Disparities in healthcare utilization and access by length of cancer survivorship among population-based female cancer survivors

Dibble, Kate E.; Kaur, Maneet; Connor, Avonne E.

doi:10.1007/s11764-021-01110-x

Cited by 7 publications

(2 citation statements)

References 66 publications

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“…For example, although the results did not reach statistical significance, Diamant and colleagues reported the opposite in a sample of non-cancer survivors, showing that non-native-born were less likely to report healthcare delays compared to native-born individuals [ 43 ]. Whereas, in a study of female cancer survivors that assessed disparities in healthcare access and utilization, they found that non-US-born females were less likely to report having a routine place to go to meet their healthcare compared to US-born cancer survivors [ 44 ]. This is important, as not having a primary healthcare office to seek care or have routine services can promote delaying accessing the extended care cancer survivors need.…”

Section: Discussionmentioning

confidence: 99%

Nativity differences in socioeconomic barriers and healthcare delays among cancer survivors in the All of Us cohort

Arizpe,

Navarro,

Ochoa-Dominguez

et al. 2023

Cancer Causes Control

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Purpose We aimed to assess whether nativity differences in socioeconomic (SES) barriers and health literacy were associated with healthcare delays among US cancer survivors. Methods “All of Us” survey data were analyzed among adult participants ever diagnosed with cancer. A binary measure of healthcare delay (1+ delays versus no delays) was created. Health literacy was assessed using the Brief Health Literacy Screen. A composite measure of SES barriers (education, employment, housing, income, and insurance statuses) was created as 0, 1, 2, or 3+. Multivariable logistic regression model tested the associations of (1) SES barriers and health literacy with healthcare delays, and (2) whether nativity modified this relationship. Results Median participant age was 64 years (n = 10,020), with 8% foreign-born and 18% ethnic minorities. Compared to survivors with no SES barriers, those with 3+ had higher likelihood of experiencing healthcare delays (OR 2.18, 95% CI 1.84, 2.58). For every additional barrier, the odds of healthcare delays were greater among foreign-born (1.72, 1.43, 2.08) than US-born (1.27, 1.21, 1.34). For every 1-unit increase in health literacy among US-born, the odds of healthcare delay decreased by 9% (0.91, 0.89, 0.94). Conclusion We found that SES barriers to healthcare delays have a greater impact among foreign-born than US-born cancer survivors. Higher health literacy may mitigate healthcare delays among US cancer survivors. Healthcare providers, systems and policymakers should assess and address social determinants of health and promote health literacy as a way to minimize healthcare delays among both foreign- and US-born cancer survivors.

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Section: Discussionmentioning

confidence: 99%

Nativity differences in socioeconomic barriers and healthcare delays among cancer survivors in the All of Us cohort

Arizpe,

Navarro,

Ochoa-Dominguez

et al. 2023

Cancer Causes Control

View full text Add to dashboard Cite

show abstract

“…Psychological services should also be provided to reduce depression and anxiety among them. Anxiety and depression can occur when patients with cancer lose their jobs or face nancial di culties during treatment [51,52]. Previous research indicates that 47% of cancer survivors experience unemployment following a cancer diagnosis, and the employment rate of cancer survivors is lower than that of the general population [53].…”

Section: Unmet Needs Domain Referencementioning

confidence: 99%

Cancer survivorship programs and care delivery models for cancer survivors’ transition in South Korea: A scoping review

Jin,

Choi,

Hur

et al. 2023

Preprint

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Purpose This scoping review aimed to identify unmet healthcare needs in cancer survivors after cancer treatment and provide an overview of evidence on their transitional care in Korea. Methods Studies reporting supportive care interventions, care delivery models, survival experience post-treatment, and factors affecting the health status of Korean cancer survivors were searched in Ovid MEDLINE, CINAHL, OvidEmbase, Cochrane CENTRAL, KoreaMed, and RISS in January 2021. Extracted data were subjected to descriptive analysis of the contextual data and quantitative analysis using appropriate descriptive statistics (review protocol registration number: osf.io/4mfzu/). Results Twenty-nine articles were included. Two models of after-care delivery were identified: the shared care model and the adapted chronic care model. Six studies confirmed that cancer survivors needed social support and stress interventions after treatment to address their multiple physical, social, and emotional difficulties as they progressed through the survival stages. Additionally, nine studies reported that cancer survivors identified unmet needs and needed supportive care, physical therapy, and psychosocial therapy. Conclusion This review explored available evidence and knowledge gaps in research to provide insights into Korean cancer survivorship care. The findings suggest that efforts to enhance the cancer survivorship care approach, such as a comprehensive care plan and ongoing delivery of survivorship care led by health professionals, are required to address cancer survivors’ unmet care needs during transitional care post-treatment in Korea.

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Treatment-related side effects among Hispanic and non-Hispanic white long-term breast cancer survivors by tamoxifen use and duration

Dibble

Baumgartner

Boone

et al. 2023

Breast Cancer Res Treat

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Disparities in healthcare utilization and access by length of cancer survivorship among population-based female cancer survivors

Cited by 7 publications

References 66 publications

Nativity differences in socioeconomic barriers and healthcare delays among cancer survivors in the All of Us cohort

Nativity differences in socioeconomic barriers and healthcare delays among cancer survivors in the All of Us cohort

Cancer survivorship programs and care delivery models for cancer survivors’ transition in South Korea: A scoping review

Treatment-related side effects among Hispanic and non-Hispanic white long-term breast cancer survivors by tamoxifen use and duration

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