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Although all\u2010site cancer incidence varies across U.S. sociodemographic groups, it is unclear whether fertility\u2010impacting cancers, specifically, are unevenly distributed by sex or race\/ethnicity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Cross\u2010sectional analysis of cancer registry data from the Surveillance, Epidemiology, and End Results (SEER) Program (2010\u20132020). Age\u2010specific demographic rates and negative binomial regression with an exposure for population size were employed to assess inequalities in the incidence rates of fertility\u2010impacting cancers among U.S. individuals aged 39 and younger. Wald tests were used to compare coefficients across the multivariable negative binomial regression models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Women had higher incidence rates of fertility\u2010impacting cancers (cancers of the reproductive organs, cancers in areas proximal to the reproductive organs or that contribute to reproductive functioning, and other cancers identified in the literature as fertility\u2010impacting) in the fully adjusted models. These associations differed from the patterns observed among all other types of cancers. The incidence rates of fertility\u2010impacting cancers also varied by race\/ethnic groups. However, the patterning observed by race\u2010ethnicity varied between the three fertility\u2010impacting cancer groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The burden of fertility\u2010impacting cancers is unequal across sex and race\/ethnic groups. The sociodemographic patterns observed in fertility\u2010impacting cancers differ substantively from cancers that were not identified as fertility\u2010impacting. The findings reinforce the importance of screening for fertility\u2010impacting cancers and identify a potential unmet need for both fertility preservation referrals among cancer patients and access to fertility treatment for survivors of cancer.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cam4.70797","type":"journal-article","created":{"date-parts":[[2025,4,7]],"date-time":"2025-04-07T05:41:49Z","timestamp":1744004509000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Inequalities in Fertility\u2010Impacting Cancer Incidence Among Young Populations in the United States"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7235-1833","authenticated-orcid":false,"given":"Katherine I.","family":"Tierney","sequence":"first","affiliation":[{"name":"Department of Sociology Western Michigan University  Kalamazoo Michigan 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