{"doi":"10.1093/jncics/pkae115","title":"Social risk factors and cancer prevention care among patients in community health-care settings","abstract":"BACKGROUND: Social risks are negatively associated with receipt of cancer preventive care. As knowledge is lacking on the pathways underlying these associations, we investigated associations between patient-reported social risks and colorectal cancer (CRC), cervical cancer, and breast cancer screening order provision and screening completion. METHODS: This study included patients eligible for CRC, cervical cancer, or breast cancer screening at 186 community-based clinics between July 1, 2015, and February 29, 2020. Outcomes included up-to-date status for indicated cancer screenings at baseline; percentage of subsequent study months in which patients were up-to-date on screenings; screening order receipt; and screening completion. Independent variables were patient-reported food insecurity, transportation barriers, and housing instability. Analyses used covariate-adjusted generalized estimating equation models, stratified by social risk. RESULTS: Patients with documented social risks were less likely to be up-to-date on any cancer screening at baseline and in most cases had a lower rate of total study months up-to-date on screenings. All cancer screenings were ordered less often for food-insecure patients. Cervical cancer screening was ordered less often for transportation-insecure patients. The likelihood of completing a screening test differed statistically significantly by select social risks: Cervical cancer and CRC screening rates were lower among food-insecure patients, and CRC screening rates were lower among transportation-insecure patients. The likelihood of breast cancer screening completion did not differ by social risk status. CONCLUSION: Social risks affect both the ordering and the receipt of cancer screening. Research is needed on strategies to mitigate the impact of different social risks on cancer early-detection services.","journal":"JNCI Cancer Spectrum","year":2024,"id":458956,"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":5,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9522,"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":531552,"name":"Jean O’Malley","orcid":"0000-0003-0427-8651","position":1,"is_corresponding":false},{"id":731632,"name":"Jorge Kaufmann","orcid":"0000-0002-1516-4636","position":2,"is_corresponding":false},{"id":336842,"name":"Miguel Marino","orcid":"0000-0002-0066-4478","position":3,"is_corresponding":false},{"id":294030,"name":"Laura M. Gottlieb","orcid":"0000-0003-2669-4066","position":4,"is_corresponding":false},{"id":368510,"name":"Nathalie Huguet","orcid":"0000-0002-4064-1553","position":5,"is_corresponding":false},{"id":293231,"name":"Adjoa Anyane‐Yeboa","orcid":"0000-0002-7919-4105","position":6,"is_corresponding":false},{"id":258401,"name":"Rachel Gold","orcid":"0000-0001-6326-5012","position":7,"is_corresponding":false},{"id":1240846,"name":"Matthew P Banegas","orcid":null,"position":0,"is_corresponding":true}],"reference_count":18,"raw_metadata":null,"created_at":"2026-07-19T02:03:50.608887Z","pmid":"39662889","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":[]}