Evidence map›Paper›PMID 42435141›Full record

ReviewJournal of cancer survivorship : research and practice2026

Environmental factors shaping cancer outcomes in Alabama: A scoping review.

Anita Aboagye, Nicole Caviness-Ashe, Miriam A Miles, Oluseun Akinyele, Abigail A Ninson, Cha'Breia Means, Lindsay Aaron-Wade, Mary A Aboagye, Emma O'Hagan, Elizabeth Baker and 5 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of cancer survivorship : research and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Anita AboagyeHeersink School of Medicine, University of Alabama at Birmingham, ALGEN 687, 701 19 St South, Birmingham, AL, 35294, USA.
Nicole Caviness-AsheHeersink School of Medicine, University of Alabama at Birmingham, ALGEN 687, 701 19 St South, Birmingham, AL, 35294, USA.
Miriam A MilesHeersink School of Medicine, University of Alabama at Birmingham, ALGEN 687, 701 19 St South, Birmingham, AL, 35294, USA.
Oluseun AkinyeleHeersink School of Medicine, University of Alabama at Birmingham, ALGEN 687, 701 19 St South, Birmingham, AL, 35294, USA.
Abigail A NinsonHeersink School of Medicine, University of Alabama at Birmingham, ALGEN 687, 701 19 St South, Birmingham, AL, 35294, USA.
Cha'Breia MeansHeersink School of Medicine, University of Alabama at Birmingham, ALGEN 687, 701 19 St South, Birmingham, AL, 35294, USA.
Lindsay Aaron-WadeSchool of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA.
Mary A AboagyeSchool of Health Professions, University of Alabama at Birmingham, Birmingham, AL, USA.
Emma O'HaganLister Hill Library of Health Science, University of Alabama at Birmingham, Birmingham, AL, USA.
Elizabeth BakerHeersink School of Medicine, University of Alabama at Birmingham, ALGEN 687, 701 19 St South, Birmingham, AL, 35294, USA.
Mackenzie E FowlerSchool of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
Stephen SodekeCenter for Biomedical Research, Tuskegee University, Tuskegee, AL, USA.
Elizabeth E BrownHeersink School of Medicine, University of Alabama at Birmingham, ALGEN 687, 701 19 St South, Birmingham, AL, 35294, USA.
Kathryn A KaiserSchool of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
Timiya S NolanHeersink School of Medicine, University of Alabama at Birmingham, ALGEN 687, 701 19 St South, Birmingham, AL, 35294, USA. tsnolan@uabmc.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis scoping review explores how environmental, social, and structural factors influence cancer outcomes in Alabama. Using the Robison and Hudson (2014) survivorship framework, we examined how individual, healthcare provider, and system-level factors influence cancer vulnerability across communities in Alabama.

methodsFollowing PRISMA-ScR reporting and Joanna Briggs Institute guidelines, we identified and reviewed peer-reviewed studies published between 1995 and 2024 across five databases (PubMed, Embase, Scopus, CINAHL, and PsychINFO). Twenty-one studies met the inclusion criteria and were analyzed across six key areas: food and neighborhood environment, exposure assessment and environmental measurement methods, industrial/toxic releases as exposures, legacy/historical exposures and hematologic outcomes, socioeconomic environment and cancer incidence and racial disparities, community burden, and environmental risk.

resultsCancer disparities in Alabama are closely tied to geographic, racial, and economic factors. Communities in the Black Belt and industrial corridors face higher exposure to environmental hazards due to historical segregation and industrial development patterns. These exposures are linked to increased rates of colorectal, ovarian, and blood cancers, particularly in areas with persistent poverty and limited access to healthcare.

conclusionsCancer outcomes in Alabama cannot be separated from the broader social and environmental context. Understanding these connections is essential for addressing the drivers' underlying health disparities. IMPLICATIONS FOR CANCER SURVIVORS: Improving cancer survivorship in Alabama requires a comprehensive approach that includes environmental risk assessments, enhanced provider education, and community-driven prevention. These approaches may include local screening initiatives, environmental cleanup, and targeted outreach to high-risk populations.

Indexed as

AlabamaCancer survivorsEconomic factorsEnvironmental exposureIndustrial developmentRisk assessment

Identifiers

PMID42435141

What Socratic holds

Textmetadata
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 Socratic graph.