ArticleJNCI cancer spectrum2019
The Epidemiology of Cancer Among Homeless Adults in Metropolitan Detroit.
Article in JNCI cancer spectrum, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 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
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Barriers and facilitators to accessing urologic cancer treatment for people experiencing homelessness: a systematic review.Current opinion in urology · 2026Pooled it
- Housing and Cancer Care and Outcomes: A Systematic Review.Journal of the National Cancer Institute · 2022Pooled it
- Empowerment and quality of life through cancer prevention in people experiencing homelessness: evaluating the Health Navigator Model.Health and quality of life outcomes · 2026Article
- Review
- The Impact of Homelessness on Lung Cancer Survival and Healthcare Utilization in the Hungarian Universal Healthcare System.Cancers · 2025Article
- Article
- Toward an Understanding of Cancer as an Issue of Social Justice: Perspectives and Implications for Oncology Nursing.Current oncology (Toronto, Ont.) · 2025Review
- Homelessness response: a framework for action by hospitals and healthcare systems.Frontiers in public health · 2025Review
- Capacity Over Cognition: A Case of High-Risk Disease and Homelessness.HCA healthcare journal of medicine · 2025Article
- Barriers to cancer treatment for people experiencing socioeconomic disadvantage in high-income countries: a scoping review.BMC health services research · 2024Article
- Cancer prevention in people experiencing homelessness: ethical considerations and experiences from the CANCERLESS project.Frontiers in public health · 2024Article
- Cancer risk factors and access to cancer prevention services for people experiencing homelessness: a scoping review protocol.BMJ open · 2023Article
- Perceived Appropriateness of Assessing for Health-related Socioeconomic Risks Among Adult Patients with Cancer.Cancer research communications · 2023Article
- Barriers to cancer treatment and care for people experiencing structural vulnerability: a secondary analysis of ethnographic data.International journal for equity in health · 2023Article
- Outcomes Among Homeless Patients With Non-Small-Cell Lung Cancer: A County Hospital Experience.JCO oncology practice · 2020Article
Corrections and comments
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Authors and funding
11 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundHomeless individuals suffer and die disproportionately from chronic diseases and disorders. We describe the epidemiology of cancer among homeless persons in metropolitan Detroit.
methodsA retrospective cohort study was performed using 1973-2014 data from the Metropolitan Detroit Cancer Surveillance System, a population-based cancer registry and member of the National Institutes of Health-National Cancer Institute's Surveillance, Epidemiology, and End Results program. Homeless adults were identified through address at diagnosis listed as a homeless shelter, hospital, or supplemental field indicating homelessness. Age-adjusted, sex-specific proportional incidence ratios (PIR) compared cancer incidence proportions by primary tumor site of homeless patients to the nonhomeless referent population. Kaplan-Meier curves depicted unadjusted survival differences in a propensity score matched sample. Differences in 10-year survival were assessed using the score test with a sandwich estimator accounting for matched cluster effects. Statistical tests were two-sided.
resultsA total of 388 individuals experienced homelessness at first primary invasive cancer diagnosis. Statistically significantly higher proportions of respiratory system (PIR = 1.51; 95% confidence interval = 1.28 to 1.79) and female genital system (PIR = 1.83; 95% confidence interval = 1.31 to 2.55) cancers were observed among homeless men and women, respectively. Homeless persons had poorer overall and cancer-reported survival compared with a propensity score matched referent population (median: overall survival, 20.0 vs 38.0 months, respectively,
conclusionDisparities in disease burden exist between adults who are experiencing homelessness compared with the nonhomeless population at cancer diagnosis. These findings provide clinically relevant information to understand the cancer burden in this medically underserved population and suggest an urgent need to develop cancer prevention and intervention programs to reduce disparities and improve the health of homeless persons.
Identifiers
What OpenQuestion holds
Registered trials
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.