Evidence map›Paper›PMID 34406654›Full record

ArticleCancer2021

Neighborhood walkability and body mass index in African American cancer survivors: The Detroit Research on Cancer Survivors study.

Jamaica R M Robinson, Jennifer L Beebe-Dimmer, Ann G Schwartz, Julie J Ruterbusch, Tara E Baird, Stephanie S Pandolfi, Theresa A Hastert, James W Quinn, Andrew G Rundle

Abstract read
In one paragraph

Article in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Assessing Upstream Structural and Social Drivers of Health in Breast Cancer Survivorship: The Pathways Study Neighborhood Resource.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  4. Article
  5. Distinct Sources of Social Adversity, Stress, and Coping Mechanisms among Patients with Breast Cancer to Identify Areas for Intervention.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. Multilevel Factors for Adiposity Change in a Population-Based Prospective Study of Black Breast Cancer Survivors.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
    Article
  12. 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

9 authors.

Jamaica R M RobinsonDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, New York.ORCID 0000-0002-1699-6178
Jennifer L Beebe-DimmerPopulation Studies and Disparities Research Program, Barbara Ann Karmanos Cancer Institute, Detroit, Michigan.ORCID 0000-0002-4320-739X
Ann G SchwartzPopulation Studies and Disparities Research Program, Barbara Ann Karmanos Cancer Institute, Detroit, Michigan.
Julie J RuterbuschPopulation Studies and Disparities Research Program, Barbara Ann Karmanos Cancer Institute, Detroit, Michigan.
Tara E BairdPopulation Studies and Disparities Research Program, Barbara Ann Karmanos Cancer Institute, Detroit, Michigan.
Stephanie S PandolfiPopulation Studies and Disparities Research Program, Barbara Ann Karmanos Cancer Institute, Detroit, Michigan.
Theresa A HastertPopulation Studies and Disparities Research Program, Barbara Ann Karmanos Cancer Institute, Detroit, Michigan.ORCID 0000-0001-6251-6422
James W QuinnDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, New York.
Andrew G RundleDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, New York.

Funding

Tumor Biology and Microenvironment (Program 1)P30CA022453 · NCI · WAYNE STATE UNIVERSITY · PI PAUL M STEMMER · 1985 to 2026
$68.4M
The impact of the COVID-19 pandemic on African American cancer survivors and their caregiversU01CA199240 · NCI · WAYNE STATE UNIVERSITY · PI Jennifer L Beebe-Dimmer, Ann G. Schwartz · 2017 to 2026
$15.2M
Training Program in Cancer-related Population SciencesT32CA094061 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI NEUGUT, ALFRED I., TERRY, MARY BETH · 2017 to 2021
$1.1M
NCI NIH HHS P30 CA022453NCI NIH HHS T32 CA094061NCI NIH HHS U01 CA199240NCI NIH HHS U01CA-199240-02NCI NIH HHS U01CA-199240-03
6 · The paper itself

Abstract

backgroundExtant evidence links neighborhood walkability with obesity-related health in the general population. This association likely exists in cancer survivors, but research is limited. Furthermore, a disproportionate obesity burden in African American cancer survivors warrants subgroup-specific analyses.

methodsThis study analyzed data from 2089 African American cancer survivors participating in the Detroit Research on Cancer Survivors (ROCS) cohort. On the basis of built environment data summarized within 1-km radial buffers around census block centroids, a multidimensional neighborhood walkability index (NWI) was constructed. Survivors' residential addresses at Detroit ROCS enrollment were geocoded, and addresses were linked to NWI scores via the census block of residence. At study enrollment, survivors reported height and weight; these data were used to calculate their body mass index (BMI). Associations between NWI quartiles and BMI overall and by cancer type, biological sex, and physical activity engagement were evaluated.

resultsBMI was found to be inversely associated with increasing NWI quartile (P for trend < .01). This inverse relationship was observed in men (P for trend < .01) and in survivors reporting any regular physical activity (P for trend < .01).

conclusionsThis study's findings suggest that among African American cancer survivors, higher neighborhood walkability is associated with lower BMI. As health care systems in the United States increasingly consider the role of the neighborhood environment in their patients' health, these findings provide additional evidence supporting health systems' incorporation of neighborhood walkability as an obesity-related health indicator for this cancer survivor subgroup and potentially for cancer survivors from other vulnerable populations.

Indexed as

Cancer SurvivorsNeoplasmsBlack or African AmericanBody Mass IndexEnvironment DesignHumansMaleResidence CharacteristicsUnited StatesWalkingAfrican Americanneighborhoodobesitysurvivorshipwalking

Identifiers

PMID34406654
PMCPMC8664992

What OpenQuestion holds

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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.