Housing Insecurity and Threats of Utility Shut-Offs Among Cancer Survivors in the United States, BRFSS 2022-2023.
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| Název: | Housing Insecurity and Threats of Utility Shut-Offs Among Cancer Survivors in the United States, BRFSS 2022-2023. |
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| Autoři: | Nguyen TD; Department of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania, USA., Eberth JM; Department of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania, USA.; Sidney Kimmel Comprehensive Cancer Center, Jefferson Health, Philadelphia, Pennsylvania, USA., Ezenwankwo E; Department of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania, USA., Schwartz GL; Department of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania, USA.; Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania, USA. |
| Zdroj: | Cancer medicine [Cancer Med] 2025 Dec; Vol. 14 (23), pp. e71436. |
| Způsob vydávání: | Journal Article |
| Jazyk: | English |
| Informace o časopise: | Publisher: John Wiley & Sons Ltd Country of Publication: United States NLM ID: 101595310 Publication Model: Print Cited Medium: Internet ISSN: 2045-7634 (Electronic) Linking ISSN: 20457634 NLM ISO Abbreviation: Cancer Med Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: [Malden, MA] : John Wiley & Sons Ltd., c2012- |
| Výrazy ze slovníku MeSH: | Housing*/statistics & numerical data , Housing*/economics , Cancer Survivors*/statistics & numerical data , Neoplasms*/therapy , Neoplasms*/economics , Neoplasms*/epidemiology, Humans ; Male ; Female ; Middle Aged ; United States/epidemiology ; Adult ; Aged ; Behavioral Risk Factor Surveillance System ; Young Adult |
| Abstrakt: | Background: The financial burden of cancer treatment can increase the risk of housing insecurity for patients undergoing treatment and survivors. Objective: To evaluate the burden of housing and utility insecurity among cancer survivors compared to individuals without a cancer history, examine outcome differences by housing tenure (renters vs. homeowners) and treatment status (active vs. posttreatment), and identify predictors of housing insecurity. Methods: We analyzed data from 14 states that completed the Social Determinants and Cancer Survivorship modules of the 2022 and 2023 Behavioral Risk Factor Surveillance System (BRFSS), yielding 5499 respondents with a previous cancer diagnosis (excluding skin cancers) and 61,883 respondents without a cancer diagnosis. We estimated prevalences and fit logistic regressions. Key Results: Cancer history was associated with greater odds of housing (AOR 1.43, 95% CI: 1.18-1.74) and utility (AOR 1.36, 95% CI: 1.09-1.69) insecurity, but this varied by treatment timing and housing tenure. Patients currently undergoing treatment were more likely to report housing and utility insecurity (AOR 1.96, 95% CI: 1.28-3.01 and AOR 1.67, 95% CI: 1.06-2.61, respectively) than individuals without a history of cancer. Such insecurity was elevated even after treatment for renters, but not for homeowners. In absolute terms, 34.7% of renters with a cancer history reported housing insecurity, compared to 7.1% of their homeowner counterparts. Conclusions: Cancer diagnosis and treatment can contribute to housing and utility insecurity during and after treatment. Addressing this through targeted interventions within both healthcare systems and social policy may mitigate hardship and improve well-being. (© 2025 The Author(s). Cancer Medicine published by John Wiley & Sons Ltd.) |
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| Grant Information: | U54CA267735 United States NH NIH HHS |
| Contributed Indexing: | Keywords: BRFSS; cancer; cancer survivorship; housing; social determinants of health |
| Entry Date(s): | Date Created: 20251204 Date Completed: 20251204 Latest Revision: 20251206 |
| Update Code: | 20251206 |
| PubMed Central ID: | PMC12676617 |
| DOI: | 10.1002/cam4.71436 |
| PMID: | 41342462 |
| Databáze: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Background: The financial burden of cancer treatment can increase the risk of housing insecurity for patients undergoing treatment and survivors.<br />Objective: To evaluate the burden of housing and utility insecurity among cancer survivors compared to individuals without a cancer history, examine outcome differences by housing tenure (renters vs. homeowners) and treatment status (active vs. posttreatment), and identify predictors of housing insecurity.<br />Methods: We analyzed data from 14 states that completed the Social Determinants and Cancer Survivorship modules of the 2022 and 2023 Behavioral Risk Factor Surveillance System (BRFSS), yielding 5499 respondents with a previous cancer diagnosis (excluding skin cancers) and 61,883 respondents without a cancer diagnosis. We estimated prevalences and fit logistic regressions.<br />Key Results: Cancer history was associated with greater odds of housing (AOR 1.43, 95% CI: 1.18-1.74) and utility (AOR 1.36, 95% CI: 1.09-1.69) insecurity, but this varied by treatment timing and housing tenure. Patients currently undergoing treatment were more likely to report housing and utility insecurity (AOR 1.96, 95% CI: 1.28-3.01 and AOR 1.67, 95% CI: 1.06-2.61, respectively) than individuals without a history of cancer. Such insecurity was elevated even after treatment for renters, but not for homeowners. In absolute terms, 34.7% of renters with a cancer history reported housing insecurity, compared to 7.1% of their homeowner counterparts.<br />Conclusions: Cancer diagnosis and treatment can contribute to housing and utility insecurity during and after treatment. Addressing this through targeted interventions within both healthcare systems and social policy may mitigate hardship and improve well-being.<br /> (© 2025 The Author(s). Cancer Medicine published by John Wiley & Sons Ltd.) |
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| ISSN: | 2045-7634 |
| DOI: | 10.1002/cam4.71436 |