Burden and trajectory of social needs after breast cancer diagnosis at a safety-net hospital
Purpose Unmet social needs pose barriers to cancer care, contributing to adverse outcomes and health inequities. A better understanding of how social needs change after cancer diagnosis can inform more effective, equity-focused interventions. Methods In this study, we examined self-reported social n...
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| Veröffentlicht in: | Breast cancer research and treatment 2024-10, Vol.207 (3), p.579-585 |
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| creator | Howard, Eileen C. Murray Horwitz, Mara E. Gunn, Christine M. Bak, Sharon Nelson, Kerrie P. Morton, Samantha Flacks-Dunning, JoHanna G. Battaglia, Tracy A. |
| description | Purpose
Unmet social needs pose barriers to cancer care, contributing to adverse outcomes and health inequities. A better understanding of how social needs change after cancer diagnosis can inform more effective, equity-focused interventions.
Methods
In this study, we examined self-reported social needs at 0, 3, and 6 months after a breast cancer diagnosis in a racially diverse, multilingual sample (n = 222) enrolled in patient navigation intervention at an urban safety-net hospital. At each timepoint, respondents completed surveys about social needs related to employment, disability benefits, housing and utilities, and personal and family stability.
Results
Over three-quarters (78%, n = 175) reported ≥ 1 social need, and 46% (n = 102) reported ≥ 3 social needs. The most frequently reported need was housing and utilities (64%, n = 142), followed by employment (40%, n = 90). Individuals from minoritized groups more frequently reported an increased number of social needs over time, compared with their White counterparts (p = 0.02).
Conclusion
Our findings suggest that despite navigation, many cancer patients from historically underrepresented populations continue to experience social concerns over the first 6 months of treatment. Further research, conducted with historically underrepresented populations in research, is needed to better understand the social needs of breast cancer patients to inform effective and equitable interventions. |
| doi_str_mv | 10.1007/s10549-024-07389-5 |
| format | Article |
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Unmet social needs pose barriers to cancer care, contributing to adverse outcomes and health inequities. A better understanding of how social needs change after cancer diagnosis can inform more effective, equity-focused interventions.
Methods
In this study, we examined self-reported social needs at 0, 3, and 6 months after a breast cancer diagnosis in a racially diverse, multilingual sample (n = 222) enrolled in patient navigation intervention at an urban safety-net hospital. At each timepoint, respondents completed surveys about social needs related to employment, disability benefits, housing and utilities, and personal and family stability.
Results
Over three-quarters (78%, n = 175) reported ≥ 1 social need, and 46% (n = 102) reported ≥ 3 social needs. The most frequently reported need was housing and utilities (64%, n = 142), followed by employment (40%, n = 90). Individuals from minoritized groups more frequently reported an increased number of social needs over time, compared with their White counterparts (p = 0.02).
Conclusion
Our findings suggest that despite navigation, many cancer patients from historically underrepresented populations continue to experience social concerns over the first 6 months of treatment. Further research, conducted with historically underrepresented populations in research, is needed to better understand the social needs of breast cancer patients to inform effective and equitable interventions.</description><identifier>ISSN: 0167-6806</identifier><identifier>ISSN: 1573-7217</identifier><identifier>EISSN: 1573-7217</identifier><identifier>DOI: 10.1007/s10549-024-07389-5</identifier><identifier>PMID: 38851661</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Aged ; Breast cancer ; Breast Neoplasms - diagnosis ; Breast Neoplasms - epidemiology ; Breast Neoplasms - psychology ; Diagnosis ; Employment ; Female ; Health Services Needs and Demand ; Housing ; Humans ; Medical diagnosis ; Medicine ; Medicine & Public Health ; Middle Aged ; Needs Assessment ; Oncology ; Patient Navigation ; Patients ; Safety-net Providers ; Social interactions ; Social Support ; Surveys and Questionnaires</subject><ispartof>Breast cancer research and treatment, 2024-10, Vol.207 (3), p.579-585</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-a3ef9ed5d4ac185b9fdf9298160f3d0183d344ec708adbbf3aa5304807c1a96c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10549-024-07389-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10549-024-07389-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38851661$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Howard, Eileen C.</creatorcontrib><creatorcontrib>Murray Horwitz, Mara E.</creatorcontrib><creatorcontrib>Gunn, Christine M.</creatorcontrib><creatorcontrib>Bak, Sharon</creatorcontrib><creatorcontrib>Nelson, Kerrie P.</creatorcontrib><creatorcontrib>Morton, Samantha</creatorcontrib><creatorcontrib>Flacks-Dunning, JoHanna G.</creatorcontrib><creatorcontrib>Battaglia, Tracy A.</creatorcontrib><title>Burden and trajectory of social needs after breast cancer diagnosis at a safety-net hospital</title><title>Breast cancer research and treatment</title><addtitle>Breast Cancer Res Treat</addtitle><addtitle>Breast Cancer Res Treat</addtitle><description>Purpose
Unmet social needs pose barriers to cancer care, contributing to adverse outcomes and health inequities. A better understanding of how social needs change after cancer diagnosis can inform more effective, equity-focused interventions.
Methods
In this study, we examined self-reported social needs at 0, 3, and 6 months after a breast cancer diagnosis in a racially diverse, multilingual sample (n = 222) enrolled in patient navigation intervention at an urban safety-net hospital. At each timepoint, respondents completed surveys about social needs related to employment, disability benefits, housing and utilities, and personal and family stability.
Results
Over three-quarters (78%, n = 175) reported ≥ 1 social need, and 46% (n = 102) reported ≥ 3 social needs. The most frequently reported need was housing and utilities (64%, n = 142), followed by employment (40%, n = 90). Individuals from minoritized groups more frequently reported an increased number of social needs over time, compared with their White counterparts (p = 0.02).
Conclusion
Our findings suggest that despite navigation, many cancer patients from historically underrepresented populations continue to experience social concerns over the first 6 months of treatment. Further research, conducted with historically underrepresented populations in research, is needed to better understand the social needs of breast cancer patients to inform effective and equitable interventions.</description><subject>Adult</subject><subject>Aged</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - diagnosis</subject><subject>Breast Neoplasms - epidemiology</subject><subject>Breast Neoplasms - psychology</subject><subject>Diagnosis</subject><subject>Employment</subject><subject>Female</subject><subject>Health Services Needs and Demand</subject><subject>Housing</subject><subject>Humans</subject><subject>Medical diagnosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Needs Assessment</subject><subject>Oncology</subject><subject>Patient Navigation</subject><subject>Patients</subject><subject>Safety-net Providers</subject><subject>Social interactions</subject><subject>Social Support</subject><subject>Surveys and Questionnaires</subject><issn>0167-6806</issn><issn>1573-7217</issn><issn>1573-7217</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE2LFDEQhoMo7rj6BzxIwIuXaKXTSSdHXfyCBS96E0J1PtYeepIxSR_m32_WWRU8eCqKeuqt4iHkOYfXHGB6UznI0TAYRgaT0IbJB2TH5STYNPDpIdkBVxNTGtQFeVLrHgDMBOYxuRBaS64U35Hv77biQ6KYPG0F98G1XE40R1qzW3ClKQRfKcYWCp1LwNqow-R65xe8Sbkufdoo0ooxtBNLodEfuR6XhutT8ijiWsOz-3pJvn14__XqE7v-8vHz1dtr5gapGkMRogle-hEd13I20UczGM0VROGBa-HFOAY3gUY_z1EgSgGjhslxNMqJS_LqnHss-ecWarOHpbqwrphC3qoVoGSPMxw6-vIfdJ-3kvp3VnDQo-qHZaeGM-VKrrWEaI9lOWA5WQ72zr09u7fdvf3l3t4tvbiP3uZD8H9WfsvugDgDtY_STSh_b_8n9hZcBo84</recordid><startdate>20241001</startdate><enddate>20241001</enddate><creator>Howard, Eileen C.</creator><creator>Murray Horwitz, Mara E.</creator><creator>Gunn, Christine M.</creator><creator>Bak, Sharon</creator><creator>Nelson, Kerrie P.</creator><creator>Morton, Samantha</creator><creator>Flacks-Dunning, JoHanna G.</creator><creator>Battaglia, Tracy A.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TO</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20241001</creationdate><title>Burden and trajectory of social needs after breast cancer diagnosis at a safety-net hospital</title><author>Howard, Eileen C. ; Murray Horwitz, Mara E. ; Gunn, Christine M. ; Bak, Sharon ; Nelson, Kerrie P. ; Morton, Samantha ; Flacks-Dunning, JoHanna G. ; Battaglia, Tracy A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-a3ef9ed5d4ac185b9fdf9298160f3d0183d344ec708adbbf3aa5304807c1a96c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - diagnosis</topic><topic>Breast Neoplasms - epidemiology</topic><topic>Breast Neoplasms - psychology</topic><topic>Diagnosis</topic><topic>Employment</topic><topic>Female</topic><topic>Health Services Needs and Demand</topic><topic>Housing</topic><topic>Humans</topic><topic>Medical diagnosis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Needs Assessment</topic><topic>Oncology</topic><topic>Patient Navigation</topic><topic>Patients</topic><topic>Safety-net Providers</topic><topic>Social interactions</topic><topic>Social Support</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Howard, Eileen C.</creatorcontrib><creatorcontrib>Murray Horwitz, Mara E.</creatorcontrib><creatorcontrib>Gunn, Christine M.</creatorcontrib><creatorcontrib>Bak, Sharon</creatorcontrib><creatorcontrib>Nelson, Kerrie P.</creatorcontrib><creatorcontrib>Morton, Samantha</creatorcontrib><creatorcontrib>Flacks-Dunning, JoHanna G.</creatorcontrib><creatorcontrib>Battaglia, Tracy A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Breast cancer research and treatment</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Howard, Eileen C.</au><au>Murray Horwitz, Mara E.</au><au>Gunn, Christine M.</au><au>Bak, Sharon</au><au>Nelson, Kerrie P.</au><au>Morton, Samantha</au><au>Flacks-Dunning, JoHanna G.</au><au>Battaglia, Tracy A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Burden and trajectory of social needs after breast cancer diagnosis at a safety-net hospital</atitle><jtitle>Breast cancer research and treatment</jtitle><stitle>Breast Cancer Res Treat</stitle><addtitle>Breast Cancer Res Treat</addtitle><date>2024-10-01</date><risdate>2024</risdate><volume>207</volume><issue>3</issue><spage>579</spage><epage>585</epage><pages>579-585</pages><issn>0167-6806</issn><issn>1573-7217</issn><eissn>1573-7217</eissn><abstract>Purpose
Unmet social needs pose barriers to cancer care, contributing to adverse outcomes and health inequities. A better understanding of how social needs change after cancer diagnosis can inform more effective, equity-focused interventions.
Methods
In this study, we examined self-reported social needs at 0, 3, and 6 months after a breast cancer diagnosis in a racially diverse, multilingual sample (n = 222) enrolled in patient navigation intervention at an urban safety-net hospital. At each timepoint, respondents completed surveys about social needs related to employment, disability benefits, housing and utilities, and personal and family stability.
Results
Over three-quarters (78%, n = 175) reported ≥ 1 social need, and 46% (n = 102) reported ≥ 3 social needs. The most frequently reported need was housing and utilities (64%, n = 142), followed by employment (40%, n = 90). Individuals from minoritized groups more frequently reported an increased number of social needs over time, compared with their White counterparts (p = 0.02).
Conclusion
Our findings suggest that despite navigation, many cancer patients from historically underrepresented populations continue to experience social concerns over the first 6 months of treatment. Further research, conducted with historically underrepresented populations in research, is needed to better understand the social needs of breast cancer patients to inform effective and equitable interventions.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>38851661</pmid><doi>10.1007/s10549-024-07389-5</doi><tpages>7</tpages></addata></record> |
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| ispartof | Breast cancer research and treatment, 2024-10, Vol.207 (3), p.579-585 |
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| subjects | Adult Aged Breast cancer Breast Neoplasms - diagnosis Breast Neoplasms - epidemiology Breast Neoplasms - psychology Diagnosis Employment Female Health Services Needs and Demand Housing Humans Medical diagnosis Medicine Medicine & Public Health Middle Aged Needs Assessment Oncology Patient Navigation Patients Safety-net Providers Social interactions Social Support Surveys and Questionnaires |
| title | Burden and trajectory of social needs after breast cancer diagnosis at a safety-net hospital |
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