{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T07:07:40Z","timestamp":1784012860229,"version":"3.55.0"},"reference-count":78,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Support Care Cancer"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine how sociodemographic factors influence healthcare access among cancer survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      From the National Institutes of Health\u2019s All of Us dataset (2018\u20132022,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200927,589), we analyzed the relationship between characteristics like age, income, race\/ethnicity, and insurance, and reasons for delayed healthcare, including affordability, transportation, and nervousness.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Young adult cancer survivors (ages 18\u201339), 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats: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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00520-026-10880-y","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T15:28:07Z","timestamp":1781623687000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sociodemographic disparities and reasons for delayed healthcare among U.S. cancer survivors: an All of Us study"],"prefix":"10.1007","volume":"34","author":[{"given":"Ding Quan","family":"Ng","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiyuan","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmedin","family":"Jemal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre","family":"Chan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farhad","family":"Islami","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,16]]},"reference":[{"issue":"4","key":"10880_CR1","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1016\/j.clon.2023.01.015","volume":"35","author":"R Berman","year":"2023","unstructured":"Berman R, Laird BJA, Minton O et al (2023) The rise of supportive oncology: a revolution in cancer care. 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The All of Us IRB follows the regulations and guidance of the NIH Office for Human Research Protections for all studies, ensuring that the rights and welfare of research participants are overseen and protected uniformly. Participant rights and welfare are uniformly protected in accordance with the Declaration of Helsinki, with informed consent and withdrawal options provided. Privacy is ensured through de-identification, data storage on protected computers, limited researcher access, and contractual agreements. The present study did not directly involve participants, only their data; and the data available in the Researcher Workbench has been carefully checked and altered to remove identifying information while preserving its scientific utility. The Researcher Workbench employs a data passport model, through which authorized users do not need IRB review for each research project. 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Electronic health records (EHR) data were retrieved only if participants provided Health Insurance Portability and Accountability (HIPAA) authorization.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"The findings and conclusions in this article are those of the authors and do not necessarily represent the official positions of the American Cancer Society.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclaimer"}}],"article-number":"663"}}