ArticleCancer2022
Unemployment and cancer screening: Baseline estimates to inform health care delivery in the context of COVID-19 economic distress.
Article in Cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 24 citations in OpenAlex.
- Comparative Effectiveness of 2 Interventions to Increase Breast, Cervical, and Colorectal Cancer Screening Among Women in the Rural US: A Randomized Clinical Trial.JAMA network open · 2023Trial
- Socioeconomic Disparities in the Progression of Gastroesophageal Reflux Disease and Barrett's Esophagus to Esophageal Adenocarcinoma.Annals of surgery · 2026Article
- Absolute and relative socioeconomic inequalities in cancer screening participation among adults aged 40-74 years in South Korea: a repeated cross-sectional study.BMC public health · 2026Article
- Outcomes Among Patients With Colon Cancer Living in Neighborhoods With Persistent Poverty.JAMA network open · 2026Article
- Beyond screening: neighborhood-level factors associated with colorectal cancer stage at diagnosis.Cancer causes & control : CCC · 2025Article
- Prevalence of Adult Asthma and History of Screening for Cancer Among US Adults: Results from 2016, 2018, 2020, and 2022 National Level Cross-Sectional Study.International journal of environmental research and public health · 2025Article
- Article
- Optimal Stopping Ages for Colorectal Cancer Screening.JAMA network open · 2024Article
- Factors Influencing Cervical Cancer Screening Uptake among Reproductive-Aged Filipino Women: Findings from the 2022 Philippines National Demographic and Health Survey.Women's health reports (New Rochelle, N.Y.) · 2024Article
- Cancer Screening Disparities Before and After the COVID-19 Pandemic.JAMA network open · 2023Article
- The 2020 US cancer screening deficit and the timing of adults' most recent screen: a population-based cross-sectional study.Family medicine and community health · 2023Article
- Projected long-term effects of colorectal cancer screening disruptions following the COVID-19 pandemic.eLife · 2023Article
- Early Impact of the COVID-19 Pandemic on Psycho-Oncological Support: A Latent Class Analysis.Oncology · 2023Article
- Unequal Recovery in Colorectal Cancer Screening Following the COVID-19 Pandemic: A Comparative Microsimulation Analysis.medRxiv : the preprint server for health sciences · 2022Article
- A Feasible Path to Reductions in Racial and Ethnic Disparities in Lung Cancer Screening?JNCI cancer spectrum · 2022Article
- Article
- Impact of COVID-19 on Cancer Care: How the Pandemic Is Delaying Cancer Diagnosis and Treatment for American Seniors.JCO clinical cancer informatics · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDuring the coronavirus disease 2019 pandemic, US unemployment rates rose to historic highs, and they remain nearly double those of prepandemic levels. Employers are the most common source of health insurance among nonelderly adults. Thus, job loss may lead to a loss of health insurance and reduce access to cancer screening. This study examined associations between unemployment, health insurance, and cancer screening to inform the pandemic's potential impacts on early cancer detection.
methodsUp-to-date and past-year breast, cervical, colorectal, and prostate cancer screening prevalences were computed for nonelderly respondents (aged <65 years) with 2000-2018 National Health Interview Survey data. Multivariable logistic regression models with marginal probabilities were used to estimate unemployed-versus-employed unadjusted and adjusted prevalence ratios.
resultsUnemployed adults (2000-2018) were 4 times more likely to lack insurance than employed adults (41.4% vs 10.0%; P < .001). Unemployed adults had a significantly lower up-to-date prevalence of screening for cervical cancer (78.5% vs 86.2%; P < .001), breast cancer (67.8% vs 77.5%; P < .001), colorectal cancer (41.9 vs 48.5%; P < .001), and prostate cancer (25.4% vs 36.4%; P < .001). These differences were eliminated after accounting for health insurance coverage.
conclusionsUnemployment was adversely associated with up-to-date cancer screening, and this was fully explained by a lack of health insurance. Ensuring the continuation of health insurance coverage after job loss may mitigate the pandemic's economic distress and future economic downturns' impact on cancer screening.
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