{"doi":"10.1002/cncr.35212","title":"Age at diagnosis and social risks among Black cancer survivors: Results from the Detroit Research on Cancer Survivors cohort","abstract":"BACKGROUND: Social risks are common among cancer survivors who have the fewest financial resources; however, little is known about how prevalence differs by age at diagnosis, despite younger survivors' relatively low incomes and wealth. METHODS: The authors used data from 3703 participants in the Detroit Research on Cancer Survivors (ROCS) cohort of Black cancer survivors. Participants self-reported several forms of social risks, including food insecurity, housing instability, utility shut-offs, not getting care because of cost or lack of transportation, and feeling unsafe in their home neighborhood. Modified Poisson models were used to estimate prevalence ratios and 95% confidence intervals (CIs) of social risks by age at diagnosis, controlling for demographic, socioeconomic, and cancer-related factors. RESULTS: Overall, 35% of participants reported at least one social risk, and 17% reported two or more risks. Social risk prevalence was highest among young adults aged 20-39 years (47%) followed by those aged 40-54 years (43%), 55-64 years (38%), and 65 years and older (24%; p for trend < .001). Compared with survivors who were aged 65 years and older at diagnosis, adjusted prevalence ratios for any social risk were 1.75 (95% CI, 1.42-2.16) for survivors aged 20-39 years, 1.76 (95% CI, 1.52-2.03) for survivors aged 40-54 years, and 1.41 (95% CI, 1.23-1.60) for survivors aged 55-64 years at diagnosis. Similar associations were observed for individual social risks and experiencing two or more risks. CONCLUSIONS: In this population of Black cancer survivors, social risks were inversely associated with age at diagnosis. Diagnosis in young adulthood and middle age should be considered a risk factor for social risks and should be prioritized in work to reduce the financial effects of cancer on financially vulnerable cancer survivors.","journal":"Cancer","year":2024,"id":441824,"datarank":0.32958368660043297,"base_score":2.1972245773362196,"endowment":2.1972245773362196,"self_citation_contribution":0.32958368660043297,"citation_network_contribution":0.0,"self_endowment_contribution":0.32958368660043297,"citer_contribution":0.0,"corpus_percentile":47.721822541966425,"corpus_rank":6746,"citation_count":8,"citer_count":6,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":true,"is_dataset_confidence":0.8296,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":974944,"name":"Jean A. McDougall","orcid":"0000-0003-3144-4387","position":1,"is_corresponding":false},{"id":731432,"name":"Jamaica R.M. Robinson","orcid":"0000-0002-1699-6178","position":2,"is_corresponding":false},{"id":435640,"name":"Deepak Palakshappa","orcid":"0000-0003-1467-4965","position":3,"is_corresponding":false},{"id":1098305,"name":"Randell Seaton","orcid":null,"position":4,"is_corresponding":false},{"id":342679,"name":"Julie J. Ruterbusch","orcid":"0000-0001-8089-7409","position":5,"is_corresponding":false},{"id":342680,"name":"Jennifer Beebe‐Dimmer","orcid":"0000-0002-4320-739X","position":6,"is_corresponding":false},{"id":71792,"name":"Ann G. Schwartz","orcid":"0000-0002-9525-1157","position":7,"is_corresponding":false},{"id":342676,"name":"Theresa A. Hastert","orcid":"0000-0001-6251-6422","position":0,"is_corresponding":true}],"reference_count":43,"raw_metadata":null,"created_at":"2026-07-19T02:01:11.152920Z","pmid":"38280205","pmcid":"PMC11540135","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":[]}