Evidence map›Paper›PMID 40279075›Full record

ArticleCancer causes & control : CCC2025

Multilevel socioecological determinants of colorectal cancer screening among American Indian communities in New Mexico.

Prajakta Adsul, Nidhi Kanabar, Joseph Rodman, Kevin English, Cheyenne Jim, Vernon Shane Pankratz, Nicholas Edwardson, Jimmie Charlie, John Pagett, Jonathan Trujillo and 4 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Cancer causes & control : CCC, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. A Socio-ecological Analysis of Factors Influencing the Perceived Value of Multicancer Early Detection Testing in the United States.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  2. 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

14 authors.

Prajakta AdsulCancer Control and Populations Sciences Research Program, University of New Mexico Comprehensive Cancer Center, Albuquerque, NM, USA.
Nidhi KanabarCancer Control and Populations Sciences Research Program, University of New Mexico Comprehensive Cancer Center, Albuquerque, NM, USA.
Joseph RodmanCancer Control and Populations Sciences Research Program, University of New Mexico Comprehensive Cancer Center, Albuquerque, NM, USA.
Kevin EnglishAlbuquerque Area Southwest Tribal Epidemiology Center, Albuquerque, NM, USA.
Cheyenne JimAlbuquerque Area Southwest Tribal Epidemiology Center, Albuquerque, NM, USA.
Vernon Shane PankratzCancer Control and Populations Sciences Research Program, University of New Mexico Comprehensive Cancer Center, Albuquerque, NM, USA.
Nicholas EdwardsonSchool of Public Administration, University of New Mexico, Albuquerque, NM, USA.
Jimmie CharlieKewa Pueblo Health Corporation, Kewa Pueblo, NM, USA.
John PagettKewa Pueblo Health Corporation, Kewa Pueblo, NM, USA.
Jonathan TrujilloKewa Pueblo Health Corporation, Kewa Pueblo, NM, USA.
Jillian Grisel-CambridgeJemez Health & Human Services, Jemez Pueblo, NM, USA.
Steven MoraJemez Health & Human Services, Jemez Pueblo, NM, USA.
Kaitlyn L YepaJemez Health & Human Services, Jemez Pueblo, NM, USA.
Shiraz I MishraCancer Control and Populations Sciences Research Program, University of New Mexico Comprehensive Cancer Center, Albuquerque, NM, USA. smishra@salud.unm.edu.ORCID http://orcid.org/0000-0002-4783-0939

Funding

VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CHRISTOPHER J. BAKKENIST · 1988 to 2026
$158.0M
WOMEN'S CANCERS RESEARCH PROGRAMP30CA118100 · NCI · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI Yolanda Sanchez · 2005 to 2026
$57.1M
UNIVERSITY OF NEW MEXICO CANCER CENTER PLANNING GRANTP20CA088807 · NCI · UNIVERSITY OF NEW MEXICO · PI WILLMAN, CHERYL L · 2000 to 2004
$1.3M
NCI NIH HHS P20 CA088807NCI NIH HHS P30 CA047904NCI NIH HHS P30 CA118100
6 · The paper itself

Abstract

purposeLow rates of colorectal cancer (CRC) screening and persistent racial disparities in CRC incidence and mortality among American Indian communities present an urgent public health concern in the United States. Although several evidence-based interventions exist for CRC screening, a gap remains in understanding how these interventions could be effectively implemented in American Indian communities given local contextual factors and preferences.

methodsUsing a community-based participatory research approach, we worked with two American Indian communities and their tribally operated healthcare facilities in New Mexico. To better understand the implementation context within each community, we conducted focus group discussions with two groups of stakeholders: (1) community members and (2) staff, providers, and physicians (collectively referred to as "healthcare professionals") who worked in the tribally operated healthcare facilities. We conducted our analysis of transcripts and notes from these discussions using a grounded theory approach to examine factors according to the multilevel influences on cancer care delivery.

resultsWe convened six focus groups and listening sessions with healthcare professionals (n = 15) and community members (n = 65) from the two tribal communities in New Mexico. Participants described key factors likely to influence the implementation and uptake of CRC screening interventions in their communities across three ecological levels. From an individual perspective, several participants mentioned understanding the importance of screening as a cancer prevention intervention, even when individuals perceived themselves to be healthy. Interpersonally, participants highlighted the crucial role of provider recommendations around screening and indicated that listening to individuals share their personal healthcare experiences motivated the community members to get screened. Finally, from a healthcare system perspective, many providers mentioned the need for improved technology and care coordination to support the healthcare delivery within clinical settings to improve CRC screening rates.

conclusionsEngaging community members and providers through a community-based participatory research approach allowed us to identify key determinants for the successful implementation of CRC screening interventions in tribal communities. Future research will examine the effectiveness and implementation of the multicomponent, multilevel interventions and strategies for improving CRC screening rates in tribal communities in New Mexico.

Indexed as

Colorectal NeoplasmsEarly Detection of CancerIndians, North AmericanAdultAgedCommunity-Based Participatory ResearchFemaleFocus GroupsHumansMaleMiddle AgedNew MexicoAmerican IndianColorectal cancerCommunity-based participatory researchImplementation scienceMultilevel analysisQualitative researchScreening

Identifiers

PMID40279075
PMCPMC12354181

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.