Evidence map›Paper›PMID 38627295›Full record

ArticleArchives of sexual behavior2024

Barriers to Cervical Cancer Screening by Sexual Orientation Among Low-Income Women in North Carolina.

Jennifer C Spencer, Brittany M Charlton, Peyton K Pretsch, Phillip W Schnarrs, Lisa P Spees, Michael G Hudgens, Lynn Barclay, Stephanie B Wheeler, Noel T Brewer, Jennifer S Smith

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Archives of sexual behavior, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
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

10 authors.

Jennifer C SpencerDepartment of Population Health, Dell Medical School, University of Texas at Austin, 1601 Trinity St., Bldg. A, Austin, TX, 78712, USA. Jennifer_spencer@austin.utexas.edu.ORCID 0000-0001-9508-1525
Brittany M CharltonDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, USA.
Peyton K PretschDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Phillip W SchnarrsDepartment of Population Health, Dell Medical School, University of Texas at Austin, 1601 Trinity St., Bldg. A, Austin, TX, 78712, USA.
Lisa P SpeesDivision of Pharmaceutical Outcomes and Policy, Eshelman School of Pharmacy, University of North Carolina, Chapel Hill, NC, USA.
Michael G HudgensDepartment of Biostatistics, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.
Lynn BarclayAmerican Sexual Health Association, Research Triangle Park, Durham, NC, USA.
Stephanie B WheelerLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Noel T BrewerLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Jennifer S SmithDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Funding

Characterizing Breast and Cervical Cancer Burden Among Sexual Minority womenK01MD017633 · NIMHD · UNIVERSITY OF TEXAS AT AUSTIN · PI Jenny Spencer · 2023 to 2026
$474k
American Cancer Society MRSG CPHPS 130006NIH HHS 5R01CA18391-03NIMHD NIH HHS K01 MD017633NIMHD NIH HHS K01MD017633-01
6 · The paper itself

Abstract

We sought to examine cervical cancer screening barriers by sexual orientation among low-income women in North Carolina. The MyBodyMyTest-3 Trial recruited low-income women (< 250% of federal poverty level) aged 25-64 years who were 1+ year overdue for cervical cancer screening. We compared perceptions of cervical cancer screening among those who self-identified as lesbian, gay, bisexual, or queer (LGBQ; n = 70) to straight/heterosexual women (n = 683). For both LGBQ and straight respondents, the greatest barriers to screening were lack of health insurance (63% and 66%) and cost (49% and 50%). LGBQ respondents were more likely than straight respondents to report forgetting to screen (16% vs. 8%, p = .05), transportation barriers (10% vs. 2%, p = .001), and competing mental or physical health problems (39% vs. 27%, p = .10). Addressing access remains important for improving cervical cancer screening among those under-screened. For LGBQ women, additional attention may be needed for reminders, co-occurring health needs, and transportation barriers.

Indexed as

Early Detection of CancerHealth Services AccessibilityPovertyUterine Cervical NeoplasmsAdultFemaleHumansMass ScreeningMiddle AgedNorth CarolinaPatient Acceptance of Health CareSexual and Gender MinoritiesSexual BehaviorCancer screeningCervical cancerHuman papillomavirusPap smearPovertySexual orientation

Identifiers

PMID38627295
PMCPMC11106100

What OpenQuestion holds

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LicenceCC BY
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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.