Social Risks and Nonadherence to Recommended Cancer Screening Among US Adults
2025

Social Risks and Cancer Screening Nonadherence

Sample size: 147922 publication 10 minutes Evidence: moderate

Author Information

Author(s): Sedani Ami E., Gomez Scarlett L., Lawrence Wayne R., Moore Justin X., Brandt Heather M., Rogers Charles R.

Primary Institution: University of Texas Health Sciences Center at Houston

Hypothesis

How are social risks associated with nonadherence to the US Preventive Services Task Force cancer screening guidelines?

Conclusion

Social risks were found to be independently and differentially associated with nonadherence to cancer screenings, with variations by sex.

Supporting Evidence

  • Social risks were found to be independently associated with nonadherence to cancer screenings.
  • Life dissatisfaction was linked to nonadherence for cervical and breast cancer screenings.
  • Food insecurity increased the risk of nonadherence across all cancer screening types.

Takeaway

Some people don't get their cancer screenings because of social issues like not having enough money or feeling lonely. We need to help them to get checked.

Methodology

This cross-sectional study used data from the 2022 Behavioral Risk Factor Surveillance System across 39 US states and Washington, DC.

Potential Biases

Potential selection bias due to the exclusion of certain populations and reliance on self-reported data.

Limitations

Self-reported data may be subject to misclassification, and certain vulnerable populations were excluded from the study.

Participant Demographics

The sample included 65.8% women with a mean age of 56.1 years.

Statistical Information

P-Value

p<0.05

Confidence Interval

95% CI, 1.01-1.16

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1001/jamanetworkopen.2024.49556

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