Evidence map›Paper›PMID 40003400›Full record

ArticleInternational journal of environmental research and public health2025

Validating the Black Identity, Hair Product Use, and Breast Cancer Scale (BHBS) Among Black Breast Cancer Survivors.

Dede K Teteh-Brooks, Marissa Ericson, Traci N Bethea, Lenna Dawkins-Moultin, Nicole Sarkaria, Jared Bailey, Adana A M Llanos, Susanne Montgomery

Abstract readValidation Study
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of environmental research and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Dede K Teteh-BrooksMD Anderson Cancer Center, Department of Health Disparities Research, University of Texas, Houston, TX 77030, USA.ORCID 0000-0001-9552-148X
Marissa EricsonDepartment of Psychology, California Lutheran University, Thousand Oaks, CA 91360, USA.
Traci N BetheaOffice of Minority Health & Health Disparities Research, Georgetown Lombardi Comprehensive Cancer Center, Georgetown University, Washington, DC 20003, USA.ORCID 0000-0003-3205-2078
Lenna Dawkins-MoultinMD Anderson Cancer Center, Department of Health Disparities Research, University of Texas, Houston, TX 77030, USA.
Nicole SarkariaDepartment of Health Sciences, Crean College of Health and Behavioral Sciences, Orange Campus, Chapman University, Orange, CA 92866, USA.
Jared BaileyGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA.
Adana A M LlanosDepartment of Epidemiology, Mailman School of Public Health, Columbia University Irving Medical Center, New York, NY 10032, USA.ORCID 0000-0001-9954-9121
Susanne MontgomeryDepartment of Social Work and Social Ecology, School of Behavioral Health, Loma Linda University, Loma Linda, CA 93350, USA.ORCID 0000-0003-1269-9034

Funding

The Impact of Social Determinants of Health Domains on Lung Cancer Surgery Family Caregivers and PatientsR01CA217841 · NCI · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI KIM, JAE, SUN, VIRGINIA CHIH-YI · 2018 to 2022
$3.9M
Social and environmental determinants of breast cancer survivorship: The Breast Cancer Survivors InterventionK01MD018417 · NIMHD · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Dede K Teteh-Brooks · 2023 to 2026
$372k
Knowledge Engine- A computational approach to combatting dermatological health disparities in underserved communitiesR43MD017966 · NIMHD · HAIRDAYS, INC. · PI ST. BERNARD, TIFFANY, TETEH-BROOKS, DEDE K · 2023 to 2023
$260k
NCI NIH HHS L60 CA253971NCI NIH HHS R01 CA217841NIMHD NIH HHS K01 MD018417NIMHD NIH HHS R43 MD017966
6 · The paper itself

Abstract

Personal care products containing toxic chemicals (e.g., endocrine-disrupting chemicals) may increase breast cancer risk, especially for Black women who use these products more than other racial groups. There are limited tools that examine the intersections of identity, behaviors, and attitudes surrounding product use, perceived safety, and breast cancer risk; thus, the Black Identity, Hair Product Use, and Breast Cancer Scale (BHBS) was developed to bridge this gap. While initial validations lacked diverse survivor representation, this study seeks to validate the BHBS among Black survivors.

methodsThis study is a part of the

resultsBlack survivors on average were diagnosed with breast cancer before age 40 (37.41 ± 8.8) with Stage 1 (45%) disease. Sixty-three percent of the total variance resulted in a two-component structure. Subscale 1 (S1) measures the sociocultural perspectives about hair and identity (28% of the total variance; α = 0.73; 95% CI = 0.71-0.82). Subscale 2 (S2) can be used to assess perceived breast cancer risk related to hair product use (35% of the total variance; α = 0.86; 95% CI = 0.81-0.94). The two-component structure was confirmed with Root Mean Square Error of Approximation = 0.034, Comparative Fit Index = 0.93, and Tucker Lewis Index = 0.89. DISCUSSION/

conclusionsThe BHBS is a valid tool to measure identity, attitudes, and behaviors about product use and breast cancer risk among survivors. Hair is a significant cultural identity expression, and the health effects of styling products should be considered in future interventions.

Indexed as

Black or African AmericanBreast NeoplasmsCancer SurvivorsHair PreparationsAdultAgedFemaleHumansMiddle AgedSurveys and QuestionnairesHair PreparationsBHBSblack identity scaleblack womenbreast cancersurvivors

Identifiers

PMID40003400
PMCPMC11855503

What OpenQuestion holds

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LicenceCC BY
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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.