Evidence map›Paper›PMID 35773504›Full record

ArticleCancer causes & control : CCC2022

Cancer disparities in the context of rurality: risk factors and screening across various U.S. rural classification codes.

Kelly A Hirko, Huiwen Xu, Laura Q Rogers, Michelle Y Martin, Siddhartha Roy, Kimberly M Kelly, Shannon M Christy, Kimlin Tam Ashing, Jean C Yi, Marquita W Lewis-Thames and 12 more

2 registry-linked trialsAbstract read
In one paragraph

Article in Cancer causes & control : CCC, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing 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.

NCT07032584 narecruitingnot on this mapstarted 2025, after this paper: background citation

Impact of Multimodal Telerehabilitation on Reducing Disparities in Rural Survivors of Metastatic Prostate Cancer

TypeinterventionalSponsorUniversity of UtahRan2025 to 2029Enrolled74ConditionsProstate Cancer, Metastatic Prostate Cancer, Androgen Deprivation TherapyArmsTelerehabilitation Intervention
NCT07093177 narecruitingnot on this mapstarted 2026, after this paper: background citation

Multimodal Telerehabilitation of Rural Patients With Advanced Prostate Cancer

TypeinterventionalSponsorUniversity of UtahRan2026 to 2028Enrolled30ConditionsProstate CancerArmsTelerehabilitation Unit
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Article
  3. Loneliness is correlated with cancer mortality in US counties: an ecological analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  14. Review
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  17. Association of Rurality With Mortality After Congenital Heart Surgery.Circulation. Cardiovascular quality and outcomes · 2025
    Article
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  19. Article
  20. 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

22 authors.

Kelly A HirkoDepartment of Epidemiology and Biostatistics, College of Human Medicine, Michigan State University, 909 Fee Road, East Lansing, MI, 48824, USA. hirkokel@msu.edu.ORCID http://orcid.org/0000-0002-0050-655X
Huiwen XuDepartment of Preventive Medicine and Population Health and Sealy Center On Aging, University of Texas Medical Branch, Galveston, TX, USA.
Laura Q RogersDepartment of Medicine, Division of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Michelle Y MartinDepartment of Preventive Medicine, University of Tennessee Health Science Center, Memphis, TN, USA.
Siddhartha RoyDepartment of Family and Community Medicine, Penn State College of Medicine, Hershey, PA, USA.
Kimberly M KellyDepartment of Pharmaceutical Systems & Policy, West Virginia University, Morgantown, WV, USA.
Shannon M ChristyDepartment of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
Kimlin Tam AshingDivision of Health Equities, City of Hope Comprehensive Cancer Center and Beckman Institute, Duarte, CA, USA.
Jean C YiClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Marquita W Lewis-ThamesDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Cathy D MeadeDepartment of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
Qian LuDepartment of Health Disparities Research, Division of Cancer Prevention and Population Sciences, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Clement K GwedeDepartment of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
Julianna NemethDepartment of Health Behavior and Health Promotion, The Ohio State University College of Public Health, Columbus, OH, USA.
Rachel M CeballosDivision of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Usha MenonCollege of Nursing, University of South Florida, Tampa, FL, USA.
Katie CuevaInstitute of Social and Economic Research, University of Alaska, Anchorage, AK, USA.
Karen YearyDepartment of Cancer Prevention and Control, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Lisa M KlesgesDivision of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Monica L BaskinDepartment of Medicine, Division of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Kassandra I AlcarazSidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Sabrina FordDepartment of Obstetrics, Gynecology & Reproductive Biology, College of Human Medicine, Michigan State University, East Lansing, MI, USA.

Funding

Improving adherence to posttreatment follow-up care for rural lung cancer survivors through a community-clinical survivorship care team modelK01CA262342 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LEWIS, MARQUITA W. · 2021 to 2025
$801k
Development of a contextually tailored and optimized smoking cessation intervention for homeless youthK07CA216321 · NCI · OHIO STATE UNIVERSITY · PI NEMETH, JULIANNA MARIA · 2017 to 2021
$650k
NCI NIH HHS K01 CA262342NCI NIH HHS K07 CA216321
6 · The paper itself

Abstract

purposePrior cancer research is limited by inconsistencies in defining rurality. The purpose of this study was to describe the prevalence of cancer risk factors and cancer screening behaviors across various county-based rural classification codes, including measures reflecting a continuum, to inform our understanding of cancer disparities according to the extent of rurality.

methodsUsing an ecological cross-sectional design, we examined differences in cancer risk factors and cancer screening behaviors from the Behavioral Risk Factor Surveillance System and National Health Interview Survey (2008-2013) across rural counties and between rural and urban counties using four rural-urban classification codes for counties and county-equivalents in 2013: U.S. Office of Management and Budget, National Center for Health Statistics, USDA Economic Research Service's rural-urban continuum codes, and Urban Influence Codes.

resultsAlthough a rural-to-urban gradient was not consistently evident across all classification codes, the prevalence of smoking, obesity, physical inactivity, and binge alcohol use increased (all p

conclusionsRural cancer disparities persist across multiple rural-urban classification codes, with marked variation in cancer risk factors and screening evident within rural regions. Focusing only on a rural-urban dichotomy may not sufficiently capture subpopulations of rural residents at greater risk for cancer and cancer-related mortality.

Indexed as

Early Detection of CancerUterine Cervical NeoplasmsCross-Sectional StudiesFemaleHumansObesityRisk FactorsRural PopulationUnited StatesUrban PopulationAlcoholCancer screeningHealth disparitiesObesityPhysical activityRisk factorsRuralSmoking

Identifiers

PMID35773504
PMCPMC9811397

What OpenQuestion holds

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Registered trials

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.