconesFamily and Community Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, Texas, USA.
Navkiran K ShokarFamily and Community Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, Texas, USA.
Texas Tech University · USUniversity Medical Center of El Paso · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study examines the geographical and socioeconomic factors associated with uptake of colorectal cancer (CRC) screening (colonoscopies or faecal immunochemical test (FIT) testing).

designSecondary data analysis.

settingThe Against Colorectal Cancer in our Community (ACCION) programme was implemented in El Paso County, Texas, to increase screening rates among the uninsured and underinsured.

participantsWe successfully geocoded 5777 who were offered a free colonoscopy or FIT testing kit. PRIMARY OUTCOME MEASURE: Census-tract CRC screening uptake average.

resultsMedicare recipient mortality (β=0.409, p-value=0.049) and % 65 years or older (β=-0.577, p value=0.000) were significant census tract contextual factors that were associated with the prevalence of CRC screening uptake in the geographically weighted Poisson regression. Neither Latino ethnicity nor immigrant concentration were significant predictors of CRC screening uptake in the ACCION programme. Hot spot analysis demonstrated that there was a significant low-value cluster in South Central El Paso. There was a similar hot spot for % 65 years or older in this same area, suggesting that uptake was lowest in an area that had the highest concentration of older adults.

conclusionThe results from this study revealed not only feasibility of hot spot analysis but also its utility in geographically tracking successful CRC screening uptake in cancer prevention and intervention programmes.

Indexed as

Colorectal NeoplasmsEarly Detection of CancerAgedColonoscopyCross-Sectional StudiesHumansMass ScreeningMedicareOccult BloodRisk FactorsTexasUnited Statescancer screeningcolorectal cancergeographical factorsHispanic–AmericansLatinosmedically uninsured

Identifiers

PMID33040009
PMCPMC7549472
OpenAlexW3092119504

What OpenQuestion holds

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LicenceCC BY-NC
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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.