Evidence map›Paper›PMID 41319526›Full record

ArticleEuropean journal of oncology nursing : the official journal of European Oncology Nursing Society2026

The impact of social determinants of health on mental and behavioral health trajectories of breast cancer survivors: A longitudinal cohort study.

Oscar Y Franco-Rocha, Jaime Fuentes-Balderrama, Bora Sun, Jasper A J Smits, Allison Magnuson, Shelli R Kesler, Kathleen Van Dyk, Raeanne C Moore, Ashley M Henneghan

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in European journal of oncology nursing : the official journal of European Oncology Nursing Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
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

9 authors.

Oscar Y Franco-RochaSchool of Nursing, University of Texas at Austin, Austin, TX, USA; James P. Wilmot Cancer Institute, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Jaime Fuentes-BalderramaSteve Hicks School of Social Work, University of Texas at Austin, Austin, TX, USA.
Bora SunSchool of Nursing, University of Texas at Austin, Austin, TX, USA.
Jasper A J SmitsDepartment of Psychology, The University of Texas at Austin, USA.
Allison MagnusonDivision of Medical Oncology, Department of Medicine, University of Rochester Medical Center, Rochester, NY, USA.
Shelli R KeslerSchool of Nursing, University of Texas at Austin, Austin, TX, USA; Department of Oncology, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.
Kathleen Van DykSemel Institute of Neuroscience and Human Behavior, University of California Los Angeles, Los Angeles, CA, USA; Jonsson Comprehensive Cancer Center, University of California Los Angeles, Los Angeles, CA, USA.
Raeanne C MooreDepartment of Psychiatry, University of California San Diego School of Medicine, San Diego, CA, USA.
Ashley M HenneghanSchool of Nursing, University of Texas at Austin, Austin, TX, USA; Department of Oncology, Dell Medical School, The University of Texas at Austin, Austin, TX, USA. Electronic address: ahenneghan@nursing.utexas.edu.

Funding

Social Determinants of Health as Transducers of Cellular Aging: A New Multi-level Paradigm to Reduce Survivorship Disparities at the Intersection of Cancer and AgingR35CA283926 · NCI · GEORGETOWN UNIVERSITY · PI Jeanne Mandelblatt · 2023 to 2026
$3.7M
Precision Health Intervention Methodology Training in Self-Management of Multiple Chronic ConditionsT32NR019035 · NINR · UNIVERSITY OF TEXAS AT AUSTIN · PI STUIFBERGEN, ALEXA · 2020 to 2024
$995k
Brain Health in Breast Cancer Survivors: Interaction of Menopause and Endocrine TherapyK08CA241337 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI VAN DYK, KATHLEEN · 2019 to 2023
$925k
Defining Cognitive Patient Reported Outcomes of Breast Cancer Survivors in the Context of Everyday Functioning and Quality of LifeR21NR020497 · NINR · UNIVERSITY OF TEXAS AT AUSTIN · PI HENNEGHAN, ASHLEY M. · 2023 to 2024
$447k
NCI NIH HHS K08 CA241337NCI NIH HHS R35 CA283926NINR NIH HHS R21 NR020497NINR NIH HHS T32 NR019035
6 · The paper itself

Abstract

purposeSocial determinants of health (SDOH) influence cancer outcomes such as symptom burden, quality of life, and mortality. However, their long-term impact on the health trajectories of breast cancer survivors (BCS) remains poorly understood. We aimed to examine how various SDOH, including experiences of discrimination, neighborhood conditions (traffic safety, perceived crime, and access to recreational activities), financial toxicity, and food insecurity, affect the mental and behavioral health of BCS over eight months.

methodsSixty-four BCS completed valid and reliable self-report assessments of SDOH, anxiety symptoms, cognitive function, fatigue, and sleep quality at baseline (T1), two months (T2), and eight months (T3). Multilevel models examined associations between SDOH, time, and mental and behavioral outcomes, adjusting for clinical and sociodemographic factors.

resultsOver time, participants reported increased anxiety symptoms (b = 0.37, p = 0.01). Higher levels of financial toxicity were associated with greater overall fatigue (b = 1.30, p = 0.01) and cognitive (b = -1.16, p = 0.03) scores. Poorer access to recreational activities was also associated with greater scores in overall anxiety (b = -2.31, p = 0.02). No significant interactions between SDOH and time were observed (p > 0.05).

conclusionFinancial toxicity and limited neighborhood resources negatively impact BCS' mental and behavioral health. Larger studies with extended follow-ups are needed to better understand how SDOH influence survivorship outcomes throughout the cancer continuum.

Indexed as

Breast NeoplasmsCancer SurvivorsMental HealthSocial Determinants of HealthAdultAgedAnxietyCohort StudiesFatigueFemaleHumansLongitudinal StudiesMiddle AgedQuality of LifeBehavioral healthBuilt environmentFood insecurityPsychosocial oncologyRecreationSocial discrimination

Identifiers

PMID41319526
PMCPMC12865803

What OpenQuestion holds

Textmetadata
LicenceTDM
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.