{"doi":"10.1002/cam4.70924","title":"Lack of Routine Health Care Among Adult Survivors of Childhood, Adolescent, and Young Adult Cancers (CAYA): A Nationally Representative Study of 4300 Survivors","abstract":"BACKGROUND: Survivors of childhood, adolescent, and young adult cancers (CAYA) experience lifelong health risks and accelerated aging. We examined routine health care (no routine checkup in the past year) among a nationally representative sample of CAYA survivors at different life stages. METHODS: We pooled data from the Behavioral Risk Factor Surveillance System (BRFSS; 2012, 2014, 2016-2019). CAYA survivors (ages 0-39 at cancer diagnosis) were young adults (18-39 years), middle-aged (40-64 years), or older adults (≥ 65 years) at the time of the survey. We estimated the prevalence of: (1) not receiving routine health care and (2) not having a personal doctor, overall and by age at survey. We used multivariable Poisson regression to identify factors associated with these outcomes. RESULTS: We identified 4284 CAYA survivors: 884 young adults, 2201 middle-aged, and 1199 older adults. More young adults were uninsured and unable to afford care, compared to other age groups. A higher proportion of young adults did not receive routine health care (35.9%, 95% CI 30.3-41.9) or have a personal doctor (25.6%, 95% CI 20.5-31.4), compared to middle-aged or older CAYA survivors (p < 0.01). In multivariable models, being a young adult was strongly associated with (1) not receiving routine health care (aPR 1.82, 95% CI 1.24-2.67) and (2) not having a personal doctor (aPR 3.14, 95% CI 1.84-5.35). CONCLUSIONS: Younger CAYA survivors experience a triple threat of chronic conditions, modifiable risks, and disconnection from routine health care. IMPACT: Early interventions to facilitate care transitions are needed.","journal":"Cancer Medicine","year":2025,"id":533659,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":2,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.7144,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1415424,"name":"Rebecca Eary","orcid":"0000-0001-8644-4136","position":1,"is_corresponding":false},{"id":1415425,"name":"Bhaskar Thakur","orcid":"0000-0001-6869-8968","position":2,"is_corresponding":false},{"id":734072,"name":"Amy E. Hughes","orcid":"0000-0002-1085-0282","position":3,"is_corresponding":false},{"id":393131,"name":"Quiera Booker","orcid":"0000-0001-7690-5584","position":4,"is_corresponding":false},{"id":605641,"name":"L. Aubree Shay","orcid":"0000-0003-1756-4294","position":5,"is_corresponding":false},{"id":317122,"name":"Simon J. Craddock Lee","orcid":"0000-0001-6345-1237","position":6,"is_corresponding":false},{"id":647522,"name":"Daniel C. Bowers","orcid":"0000-0002-3947-2481","position":7,"is_corresponding":false},{"id":104587,"name":"Bijal A. Balasubramanian","orcid":"0000-0003-2844-9048","position":8,"is_corresponding":false},{"id":941073,"name":"Andrea C. Betts","orcid":"0000-0003-0884-6513","position":0,"is_corresponding":true}],"reference_count":51,"raw_metadata":null,"created_at":"2026-07-19T02:51:32.301795Z","pmid":"40331733","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}