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National Cancer Institute-Funded Social Risk Research in Cancer Care Delivery: Opportunities for Future Research.


ABSTRACT:

Background

Cancer patients and survivors with food insecurity, housing instability, and transportation-related barriers face challenges in access and utilization of quality cancer care thereby adversely impacting their health outcomes. This portfolio analysis synthesized and described National Cancer Institute (NCI)-supported social risk research focused on assessing food insecurity, housing instability, and transportation-related barriers among individuals diagnosed with cancer.

Methods

We conducted a query using the National Institutes of Health iSearch tool to identify NCI-awarded extramural research and training grants (2010-2022). Grant abstracts, specific aims, and research strategies were coded for research characteristics, study population, and outcomes.

Results

Of the 30 grants included in this analysis, most assessed transportation-related barriers as patient-level social needs. Grants focused on community-level social risks, food insecurity, and housing instability were largely absent. Most grants included activities that identified the presence of social risks and/or needs (n = 24), connected patients to social care resources (n = 10), and engaged community members or organizations to inform the research study (n = 9). Of the grants, 18 focused on a single type of cancer, primarily breast cancer, and more than half focused on the treatment and survivorship phases.

Conclusions

In the last decade, there has been limited NCI-funded social risk research grants focused on food insecurity and housing instability. Findings highlight opportunities for future cancer care delivery research, including community and health system-level approaches that integrate social and clinical care to address social risks and social needs. Such efforts can help improve outcomes of populations that experience cancer health and health-care disparities.

SUBMITTER: Sanchez JI 

PROVIDER: S-EPMC9949593 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature

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National Cancer Institute-Funded Social Risk Research in Cancer Care Delivery: Opportunities for Future Research.

Sanchez Janeth I JI   Adjei Brenda A BA   Randhawa Gurvaneet G   Medel Josh J   Doose Michelle M   Oh April A   Jacobsen Paul B PB  

Journal of the National Cancer Institute 20221201 12


<h4>Background</h4>Cancer patients and survivors with food insecurity, housing instability, and transportation-related barriers face challenges in access and utilization of quality cancer care thereby adversely impacting their health outcomes. This portfolio analysis synthesized and described National Cancer Institute (NCI)-supported social risk research focused on assessing food insecurity, housing instability, and transportation-related barriers among individuals diagnosed with cancer.<h4>Meth  ...[more]

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