Evidence map›Paper›PMID 39509673›Full record

ArticleJCO global oncology2024

Beliefs on Causes of Cancer in the General Population, and the Association With Risk Perception and Lifestyle in a Multiethnic Setting.

Nur-Nadiatul-Asyikin Bujang, Yek-Ching Kong, Mahmoud Danaee, Murallitharan Munisamy, Ranjit Kaur, Harenthri Devy Alagir Rajah, Hariharan Menon, Shridevi Subramaniam, Kelly Lai Ming Ying, Ros Suzanna Bustamam and 2 more

Abstract read
In one paragraph

Article in JCO global oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. The Missing Dimension in Cancer Education: Developmental Meaning-Making and the Expert's Illusion of Symmetry.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Review
  2. Review
  3. 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

12 authors.

Nur-Nadiatul-Asyikin BujangDepartment of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Lembah Pantai, WP Kuala Lumpur, Malaysia.ORCID 0000-0003-1775-539X
Yek-Ching KongDepartment of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Lembah Pantai, WP Kuala Lumpur, Malaysia.ORCID 0000-0001-7085-8211
Mahmoud DanaeeDepartment of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Lembah Pantai, WP Kuala Lumpur, Malaysia.ORCID 0000-0002-5014-5684
Murallitharan MunisamyNational Cancer Society Malaysia (NCSM), Jalan Raja Muda Abdul Aziz, WP Kuala Lumpur, Malaysia.ORCID 0000-0002-1586-8529
Ranjit KaurBreast Cancer Welfare Association (BCWA), Bangunan Sultan Salahuddin Abdul Aziz Shah, Petaling Jaya, Malaysia.
Harenthri Devy Alagir RajahDepartment of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Lembah Pantai, WP Kuala Lumpur, Malaysia.ORCID 0000-0002-8392-8036
Hariharan MenonDepartment of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Lembah Pantai, WP Kuala Lumpur, Malaysia.
Shridevi SubramaniamCentre for Clinical Epidemiology, Institute for Clinical Research, National Institute of Health, Shah Alam, Selangor, Malaysia.
Kelly Lai Ming YingCancer and Radiosurgery Centre, Subang Jaya Medical Centre, Subang Jaya, Selangor, Malaysia.ORCID 0009-0006-7669-7504
Ros Suzanna BustamamDepartment of Radiotherapy and Oncology, Kuala Lumpur Hospital, WP Kuala Lumpur, Malaysia.
Cheng-Har YipCancer and Radiosurgery Centre, Subang Jaya Medical Centre, Subang Jaya, Selangor, Malaysia.ORCID 0000-0002-6507-9675
Nirmala Bhoo PathyDepartment of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Lembah Pantai, WP Kuala Lumpur, Malaysia.ORCID 0000-0003-0568-8863

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBeliefs on causes of cancer, although sometimes aligned with known risk factors, may be influenced by personal experiences, cultural narratives, and misinformation. We investigated the prevalence of beliefs on causes of cancer and their association with cancer risk perception and lifestyle in a multiethnic Asian population.

methodsIn total, 2,008 Malaysian adults with no previous cancer were surveyed using a 42-item questionnaire adapted from the Awareness Measure and the Cancer Awareness Measure-Mythical Causes Scale. Partial least squares structural equation modeling was used to evaluate measurement models.

resultsDespite high educational attainment, only about half of the respondents believed that 7 of the 21 listed established risk factors caused cancer. Factors associated with accurate beliefs included higher socioeconomic status (SES) and having family or friends with cancer. However, 14 of the 21 listed mythical/unproven factors were correctly believed as not cancer-causing by the majority. Women and those with lower SES were more likely to hold misconceptions. Beliefs on established risk factors were significantly associated with perceived risk of cancer. Individuals with stronger beliefs in established risk factors were less likely to be associated with healthy behaviors. Conversely, stronger beliefs in mythical or unproven factors were more likely to be associated with healthy lifestyles.

conclusionFindings highlight the importance of prioritizing cancer literacy as a key action area in national cancer control plans. The counterintuitive associations between cancer beliefs and lifestyle emphasize the complexity of this relationship, necessitating nuanced approaches to promote cancer literacy and preventive behaviors.

Indexed as

Health Knowledge, Attitudes, PracticeLife StyleNeoplasmsAdolescentAdultAgedFemaleHumansMalaysiaMaleMiddle AgedPerceptionRisk FactorsSurveys and QuestionnairesYoung Adult

Identifiers

PMID39509673
PMCPMC11583347

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.