{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:36:49Z","timestamp":1786977409262,"version":"build-2736575974"},"reference-count":33,"publisher":"Wiley","issue":"22","license":[{"start":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T00:00:00Z","timestamp":1732492800000},"content-version":"vor","delay-in-days":24,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Cancer survivors are considered by public health officials as a high\u2010risk group in the United States for severe complications from COVID\u201019. We aimed to characterize patterns of early uptake of the COVID\u201019 vaccine among cancer survivors and to determine modifiable barriers to vaccine completion that can be addressed to ensure future booster adherence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Cross\u2010sectional data of vaccine uptake by summer 2021 was extracted from adult cancer survivors enrolled in the \u201cAll of Us\u201d research program. Vaccine completion was determined based on receiving at least two doses. We assessed sociodemographic factors, socioeconomic barriers (education, income, health insurance status, housing, and employment status), and COVID\u201019 vaccine uptake by Summer 2021, employing multivariable ordinal logistic regression for those who were unvaccinated, had initiated vaccine uptake, and had completed COVID\u201019 vaccination.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 514 cancer survivors in the sample, 73.7% were fully vaccinated by summer 2021. Those who received no vaccine doses showed higher proportions of SES barriers, medical distrust, and perceived lack of need barriers. Race (non\u2010Hispanic White vs. other) was not statistically significantly associated with vaccine uptake (OR (95% CI)\u2009=\u20090.94 (0.51, 1.70)), while for every additional SES barrier, there was a 40% decrease (OR (95% CI)\u2009=\u20090.60 (0.48, 0.75)) in the odds of receiving more COVID\u201019 vaccine doses. Higher medical distrust and perceived lack of need were associated with 56% (OR\u2009=\u20090.44, 95% CI: 0.32\u20130.59) and 39% (OR\u2009=\u20090.61, 95% CI: 0.43\u20130.87) lower odds, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Racial\/ethnic disparities in vaccine uptake may be explained by SES barriers. Addressing SES disparities and fostering medical trust may enhance future COVID\u201019 vaccination uptake rates for this high\u2010risk group.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cam4.70428","type":"journal-article","created":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T07:47:55Z","timestamp":1732520875000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Early\n                    <scp>COVID<\/scp>\n                    \u201019 Vaccine Initiation and Completion Among Cancer Survivors and Barriers to Vaccine Completion: Implications for Future\n                    <scp>COVID<\/scp>\n                    \u201019 Vaccination Uptake Rates"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-4327-1828","authenticated-orcid":false,"given":"Nikta","family":"Saeedi","sequence":"first","affiliation":[{"name":"Department of Population and Public Health Sciences Keck School of Medicine of the University of Southern California  Los Angeles California USA"},{"name":"Gehr Family Center for Health Systems Science University of Southern California  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4075-2675","authenticated-orcid":false,"given":"Angel","family":"Arizpe","sequence":"additional","affiliation":[{"name":"Department of Population and Public Health Sciences Keck School of Medicine of the University of Southern California  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katelyn J.","family":"Queen","sequence":"additional","affiliation":[{"name":"Department of Population and Public Health Sciences Keck School of Medicine of the University of Southern California  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Tsui","sequence":"additional","affiliation":[{"name":"Department of Population and Public Health Sciences Keck School of Medicine of the University of Southern California  Los Angeles California USA"},{"name":"USC Norris Comprehensive Cancer Center  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sue","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Population and Public Health Sciences Keck School of Medicine of the University of Southern California  Los Angeles California USA"},{"name":"Gehr Family Center for Health Systems Science University of Southern California  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8645-5142","authenticated-orcid":false,"given":"Brian Z.","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Population and Public Health Sciences Keck School of Medicine of the University of Southern California  Los Angeles California USA"},{"name":"USC Norris Comprehensive Cancer Center  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6463-7831","authenticated-orcid":false,"given":"Albert J.","family":"Farias","sequence":"additional","affiliation":[{"name":"Department of Population and Public Health Sciences Keck School of Medicine of the University of Southern California  Los Angeles California USA"},{"name":"Gehr Family Center for Health Systems Science University of Southern California  Los Angeles California USA"},{"name":"USC Norris Comprehensive Cancer Center  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,25]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"American Cancer Society. \u201cCancer Facts & Figures\u00a02019\u201dAmerican Cancer Society journal Atlanta:American Cancer Society;2019 https:\/\/www.cancer.org\/research\/cancer\u2010facts\u2010statistics\/all\u2010cancer\u2010facts\u2010figures\/cancer\u2010facts\u2010figures\u20102019.html."},{"key":"e_1_2_10_3_1","unstructured":"Centers for Disease Control and Prevention \u201cStay up to date with COVID\u201019 vaccines including boosters \u201daccessed January 20 2023 https:\/\/www.cdc.gov\/coronavirus\/2019\u2010ncov\/vaccines\/stay\u2010up\u2010to\u2010date.html."},{"key":"e_1_2_10_4_1","unstructured":"National Comprehensive Cancer Network \u201cNCCN Covid\u201019 vaccination guide for people living with cancer \u201daccessed January 15 2023 https:\/\/www.nccn.org\/docs\/default\u2010source\/covid\u201019\/covid\u2010vaccine\u2010and\u2010cancer\u201005.pdf."},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2021.1218"},{"key":"e_1_2_10_6_1","unstructured":"Centers for Disease Control and Prevention \u201cCDC Covid Data tracker \u201daccessed January 20 2023 https:\/\/covid.cdc.gov\/covid\u2010data\u2010tracker\/#vaccinations_vacc\u2010people\u2010booster\u2010percent\u2010pop5."},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10900\u2010022\u201001174\u20105"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/jayao.2022.0113"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/jncics\/pkab049"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/daab105"},{"key":"e_1_2_10_11_1","unstructured":"Centers for Disease Control and Prevention \u201cFluVaxView \u201daccessed October 10 2024 https:\/\/www.cdc.gov\/fluvaxview\/?CDC_AAref_Val=https%3A%2F%2Fwww.cdc.gov%2Fflu%2Ffluvaxview%2Freportshtml%2Ftrends%2Findex.html."},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2016.12.046"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2023.107680"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40615\u2010022\u201001415\u20102"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000002570"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.11629"},{"key":"e_1_2_10_17_1","unstructured":"All of Us Research Hub \u201cSurvey Explorer \u201daccessed October 10 2024 https:\/\/www.researchallofus.org\/data\u2010tools\/survey\u2010explorer\/."},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10552\u2010023\u201001782\u2010z"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41562-021-01122-8"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djac204"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.34726"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2020.39.28_suppl.148"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.17920"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.3924"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2021.03.023"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2019.7359"},{"key":"e_1_2_10_27_1","unstructured":"L.Hamel L.Lopes A.Kearney G.Sparks M.Stokes andM.Brodie \u201cKFF COVID\u201019 Vaccine Monitor: June 2021 \u201d2021 KFF accessed October 15 2023 https:\/\/www.kff.org\/coronavirus\u2010covid\u201019\/poll\u2010finding\/kff\u2010covid\u201019\u2010vaccine\u2010monitor\u2010june\u20102021\/."},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1200\/OP.22.00338"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annonc.2020.12.019"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010021\u201006419\u2010y"},{"key":"e_1_2_10_31_1","unstructured":"L.Hamel G.Sparks andM.Brodie \u201cKFF COVID\u201019 Vaccine Monitor: February 2021 \u201d2021 accessed 20 September 2024 https:\/\/www.kff.org\/coronavirus\u2010covid\u201019\/poll\u2010finding\/kff\u2010covid\u201019\u2010vaccine\u2010monitor\u2010february\u20102021\/."},{"key":"e_1_2_10_32_1","unstructured":"L.Hamel A.Kirzinger L.Lopes et\u00a0al. \u201cKFF COVID\u201019 vaccine monitor: May 2021 \u201d2021 accessed 20 September 2024 https:\/\/www.kff.org\/coronavirus\u2010covid\u201019\/poll\u2010finding\/kff\u2010covid\u201019\u2010vaccine\u2010monitor\u2010may\u20102021\/."},{"key":"e_1_2_10_33_1","unstructured":"A.Kirzinger G.Sparks andM.Brodie \u201cKFF COVID\u201019 Vaccine Monitor: In Their Own Words Six Months Later \u201d2021 KFF accessed October 12 2023 https:\/\/www.kff.org\/coronavirus\u2010covid\u201019\/poll\u2010finding\/kff\u2010covid\u201019\u2010vaccine\u2010monitor\u2010in\u2010their\u2010own\u2010words\u2010six\u2010months\u2010later\/."},{"key":"e_1_2_10_34_1","unstructured":"U.S. Food and Drug Administration \u201cFDA Takes Action on Updated mRNA COVID\u201019 Vaccines to Better Protect Against Currently Circulating Variants \u201daccessed October 12 2023 https:\/\/www.fda.gov\/news\u2010events\/press\u2010announcements\/fda\u2010takes\u2010action\u2010updated\u2010mrna\u2010covid\u201019\u2010vaccines\u2010better\u2010protect\u2010against\u2010currently\u2010circulating."}],"container-title":["Cancer Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cam4.70428","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,16]],"date-time":"2024-12-16T00:25:35Z","timestamp":1734308735000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cam4.70428"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11]]},"references-count":33,"journal-issue":{"issue":"22","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1002\/cam4.70428"],"URL":"https:\/\/doi.org\/10.1002\/cam4.70428","archive":["Portico"],"relation":{},"ISSN":["2045-7634","2045-7634"],"issn-type":[{"value":"2045-7634","type":"print"},{"value":"2045-7634","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11]]},"assertion":[{"value":"2024-08-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70428"}}