Evidence map›Paper›PMID 37140761›Full record

ArticleJournal of behavioral medicine2023

Medical mistrust, culturally targeted message framing, and colorectal cancer screening among African Americans.

Olivia Aspiras, Todd Lucas, Hayley S Thompson, Mark A Manning

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of behavioral medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

  1. Pooled it
  2. Getting Real About Colorectal Cancer Education (GRACCE): Pilot Evaluation of a Community-Led Education Program.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Acceptability of Stool-Based DNA Colorectal Cancer Screening among Black/African-American Patients Served by Federally Qualified Health Centers.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Addressing Lung Cancer Screening Disparities: More Work To Be Done.Annals of thoracic surgery short reports · 2024
    Article
  17. 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.

Olivia AspirasCharles Stewart Mott Department of Public Health, College of Human Medicine, Michigan State University, East Lansing, USA. aspiraso@msu.edu.ORCID 0000-0001-7852-622X
Todd LucasCharles Stewart Mott Department of Public Health, College of Human Medicine, Michigan State University, East Lansing, USA.ORCID 0000-0002-2078-9446
Hayley S ThompsonDepartment of Oncology, Wayne State University School of Medicine, Karmanos Cancer Institute, Detroit, USA.
Mark A ManningDepartment of Psychology, College of Arts and Sciences, Oakland University, Rochester, USA.

Funding

Culturally Targeted Loss Framed Messaging for Colorectal Cancer Screening in African AmericansR01CA175088 · NCI · WAYNE STATE UNIVERSITY · PI LUCAS, TODD WILLIAM · 2014 to 2018
$1.6M
NCI NIH HHS R01 CA175088
6 · The paper itself

Abstract

Mistrust in the information and treatment provided by medical professionals and organizations hinders cancer screening among African Americans. However, its impact on responses to health messaging aimed at bolstering screening uptake is unknown. The present study examined the effects of medical mistrust on message framing and culturally targeted health messaging about colorectal cancer (CRC) screening. Screening eligible African Americans (N = 457) completed the Group-Based Medical Mistrust scale and then viewed an informational video about CRC risks, prevention, and screening, during which all participants received either a gain or loss-framed message about screening. Half of participants received an additional culturally targeted screening message. After messaging, all participants completed Theory of Planned Behavior measures of CRC screening receptivity, as well as items assessing expectations about experiencing racism when obtaining CRC screening (i.e., anticipatory racism). Hierarchical multiple regressions showed that medical mistrust predicted lower screening receptivity and greater anticipatory racism. Additionally, effects of health messaging were moderated by medical mistrust. Among participants high in mistrust, targeted messaging-regardless of message frame-bolstered normative beliefs about CRC. Additionally, only targeted loss-framed messaging bolstered attitudes toward CRC screening. Although targeted messaging reduced anticipatory racism among participants with high mistrust, anticipatory racism did not mediate messaging effects. Findings indicate medical mistrust may be an important culturally-relevant individual difference to attend to in addressing CRC screening disparities, including its potential to impact responses to cancer screening messaging.

Indexed as

Colorectal NeoplasmsEarly Detection of CancerBlack or African AmericanHealth Knowledge, Attitudes, PracticeHumansTrustCulturally targeted messagingHealth disparitiesMedical mistrustMessage framing

Identifiers

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.