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Significant research has characterized these challenges and disparities, but relatively little research has identified which strategies patients and their teams may prefer to overcome these challenges. We employ an assets lens to highlight patient-identified strategies to circumvent barriers across Social-Ecological Model (SEM) levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a secondary qualitative analysis of semi-structured interviews with 26 Black\/Latina breast cancer survivors and 10 oncology providers recruited from a single health system (2019\u20132020). Transcripts (English\/Spanish) were coded using deductive and inductive approaches, and these codes were subsequently organized into themes and mapped to SEM levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Survivors used multi-level strategies to maintain healthy behaviors while navigating financial hardship. At the individual level, women budgeted proactively, substituted canned\/frozen vegetables for fresh produce, and relied on home-based exercise, often supported by emotion-focused coping. Interpersonal strategies drew on family and friends for transportation, childcare, and accountability. Community-based solutions included church-based aid, food pantries, public benefits, and transportation vouchers, frequently facilitated by social workers. Organizational solutions centered on multidisciplinary survivorship clinics that provided financial navigation, consolidated appointments, and cost-tailored lifestyle counseling. Providers corroborated these strategies and emphasized clinic-level interventions (e.g., consolidated appointment scheduling, proactive financial and nutritional screening) to reduce financial hardships.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Black and Latina breast cancer survivors and their providers deploy pragmatic strategies across multiple SEM levels to sustain healthy behaviors under financial hardship. However, community- and organization-level solutions remain underutilized in interventions, and few trials have integrated financial navigation with lifestyle interventions. Embedding proactive financial and nutrition security screening, bilingual financial navigation, and community partnerships into lifestyle interventions and survivorship care could reduce structural barriers, improve lifestyle guideline adherence, and advance equity in cancer outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10732748261432274","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T04:18:58Z","timestamp":1773289138000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Financial Hardship and Unhealthy Lifestyles: Perspectives and Solutions From Breast Cancer Survivors and Their Care Teams"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9132-4400","authenticated-orcid":false,"given":"Margaret S.","family":"Pichardo","sequence":"first","affiliation":[{"name":"The University of Pennsylvania, Penn Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Celeste K.","family":"Nsubayi","sequence":"additional","affiliation":[{"name":"The Warren Alpert Medical School of Brown University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abigail S.","family":"Ginader","sequence":"additional","affiliation":[{"name":"NORC at the University of Chicago"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kryztal","family":"Pe\u00f1a","sequence":"additional","affiliation":[{"name":"Ann & Robert H. Lurie\u2019s Children Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thai Hien","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Chronic Disease Epidemiology, Yale School of Public Health"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melinda L.","family":"Irwin","sequence":"additional","affiliation":[{"name":"Department of Chronic Disease Epidemiology, Yale School of Public Health"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tara","family":"Sanft","sequence":"additional","affiliation":[{"name":"Yale School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yamile","family":"Molina","sequence":"additional","affiliation":[{"name":"University of Illinois Chicago"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oluwadamilola M.","family":"Fayanju","sequence":"additional","affiliation":[{"name":"The University of Pennsylvania"},{"name":"Abramson Cancer Center"},{"name":"Penn Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,11]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0b013e318288d40e"},{"key":"e_1_3_7_3_2","unstructured":"World Cancer Research Fund\/American Institute for Cancer Research. 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