Evidence map›Paper›PMID 33811563›Full record

ArticleDigestive diseases and sciences2022

Barriers and Facilitators to Colorectal Cancer Screening in African-American Men.

Victoria Earl, Derrick Beasley, Chengcheng Ye, Sean N Halpin, Nicole Gauthreaux, Cam Escoffery, Saurabh Chawla

Abstract read
PubMed Publisher
In one paragraph

Article in Digestive diseases and sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 14% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Article
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  9. Residential Segregation and Colorectal Cancer Screening in the United States, 2010 to 2018.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  10. Leveraging Multi-Sectoral Partnership for Colorectal Cancer Education and Screening in the African American Community: A Protocol and Preliminary Results.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025
    Article
  11. Review
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  16. Association of Preventive Care Attitudes and Beliefs with Colorectal Cancer Screening History among African American Patients of Community Health Centers.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Article
  17. Beliefs Underlying Colorectal Cancer Information Seeking Among Young Black Adults: a Reasoned Action Approach Elicitation Study.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Article
  18. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Victoria EarlDepartment of Medicine, Emory University School of Medicine, Atlanta, GA, USA. vtecca@emory.edu.
Derrick BeasleyDepartment of Behavioral Sciences and Health Education, Emory University Rollins School of Public Health, Atlanta, GA, USA.
Chengcheng YeDepartment of Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Sean N HalpinDepartment of Behavioral Sciences and Health Education, Emory University Rollins School of Public Health, Atlanta, GA, USA.
Nicole GauthreauxDepartment of Behavioral Sciences and Health Education, Emory University Rollins School of Public Health, Atlanta, GA, USA.
Cam EscofferyDepartment of Behavioral Sciences and Health Education, Emory University Rollins School of Public Health, Atlanta, GA, USA.
Saurabh ChawlaDepartment of Digestive Diseases, Emory University School of Medicine, Atlanta, GA, USA.
Emory University · US

Funding

Winship Cancer Institute Cancer Center Support GrantP30CA138292 · NCI · EMORY UNIVERSITY · PI Suresh S Ramalingam · 2009 to 2026
$47.5M
Health Promotion and Disease Prevention Research CenterU48DP006377 · DP · EMORY UNIVERSITY · PI KEGLER, MICHELLE C · 2018 to 2023
$13.5M
NCCDPHP CDC HHS U48 DP006377NCI NIH HHS P30 CA138292
6 · The paper itself

Abstract

backgroundAfrican-Americans rank last among all racial groups for age-adjusted colorectal cancer mortality, 5-year survival rates, and rates of screening. Access to care does not fully explain racial disparities in rates of CRC and mortality. Sociocultural attitudes can predict probabilities of CRC screening.

aimsThe objective of this study is to identify factors that influence colorectal cancer screening behavior in African-American men.

methodsSemi-structured interviews were conducted among 32 African-American men. Transcripts were analyzed using MAXQDA software. We then conducted a cross-sectional survey of 103 African-American men, using previously validated scales related to colorectal cancer screening and determinants. Data were analyzed with SPSS.

resultsIn the interview phase, beliefs relating to masculinity emerged as factors that hindered participation in screening. Overwhelmingly, participants felt that having an in-depth discussion about colorectal cancer with their provider was critical to enabling them to get screened. The survey phase demonstrated that most participants had poor colorectal cancer knowledge, as only 16% passed the knowledge test. Forty-eight percentage agreed that their provider did not recommend getting screened. Those who had been previously screened for colorectal cancer scored higher in total and on all subsets of the masculinity index than those who had not (p < .01). The most persuasive messages were those related to themes of masculinity.

conclusionThis study provides a novel sociocultural perspective about colorectal cancer screening in African-American men. Our findings highlight the importance of family, masculinity, and community when promoting colorectal cancer screening to this population.

Indexed as

Health Services AccessibilityMasculinityAgedAttitude to HealthBlack or African AmericanColorectal NeoplasmsCross-Sectional StudiesEarly Detection of CancerHumansInterviews as TopicMaleMass ScreeningMiddle AgedPatient Acceptance of Health CareCancer screeningColorectal neoplasmsHealthcare disparitiesMen’s health

Identifiers

PMID33811563
OpenAlexW3143765923

What OpenQuestion holds

Textmetadata
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.