ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026
Evaluating the role of survivorship care plans in modifying disparities in health status among female cancer survivors in Maryland.
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
purposeTo determine if receipt of survivorship care plans (SCPs) modifies the association between health outcomes of female cancer survivors and sociodemographic characteristics.
methodsUsing cross-sectional 2011-2023 data from the Maryland Behavioral Risk Factor Surveillance System (BRFSS) survey, we conducted survey-weighted multivariable regression models to estimate the association between race, body mass index (BMI), education and income with self-reported general health status and poor physical and mental health days, stratified by SCP receipt, approximated as self-reporting receipt of cancer follow-up care instructions (FCI), treatment summaries (TS), or both. Individuals on active treatment and < 1 year from their cancer diagnosis were excluded.
resultsThe study included 2,854 (non-Hispanic White (NHW; 82.8%) and non-Hispanic Black (NHB; 17.2%) female cancer survivors residing in Maryland. Half were > 10 years from their cancer diagnosis and the mean age was 64 years. Without FCI, NHB vs. NHW women reported more poor physical and mental health days (adjusted rate ratio (aRR): 1.27 (95% confidence interval (CI): 0.74-2.16) and aRR: 1.72 (95% CI: 1.14-2.61), respectively). With FCI, NHB vs. NHW women reported fewer poor physical and mental health days (aRR: 0.56 (95% CI; 0.39-0.80) and aRR: 0.47 (95% CI: 0.30-0.73); p-interaction: 0.009 and < 0.001, respectively). Similar patterns were observed for TS and FCI + TS and with education and income.
conclusionsReceipt of FCI and TS differentially modified associations between sociodemographic characteristics with self-reported physical and mental health for female cancer survivors in Maryland. Delivery of FCI and TS may improve the health status of minoritized female cancer survivors.
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