Evidence map›Paper›PMID 40036844›Full record

ArticleJNCI cancer spectrum2025

Indices of neighborhood disadvantage and individual cancer control behaviors among African American adults.

Bernard F Fuemmeler, Joseph Boyle, Carrie A Miller, Debarchana Ghosh, Cheryl L Knott

Abstract read
In one paragraph

Article in JNCI cancer spectrum, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Bernard F FuemmelerDepartment of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA 23219, United States.ORCID 0000-0002-3550-0107
Joseph BoyleDepartment of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA 23219, United States.ORCID 0000-0002-1411-5584
Carrie A MillerDepartment of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA 23219, United States.ORCID 0000-0002-8136-7618
Debarchana GhoshDepartment of Geography, University of Connecticut, Storrs, CT 06269, United States.ORCID 0000-0002-9181-1524
Cheryl L KnottDepartment of Behavioral and Community Health, University of Maryland, College Park, College Park, MD 20742, United States.ORCID 0000-0002-2261-7875

Funding

Training Program in Cancer Prevention and Control and Cancer Health Equity (CPC-CHE)T32CA093423 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI Bernard F Fuemmeler, Oxana G Palesh · 2018 to 2026
$3.0M
Religion and Cancer-Related Behaviors In Black AmericansR01CA105202 · NCI · UNIV OF MARYLAND, COLLEGE PARK · PI KNOTT, CHERYL L · 2006 to 2009
$998k
NCINCI NIH HHS R01 CA105202NCI NIH HHS R01CA105202NCI NIH HHS T32 CA093423NIH HHS T32CA093423
6 · The paper itself

Abstract

backgroundEmerging literature notes the importance of neighborhood-level factors for cancer control behaviors beyond that of individual factors. Markers of neighborhood-level disadvantage have been linked to greater likelihood of nonsalutary cancer control behaviors. There has been less examination of many neighborhood factors simultaneously, which more accurately reflects individuals' daily experiences. We estimated associations of neighborhood deprivation indices with cancer control behaviors, identifying the relative importance of neighborhood-level deprivation index components for these outcomes.

methodsWe used data from the Religion and Health in African Americans study, a national probability sample of African American adults. We separately considered 4 screening and 4 prevention behaviors as outcomes. We constructed neighborhood deprivation indices using census tract-level data and estimated their associations with outcomes using bayesian index models, adjusting for individual-level covariates. We reported odds ratios (ORs), credible intervals, and exceedance probabilities.

resultsParticipants in our sample engaged in relatively high levels of screening behaviors and lower levels of prevention behaviors. Neighborhood deprivation indices were statistically significantly associated with a greater likelihood of binge drinking (OR = 1.13, exceedance probability = 98.5%), smoking (OR = 1.07, exceedance probability = 99.4%), and insufficient colonoscopy (exceedance probability = 99.9%), Papanicolaou (exceedance probability = 99.7%), and prostate-specific antigen (exceedance probability = 99.1%) screening. Within neighborhood deprivation indices, median household income, percentage of individuals without some college education, and percentage of individuals unemployed received large estimated importance weights.

conclusionWe identified statistically significant associations between neighborhood disadvantage and nonsalutary cancer control behaviors as well as important neighborhood-level deprivation index components for each outcome. These and similar findings from future studies should be used to target specific neighborhood factors for specific cancer control behaviors rather than using a one-size-fits-all approach.

Indexed as

Black or African AmericanEarly Detection of CancerHealth BehaviorNeighborhood CharacteristicsNeoplasmsAdultAgedBayes TheoremBinge DrinkingFemaleHumansMaleMiddle AgedOdds RatioPapanicolaou TestSmoking

Identifiers

PMID40036844
PMCPMC11879093

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