Evidence map›Paper›PMID 38907205›Full record

ArticleBMC women's health2024

Barriers to and opportunities for advancing racial equity in cervical cancer screening in the United States.

Madina Agénor, Madeline Noh, Rose Eiduson, Merrily LeBlanc, Emmett C Line, Roberta E Goldman, Jennifer Potter, S Bryn Austin

Erratum issuedAbstract read
In one paragraph

Article in BMC women's health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Organoid technology in cervical cancer research.American journal of cancer research · 2025
    Review
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Madina AgénorDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA. madina_agenor@brown.edu.
Madeline NohDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA.
Rose EidusonLarner College of Medicine, University of Vermont, Burlington, VT, USA.
Merrily LeBlancThe Fenway Institute, Fenway Health, Boston, MA, USA.
Emmett C LineTeachers College, Columbia University, New York, NY, USA.
Roberta E GoldmanDepartment of Family Medicine, Warren Alpert Medical School, Brown University, Providence, RI, USA.
Jennifer PotterThe Fenway Institute, Fenway Health, Boston, MA, USA.
S Bryn AustinDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA.

Funding

Policy- and Provider-Level Determinants of Human Papillomavirus Vaccination Disparities Among Young U.S. WomenK01CA234226 · NCI · TUFTS UNIVERSITY MEDFORD · PI AGÉNOR, MADINA · 2018 to 2020
$447k
NCI NIH HHS K01 CA234226NIH HHS K01CA234226-01
6 · The paper itself

Abstract

backgroundIn the United States (U.S.), racially minoritized people have higher rates of cervical cancer morbidity and mortality compared to white individuals as a result of racialized structural, social, economic, and health care inequities. However, cervical cancer screening guidelines are based on studies of predominately white individuals and do not substantially discuss or address racialized cervical cancer inequities and their social determinants, including racism.

methodsWe conducted in-depth interviews with health care providers (N = 30) and key informants with expertise in health equity (N = 18). We utilized semi-structured interview guides that addressed providers' views and experiences delivering cervical cancer screening to racially minoritized individuals and key informants' recommendations for advancing racial equity in the development and implementation of cervical cancer screening guidelines. Interviews were analyzed using a template style thematic analysis approach involving deductive and inductive coding, memo writing, and matrix analysis for theme development.

resultsMost health care providers adopted a universal, one-size-fits-all approach to cervical cancer screening with the stated goal of ensuring racial equality. Despite frequently acknowledging the existence of racialized cervical cancer inequities, few providers recognized the role of social inequities in influencing them, and none discussed the impact of racism. In contrast, key informants overwhelmingly recommended that providers adopt an approach to cervical cancer screening and follow-up care that recognizes the role of racism in shaping racialized cervical cancer and related social inequities, is developed in partnership with racially minoritized communities, and involves person-centered, structurally-competent, and trauma-informed practices that address racially minoritized peoples' unique lived experiences in historical and social context. This racism-conscious approach is not to be confused with race-based medicine, which is an essentialist and racist approach to health care that treats race as a biological variable rather than as a social and political construct.

conclusionsDevelopers and implementers of cervical cancer screening guidelines should explicitly recognize and address the impact of racism on cervical cancer screening, follow-up care, and outcomes, meaningfully incorporate racially minoritized communities' perspectives and experiences, and facilitate provider- and institutional-level practices that foster racial equity in cervical cancer.

Indexed as

Early Detection of CancerHealthcare DisparitiesUterine Cervical NeoplasmsAdultFemaleHealth EquityHealth PersonnelHumansQualitative ResearchRacismUnited StatesCervical cancerClinical guidelinesHealth care providersHealth equityRacismScreening

Identifiers

PMID38907205
PMCPMC11191319

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.