{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T12:23:14Z","timestamp":1770294194160,"version":"3.49.0"},"reference-count":77,"publisher":"American Society of Clinical Oncology (ASCO)","issue":"11","content-domain":{"domain":["ascopubs.org"],"crossmark-restriction":true},"short-container-title":["JCO Oncol Pract"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>PURPOSE<\/jats:title>\n                    <jats:p>People experiencing housing insecurity (PEHI) may face barriers to preventive cancer screening, but the extent to which PEHI receive screening at the population level is understudied. Therefore, this study examined disparities in utilization of breast cancer screening associated with housing insecurity (HI) among women beneficiaries enrolled in a large Medicaid program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>We assessed receipt of biennial mammography among women Medicaid beneficiaries, age 50-64 years, in administrative Medicaid data linked to encounter-level records on housing-related services in Pennsylvania (PA; Homelessness Management Information System [HMIS]) from 2011 to 2019. We characterized disparities in screening between beneficiaries with an encounter for housing-related services in HMIS (indicating experience or history of HI) compared with beneficiaries without any such encounters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      We included 73,456 women Medicaid beneficiaries in PA, including 1,792 HMIS service recipients and 71,664 comparison beneficiaries. The mammography rate was 44.8% among HMIS service recipients and 50.1% among comparison beneficiaries, representing a disparity of 5.3 percentage-points (pp;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). This disparity was pronounced between HMIS service recipients with chronic experience of homelessness and comparison beneficiaries (\u20139.4 pp;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .036). In stratified analyses, beneficiaries without any primary care visits had the lowest rate of mammography, although realized access to primary care did not eliminate the disparity in screening associated with HI.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>HI was associated with a significant disparity in mammography among women Medicaid beneficiaries, underscoring the need for efforts to improve preventive care among housing-insecure populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1200\/op-24-01094","type":"journal-article","created":{"date-parts":[[2025,3,21]],"date-time":"2025-03-21T15:59:24Z","timestamp":1742572764000},"page":"1702-1714","update-policy":"https:\/\/doi.org\/10.1200\/crossmark","source":"Crossref","is-referenced-by-count":3,"title":["Housing-Related Disparities in Receipt of Breast Cancer Screening Among Women Medicaid Beneficiaries"],"prefix":"10.1200","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8037-5758","authenticated-orcid":true,"given":"Youngmin","family":"Kwon","sequence":"first","affiliation":[{"name":"Department of Health Policy, Vanderbilt University Medical Center, Nashville, TN"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7439-0799","authenticated-orcid":true,"given":"Eric T.","family":"Roberts","sequence":"additional","affiliation":[{"name":"Department of General Internal Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Howard B.","family":"Degenholtz","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management, University of Pittsburgh School of Public Health, Pittsburgh, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1358-0764","authenticated-orcid":true,"given":"Bruce L.","family":"Jacobs","sequence":"additional","affiliation":[{"name":"Department of Urology, Division of Health Services Research, University of Pittsburgh School of Medicine, Pittsburgh, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0613-4929","authenticated-orcid":true,"given":"Lindsay M.","family":"Sabik","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management, University of Pittsburgh School of Public Health, Pittsburgh, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7873-2952","authenticated-orcid":true,"given":"Evan S.","family":"Cole","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management, University of Pittsburgh School of Public Health, Pittsburgh, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"233","reference":[{"key":"e_1_3_7_2_2","unstructured":"National Alliance to End Homelessness: State of homelessness: 2022 edition. https:\/\/endhomelessness.org\/homelessness-in-america\/homelessness-statistics\/state-of-homelessness\/"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2022.0035"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2023.01049"},{"key":"e_1_3_7_5_2","unstructured":"Studies JCfH: The state of the nation\u2019s housing 2020. https:\/\/www.jchs.harvard.edu\/sites\/default\/files\/reports\/files\/Harvard_JCHS_The_State_of_the_Nations_Housing_2020_Report_Revised_120720.pdf"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2023.116398"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.1604"},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2015.03.038"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.55301"},{"key":"e_1_3_7_10_2","unstructured":"National Cancer Institute: Cancer stat facts: Common cancer sites 2023. https:\/\/seer.cancer.gov\/statfacts\/html\/common.html#:\u223c:text=An%20estimated%20297%2C790%20women%20and overall%20with%20288%2C300%20expected%20cases"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(18)30200-6"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2014.06.002"},{"key":"e_1_3_7_13_2","first-page":"431","article-title":"Cancer risk behaviors and screening rates among homeless adults in Los Angeles County","volume":"11","author":"Chau S","year":"2002","unstructured":"Chau S, Chin M, Chang J, et al: Cancer risk behaviors and screening rates among homeless adults in Los Angeles County. 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