Evidence map›Paper›PMID 40721329›Full record

ArticleAnnals of family medicine2025

Is Gaining Housing Associated With Higher Rates of Cancer Screening Among US Veterans Experiencing Homelessness?

Hannah Decker, Laura Graham, Ashley Titan, Hemal Kanzaria, Mary Hawn, Elizabeth Wick, Jack Tsai, Margot Kushel

Abstract read
In one paragraph

Article in Annals of family medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Hannah DeckerDepartment of Surgery, University of California San Francisco, San Francisco, California Hannah.decker@ucsf.edu.
Laura GrahamVA Palo Alto Health Care, Palo Alto, California.
Ashley TitanDepartment of Surgery, Stanford Medicine, Stanford, California.
Hemal KanzariaDepartment of Emergency Medicine, University of California San Francisco, San Francisco, California.
Mary HawnDepartment of Surgery, Stanford Medicine, Stanford, California.
Elizabeth WickDepartment of Surgery, University of California San Francisco, San Francisco, California.
Jack TsaiNational Center on Homelessness Among Veterans, US Department of Veterans Affairs, Homeless Programs Office, Washington, DC.
Margot KushelBenioff Homelessness and Housing Initiative, Zuckerburg San Francisco General Hospital, San Francisco, California.

Funding

Mentoring Researchers in Aging in Vulnerable PopulationsK24AG046372 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KUSHEL, MARGOT B · 2015 to 2025
$1.9M
NIA NIH HHS K24 AG046372
6 · The paper itself

Abstract

purposePeople experiencing homelessness have lower rates of cancer screening than housed people, contributing to later stages at cancer diagnosis and poor outcomes. We examined whether gaining housing increased rates of cancer screening in a cohort of homeless veterans.

methodsWe conducted a retrospective cohort study examining all veterans experiencing homelessness who were eligible for, but not up to date on, colorectal and breast cancer screening from 2011 to 2021. Our exposure was gaining housing in the 24 months after the index clinic visit, conceptualized as a time-varying covariate. Our primary outcome was undergoing breast or colorectal screening in the 24 months after that visit. We performed bivariate analysis and Cox proportional hazards analysis, clustering on the facility level and adjusting for clinical and demographic covariates.

resultsOur cohort included 117,619 homeless veterans who were eligible for but not up to date on colorectal cancer screening at their index visit, of whom 57,705 (49.0%) gained housing over 24 months. The cohort included 6,517 homeless veterans who were eligible for but not up to date on breast cancer screening, of whom 3,101 (47.5%) gained housing over 24 months. Compared with peers who remained homeless, veterans who gained housing were more than twice as likely to undergo colorectal cancer screening (adjusted hazard ratio, 2.3; 95% CI, 2.2-2.3;

conclusionsVeterans experiencing homelessness who gain housing have higher rates of cancer screening. This finding supports promotion of housing to improve health outcomes for homeless individuals.

Indexed as

Breast NeoplasmsColorectal NeoplasmsEarly Detection of CancerHousingIll-Housed PersonsVeteransAdultAgedFemaleHumansMaleMiddle AgedProportional Hazards ModelsRetrospective StudiesUnited Statescancer screeninghealthcare disparitieshealth equityhomelessnesshousing statuspreventive medicineprimary careveteransveterans healthvulnerable populations

Identifiers

PMID40721329
PMCPMC12306998

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.