ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2013
Impact of rural residence on forgoing healthcare after cancer because of cost.
Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 66 citations in OpenAlex.
- Models of survivorship care in patients with head and neck cancer in regional, rural, and remote areas: a systematic review.Journal of cancer survivorship : research and practice · 2026Pooled it
- Pooled it
- Differences in COVID-19 preventive behaviors among Black and White cancer survivors in North Carolina.Journal of cancer survivorship : research and practice · 2026Article
- Financial Distress Screening and Financial Navigation Among Adolescents and Young Adults Within the National Cancer Institute Community Oncology Research Program: Results of the 2022 Landscape Survey.JCO oncology practice · 2026Article
- Clinical Decision Support Tool for Early Pancreatic Cancer Detection in Primary Care: Simulation Study.JMIR formative research · 2026Article
- Do Rurality-Based Financial Incentives Improve Equity of Primary Healthcare Access? Evidence From Australia.Health economics · 2025Article
- Deconstructing rurality to better "place" health data.International journal of geographical information science : IJGIS · 2025Article
- Disparities in the utilization of magnetic resonance imaging for prostate cancer detection: a population-based study.Journal of the National Cancer Institute · 2025Article
- Telehealth as a Substitute for a Usual Source of Care for Prescription Medications.International journal of telerehabilitation · 2025Article
- Review
- The lived experience of people affected by cancer: A global cross-sectional survey protocol.PloS one · 2024Article
- Informal and Formal Financial Assistance to Rural Women during Cancer Treatment.SSM. Qualitative research in health · 2023Article
- Rural, Large Town, and Urban Differences in Optimal Subspecialty Follow-up and Survivorship Care Plan Documentation among Childhood Cancer Survivors.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023Article
- Factors Associated with Delaying and Forgoing Care Due to Cost among Long-term, Appalachian Cancer Survivors in Rural North Carolina.Cancer survivorship research & care · 2023Article
- Interventions to address cancer-related financial toxicity: Recommendations from the field.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022Article
- Navigating financial toxicity in patients with cancer: A multidisciplinary management approach.CA: a cancer journal for clinicians · 2022Review
- Cost-Related Medication Nonadherence and Patient Cost Responsibility for Rural and Urban Cancer Survivors.JCO oncology practice · 2022Article
- Review
- Current Status of Lung Cancer and Surgery Based on Studies Using a Nationwide Database.Journal of chest surgery · 2022Article
- Incidence and Risk of Suicide Among Patients With Head and Neck Cancer in Rural, Urban, and Metropolitan Areas.JAMA otolaryngology-- head & neck surgery · 2021Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundRoutine follow-up care is recommended to promote the well-being of cancer survivors, but financial difficulties may interfere. Rural-urban disparities in forgoing healthcare due to cost have been observed in the general population; however, it is unknown whether this disparity persists among survivors. The purpose of this study was to examine rural-urban disparities in forgoing healthcare after cancer due to cost.
methodsWe analyzed data from 7,804 cancer survivors in the 2006 to 2010 National Health Interview Survey. Logistic regression models, adjusting for sociodemographic and clinical characteristics, were used to assess rural-urban disparities in forgoing medical care, prescription medications, and dental care due to cost, stratified by age (younger: 18-64, older: 65+).
resultsCompared with urban survivors, younger rural survivors were more likely to forgo medical care (P < 0.001) and prescription medications (P < 0.001) due to cost; older rural survivors were more likely to forgo medical (P < 0.001) and dental care (P = 0.05). Rural-urban disparities did not persist among younger survivors in adjusted analyses; however, older rural survivors remained more likely to forgo medical [OR = 1.66, 95% confidence interval (CI) = 1.11-2.48] and dental care (OR = 1.54, 95%CI = 1.08-2.20).
conclusionsAdjustment for health insurance and other sociodemographic characteristics attenuates rural-urban disparities in forgoing healthcare among younger survivors, but not older survivors. Financial factors relating to healthcare use among rural survivors should be a topic of continued investigation. IMPACT: Addressing out-of-pocket costs may be an important step in reducing rural-urban disparities in healthcare, especially for older survivors. It will be important to monitor how healthcare reform efforts impact disparities observed in this vulnerable population.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.