ArticleScientific reports2020
Impact of a natural disaster on access to care and biopsychosocial outcomes among Hispanic/Latino cancer survivors.
Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Climate disasters and oncology care: a systematic review of effects on patients, healthcare professionals, and health systems.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Pooled it
- A Longitudinal Analysis of Self-Rated Health Correlates and Predictors in Hurricane Survivors.Journal of clinical psychology · 2026Article
- Mental Health Training for Community Health Workers in Cancer Care: A Narrative Review.Healthcare (Basel, Switzerland) · 2025Review
- Quantifying the burden of cancer in Puerto Rico's oldest residents.Cancer epidemiology · 2025Article
- Impact of Socio-Demographic Factors, Financial Burden, and Social Support on Anxiety and Depression Symptoms in Puerto Rican Women with Breast Cancer.Behavioral sciences (Basel, Switzerland) · 2025Article
- Association between Stressors after Hurricanes Irma and María and Psychological Distress in Patients with Active Breast and Colorectal Cancer Treatment.Puerto Rico health sciences journal · 2025Article
- A Preliminary Evaluation of Cigarette Smoking and its Correlates Among Cancer Survivors in Puerto Rico.Tobacco use insights · 2025Article
- Factors associated with smoking and e-cigarette use statuses among individuals with chronic diseases after hurricanes Helene and Milton.Tobacco induced diseases · 2025Article
- The Impact of Climate Change Across the Cancer Control Continuum: Key Considerations for Oncology Nurses.Oncology nursing forum · 2024Article
- Investigation of Psychometric Properties and Correlation with Psychological Distress after Hurricane Hazards in Puerto Rico.International journal of environmental research and public health · 2024Article
- Effect of the 2024 Noto Peninsula earthquake on outpatient chemotherapy among cancer survivors in Japan: a retrospective study.BMC cancer · 2024Article
- Treatment Interruptions and Mortality Among Puerto Rican Women With Gynecologic Cancers in Puerto Rico After Hurricanes Irma and María: A Retrospective Cohort Study.Disaster medicine and public health preparedness · 2024Article
- Maintaining quality of life and care for cancer survivors experiencing disaster disruptions: a review of the literature.BMC cancer · 2023Review
- Impact of Disasters on Older Adult Cancer Outcomes: A Scoping Review.JCO global oncology · 2023Article
- Stressors and Impact of the COVID-19 Pandemic on Vulnerable Hispanic Caregivers and Children.International journal of environmental research and public health · 2023Article
- Racial Disparities in Climate Change-Related Health Effects in the United States.Current environmental health reports · 2022Review
- Transitioning to Environmentally Sustainable, Climate-Smart Radiation Oncology Care.International journal of radiation oncology, biology, physics · 2022Article
- Impact of Seismic Activity on Access to Health Care in Hispanic/Latino Cancer Patients from Puerto Rico.International journal of environmental research and public health · 2022Article
- Climate concerns and extreme weather event impacts on people with cancer and cancer caregivers in Puerto Rico.The journal of climate change and healthArticle
- Disruptions in Oncology Care Confronted by Patients with Gynecologic Cancer Following Hurricanes Irma and Maria in Puerto Rico.Cancer control : journal of the Moffitt Cancer CenterArticle
Corrections and comments
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Authors and funding
15 authors at 3 institutions in 2 countries.
Funding
Abstract
Cancer is the leading cause of death in Puerto Rico (PR). Hurricane Maria (HM) and its aftermath lead to widespread devastation on the island, including the collapse of the healthcare system. Medically fragile populations, such as cancer survivors, were significantly affected. The goal of this study was to assess the impact of HM on barriers to care, emotional distress, and inflammatory biomarkers among cancer survivors in PR. This exploratory longitudinal study was conducted in health care facilities and community support groups from PR. Cancer survivors (n = 50) and non-cancer participants (n = 50) completed psychosocial questionnaires and provided blood samples that were used to assess inflammatory cytokines levels. Among this cohort, we identified 41 matched cancer survivors/non-cancer participants pairs. Data were analyzed through descriptive, frequencies, correlational, and regression analyses. Cancer survivors that were affected by HM reported increased barriers in accessing medical care, which were directly associated with anxiety, perceived stress, and post-traumatic symptomatology. Moreover, being a cancer survivor, predicted more barriers to receiving health care, especially in the first six weeks after the event, after which the effect was attenuated. Several inflammatory cytokines, such as CD31, BDNF, TFF3, Serpin E-1, VCAM-1, Vitamin D BP, and PDGF-AA, were significantly upregulated in cancer survivors while MMP9 and Osteopontin both had significant positive correlations with barriers to care. HM significantly impacted Puerto Ricans psychosocial well-being. Cancer survivors had significant barriers to care and showed increased serum inflammatory cytokines but did not show differences in anxiety, stress, and post-traumatic symptoms compared to non-cancer participants.
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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.