{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T05:51:05Z","timestamp":1791265865764,"version":"4.1.0"},"reference-count":45,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["NU58DP007131"],"award-info":[{"award-number":["NU58DP007131"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007747","name":"University of Utah","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007747","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010637","name":"Huntsman Cancer Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010637","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1TR002538"],"award-info":[{"award-number":["UL1TR002538"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["TL1TR002540"],"award-info":[{"award-number":["TL1TR002540"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cancer survivors' unmet care needs can negatively affect well\u2010being and quality of life, yet few studies focus on how Hispanic\/Latino (Hispanic) survivors' needs may differ from those of non\u2010Hispanic White (NHW) survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To explore unmet needs of cancer survivors by ethnicity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A population\u2010based sample of adult survivors in Utah was surveyed. Demographic and cancer characteristics of survivors reporting unmet needs and those without needs were compared using chi\u2010square, Wilcoxon rank sum, and Fisher's exact tests. Crude and adjusted logistic regression models predicting likelihood of reporting unmet needs were conducted, stratified by ethnicity. Open\u2010ended questions assessed unmet care needs and were analyzed using directed content analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 2015 survey respondents, 516 described unmet needs in open\u2010ended responses; 31.3% of Hispanic survivors reported unmet care needs compared to 25.2% of NHW survivors (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.019). Among both Hispanic and NHW survivors, age was inversely associated with odds of reporting unmet needs (Hispanic: adjusted OR 0.97; CI 0.95, 0.99; NHW: adjusted OR 0.96; CI 0.95, 0.97). Unmet needs of the sample aligned with the Social Ecological Model (SEM) categories: (1) Individual; (2) Interpersonal; (3) Organizational; and (4) Structural. Financial burden, a structural unmet care need, was reported by 24 (22.2%) Hispanic survivors compared to 45 (11.0%) NHW survivors (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this state\u2010wide sample, Hispanic cancer survivors were more likely to report unmet care needs than NHW survivors, especially financial burden.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cam4.72271","type":"journal-article","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T07:16:11Z","timestamp":1789024571000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Ethnic Differences in Unmet Care Needs Among Cancer Survivors in Utah Using a Mixed Methods Approach"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5878-6593","authenticated-orcid":false,"given":"Sara G.","family":"Jackson","sequence":"first","affiliation":[{"name":"College of Nursing University of Utah  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0747-9179","authenticated-orcid":false,"given":"Anne C.","family":"Kirchhoff","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Utah School of Medicine  Salt Lake City Utah USA"},{"name":"Cancer Control and Population Sciences Program, Huntsman Cancer Institute University of Utah School of Medicine  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra L.","family":"Edwards","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Utah School of Medicine  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly A.","family":"Herget","sequence":"additional","affiliation":[{"name":"Utah Cancer Registry University of Utah School of Medicine  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marjorie E.","family":"Carter","sequence":"additional","affiliation":[{"name":"Utah Cancer Registry University of Utah School of Medicine  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel R.","family":"Codden","sequence":"additional","affiliation":[{"name":"Utah Cancer Registry University of Utah School of Medicine  Salt Lake City Utah USA"},{"name":"Division of Epidemiology, Department of Internal Medicine University of Utah School of Medicine  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blessing S.","family":"Ofori\u2010Atta","sequence":"additional","affiliation":[{"name":"Division of Epidemiology, Department of Internal Medicine University of Utah School of Medicine  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Nagata","sequence":"additional","affiliation":[{"name":"Utah Department of Health and Human Services  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol","family":"Sweeney","sequence":"additional","affiliation":[{"name":"Division of Epidemiology, Department of Internal Medicine University of Utah School of Medicine  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morgan M.","family":"Millar","sequence":"additional","affiliation":[{"name":"Cancer Control and Population Sciences Program, Huntsman Cancer Institute University of Utah School of Medicine  Salt Lake City Utah USA"},{"name":"Utah Cancer Registry University of Utah School of Medicine  Salt Lake City Utah USA"},{"name":"Division of Epidemiology, Department of Internal Medicine University of Utah School of Medicine  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,10]]},"reference":[{"key":"e_1_2_15_2_1","unstructured":"National Cancer Institute \u201cCancer Survivorship \u201daccessed May 25 2023 https:\/\/www.cancer.gov\/about\u2010cancer\/coping\/survivorship."},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.28951"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5262"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2018.1485179"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365\u20102354.1999.00125.x"},{"key":"e_1_2_15_7_1","volume-title":"Cancer Care for the Whole Patient: Meeting Psychosocial Health Needs","author":"Adler N. 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