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Objective <p>To examine how sociodemographic factors influence healthcare access among cancer survivors.</p> Methods <p>From the National Institutes of Health’s All of Us dataset (2018–2022, <i>n</i> = 27,589), we analyzed the relationship between characteristics like age, income, race/ethnicity, and insurance, and reasons for delayed healthcare, including affordability, transportation, and nervousness.</p> Results <p>Young adult cancer survivors (ages 18–39), those on Medicaid, and individuals earning less than $25,000 annually consistently experienced higher rates of delayed healthcare. The top reasons for delayed healthcare were affordability issues (12%), nervousness (8%), and transportation barriers (6%). Female survivors were more likely to delay care for all reasons except transportation. Work and caregiving-related delays were more common among minoritized racial/ethnic groups, while non-Hispanic White survivors more often delayed healthcare due to nervousness and socioeconomic factors.</p> Conclusions <p>Considerable differences in delayed healthcare were observed among cancer survivors by sociodemographic characteristics. Findings highlight the need for tailored interventions to effectively address the unique social needs of each cancer survivor, ultimately improving healthcare access for all.</p>

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Sociodemographic disparities and reasons for delayed healthcare among U.S. cancer survivors: an All of Us study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年6月16日

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  • Ding Quan Ng,
  • Zhiyuan Zheng,
  • Ahmedin Jemal,
  • Alexandre Chan,
  • Farhad Islami

摘要

Objective

To examine how sociodemographic factors influence healthcare access among cancer survivors.

Methods

From the National Institutes of Health’s All of Us dataset (2018–2022, n = 27,589), we analyzed the relationship between characteristics like age, income, race/ethnicity, and insurance, and reasons for delayed healthcare, including affordability, transportation, and nervousness.

Results

Young adult cancer survivors (ages 18–39), those on Medicaid, and individuals earning less than $25,000 annually consistently experienced higher rates of delayed healthcare. The top reasons for delayed healthcare were affordability issues (12%), nervousness (8%), and transportation barriers (6%). Female survivors were more likely to delay care for all reasons except transportation. Work and caregiving-related delays were more common among minoritized racial/ethnic groups, while non-Hispanic White survivors more often delayed healthcare due to nervousness and socioeconomic factors.

Conclusions

Considerable differences in delayed healthcare were observed among cancer survivors by sociodemographic characteristics. Findings highlight the need for tailored interventions to effectively address the unique social needs of each cancer survivor, ultimately improving healthcare access for all.