ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026
Association of social determinants of health and physical functioning among breast cancer survivors.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThe purpose of this study was to address the relationship between social determinants of health (both individual and neighborhood levels) to understand more fully how social conditions are associated with physical functioning among breast cancer survivors (BCS).
methodsWe conducted a secondary analysis of a national sample of breast cancer survivors recruited via Institutional Review Board-approved social media (i.e., Facebook) and online cancer-affiliated resource sites (e.g., Pink Ribbon Connection, Dr. Susan Love Foundation). BCS provided their address and demographic factors and completed the physical functioning survey (PF-10). Neighborhood social determinants of health (SDOH) included Yost National Rank Index and neighborhood factors (walkability and rural vs. urban status) using Geocoding. Descriptive statistics and linear regression models were used.
resultsBCS who were older (p = 0.038) and single (p = 0.008) had poor physical functioning. Socioeconomic factors including higher education (p = 0.001), higher income (p = 0.034), and higher neighborhood socioeconomic status (Yost Index, p = 0.016) were associated with greater physical functioning. Neighborhood factors (walkability and rural vs. urban) were not associated with physical functioning in BCS.
conclusionPhysical functioning of BCS was linked to age, social network (marital status), and socioeconomic status. Future interventional research is needed that accounts for individual and socioeconomic factors to mitigate their effects on the physical functioning of BCS.
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