ArticleJournal of the National Cancer Institute2023
Transportation barriers, emergency room use, and mortality risk among US adults by cancer history.
Article in Journal of the National Cancer Institute, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed, 37 citations in OpenAlex.
- Improving Research on Transportation Interventions in Health Care.Health services research · 2026Article
- Transportation as a Barrier to Health Care Access Among Patients With Knee Arthritis: Cross-Sectional Study.JMIR formative research · 2026Article
- Post-traumatic stress disorder and social determinants of health among individuals with cancer: association with healthcare utilization and outcomes in the All of Us Research Program.Journal of cancer survivorship : research and practice · 2026Article
- Willingness of Older Adults to Travel for Medical Care.JAMA network open · 2026Article
- Roadblocks to Rural Health: State Transportation Policies' Impact on Health Care Access in Virginia's Rural Communities: 2021-2022.American journal of public health · 2026Article
- Transportation-related factors, cancer screening, and stage at diagnosis: A scoping review.PloS one · 2026Article
- Health Ratings and Unmet Transportation Needs in Indiana's Aged and Disabled Home and Community-Based Services Waiver Program.Journal of aging & social policy · 2025Article
- Transportation barriers, emergency department use, and mortality risk among us adults: a national health interview survey analysis.BMC public health · 2025Article
- Social determinant of health patterns and mortality outcomes in US adults.BMC public health · 2025Article
- Prevalence of Health-Related Social Needs and Associated Missed Imaging Appointments Among Patients With Cancer.Journal of the American College of Radiology : JACR · 2025Article
- Transportation barriers for Iowa Medicaid-enrolled adults with and without non-emergency medical transportation services.Health affairs scholar · 2025Article
- Geographic variation in Medicare Advantage nonemergency medical transportation benefits 2020-2024.Health affairs scholar · 2025Article
- Beyond Barriers: Achieving True Equity in Cancer Care.Current oncology (Toronto, Ont.) · 2025Review
- Impact of social determinants of health on treatment patterns and outcomes in multiple myeloma.Future oncology (London, England) · 2025Article
- Financial hardship, financial toxicity, and transportation challenges among older cancer survivors treated with curative-intent surgery.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Cancer history and accelerated aging: findings from a nationally representative sample in the US.Cancer causes & control : CCC · 2025Article
- Screening for comprehensive social needs in patients with cancer: a narrative review.JNCI cancer spectrum · 2025Review
- Transportation Insecurity, Social Support, and Adherence to Cancer Screening.JAMA network open · 2025Article
- Pre-pandemic patterns in colorectal cancer mortality and Black-White inequities across the 30 most populous US cities.Frontiers in epidemiology · 2025Article
- Social capital as a determinant of quality of life in greek cancer patients: a cross-sectional study.Frontiers in public health · 2025Article
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLack of safe, reliable, and affordable transportation is a barrier to medical care, but little is known about its association with clinical outcomes.
methodsWe identified 28 640 adults with and 470 024 adults without a cancer history from a nationally representative cohort (2000-2018 US National Health Interview Survey) and its linked mortality files with vital status through December 31, 2019. Transportation barriers were defined as delays in care because of lack of transportation. Multivariable logistic and Cox proportional hazards models estimated the associations of transportation barriers with emergency room (ER) use and mortality risk, respectively, adjusted for age, sex, race and ethnicity, education, health insurance, comorbidities, functional limitations, and region.
resultsOf the adults, 2.8% (n = 988) and 1.7% (n = 9685) with and without a cancer history, respectively, reported transportation barriers; 7324 and 40 793 deaths occurred in adults with and without cancer history, respectively. Adults with a cancer history and transportation barriers, as compared with adults without a cancer history or transportation barriers, had the highest likelihood of ER use (adjusted odds ratio [aOR] = 2.77, 95% confidence interval [CI] = 2.34 to 3.27) and all-cause mortality risk (adjusted hazard ratio [aHR] = 2.28, 95% CI = 1.94 to 2.68), followed by adults without a cancer history with transportation barriers (ER use aOR = 1.98, 95% CI =1.87 to 2.10; all-cause mortality aHR = 1.57, 95% CI = 1.46 to 1.70) and adults with a cancer history but without transportation barriers (ER use aOR = 1.39, 95% CI = 1.34 to 1.44; all-cause mortality aHR = 1.59, 95% CI = 1.54 to 1.65).
conclusionDelayed care because of lack of transportation was associated with increased ER use and mortality risk among adults with and without cancer history. Cancer survivors with transportation barriers had the highest risk.
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