Evidence map›Paper›PMID 34253663›Full record

ArticleBMJ open2021

Awareness, attitude and barriers of colorectal cancer screening among high-risk populations in China: a cross-sectional study.

Ruo-Lin Huang, Qi Liu, Ying-Xin Wang, Jin-Yu Zou, Li-Feng Hu, Wen Wang, Ying-Hui Huang, Yi-Zhuo Wang, Bo Zeng, Xi Zeng and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 8% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

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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 at 3 institutions in 2 countries.

Ruo-Lin HuangDepartment of International and Humanistic Nursing, School of Nursing, University of South China, Hengyang, Hunan, China.
Qi LiuDepartment of International and Humanistic Nursing, School of Nursing, University of South China, Hengyang, Hunan, China.
Ying-Xin WangDepartment of International and Humanistic Nursing, School of Nursing, University of South China, Hengyang, Hunan, China.
Jin-Yu ZouDepartment of International and Humanistic Nursing, School of Nursing, University of South China, Hengyang, Hunan, China.
Li-Feng HuDepartment of International and Humanistic Nursing, School of Nursing, University of South China, Hengyang, Hunan, China.
Wen WangDepartment of International and Humanistic Nursing, School of Nursing, University of South China, Hengyang, Hunan, China.
Ying-Hui HuangDepartment of International and Humanistic Nursing, School of Nursing, University of South China, Hengyang, Hunan, China.
Yi-Zhuo WangDepartment of International and Humanistic Nursing, School of Nursing, University of South China, Hengyang, Hunan, China.
Bo ZengHengyang No.8 High School, Hengyang, China.
Xi Zeng *Cancer Research Institute, Hunan Province Key Laboratory of Tumor Cellular & Molecular Pathology, University of South China, Hengyang, Hunan, China zengying2003@126.com zx397@126.com.
Ying Zeng *Department of International and Humanistic Nursing, School of Nursing, University of South China, Hengyang, Hunan, China zengying2003@126.com zx397@126.com.ORCID 0000-0003-2795-4616
University of South China · CNHengyang Academy of Agricultural Sciences · CNHong Kong Polytechnic University · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the awareness, attitude and barriers of colorectal cancer screening among high-risk populations in China.

designA cross-sectional study was employed.

settingThis study was conducted in nine hospitals in Hunan province, China.

participantsIndividuals with a high-risk for colorectal cancer were interviewed using a pretested structured questionnaire. PRIMARY AND SECONDARY OUTCOME MEASURES: Knowledge, attitude towards colorectal cancer screening, sociodemographic factors associated with screening knowledge and behaviour and barriers of colorectal cancer screening.

resultsThis study included 684 participants. The mean knowledge score was 11.86/24 (SD 4.84). But over 70% of them held a positive attitude towards screening. Only 13.3% had undergone colorectal cancer screening. Independent factors related to knowledge were education level of college or above, working as a white collar, higher income, having health insurance, having seen a doctor in the past year and with a high perceived risk (p<0.05). Factors independently associated with screening behaviour included personal history of colorectal disease, having seen a doctor in the past year, previous discussion of colorectal cancer screening, high perceived risk and better knowledge (p<0.05). Main reasons for not undergoing screening were no symptoms or discomfort (71.1%), never having thought of the disease or screening (67.4%) and no doctor advised me (29.8%).

conclusionIn China, the majority of high-risk people had deficient knowledge and had never undergone colorectal cancer screening. But most of them held a positive attitude towards the benefits of colorectal cancer screening. This has promising implications to design targeted educational campaigns and establish screening programmes to improve colorectal cancer awareness and screening participation. Healthcare professionals should advise high-risk individuals to participate in screening and inform them about cancer risk.

Indexed as

Colorectal NeoplasmsEarly Detection of CancerChinaCross-Sectional StudiesHealth Knowledge, Attitudes, PracticeHumansMass ScreeningRisk FactorsSurveys and Questionnairesgastroenterologygastrointestinal tumourshealth informatics

Identifiers

PMID34253663
PMCPMC8276297
OpenAlexW3178164543

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.