ArticleCancer medicine2026
Ethnic Differences in Unmet Care Needs Among Cancer Survivors in Utah Using a Mixed Methods Approach.
Article in Cancer medicine, 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
backgroundCancer survivors' unmet care needs can negatively affect well-being and quality of life, yet few studies focus on how Hispanic/Latino (Hispanic) survivors' needs may differ from those of non-Hispanic White (NHW) survivors.
aimsTo explore unmet needs of cancer survivors by ethnicity.
methodsA population-based sample of adult survivors in Utah was surveyed. Demographic and cancer characteristics of survivors reporting unmet needs and those without needs were compared using chi-square, Wilcoxon rank sum, and Fisher's exact tests. Crude and adjusted logistic regression models predicting likelihood of reporting unmet needs were conducted, stratified by ethnicity. Open-ended questions assessed unmet care needs and were analyzed using directed content analysis.
resultsAmong 2015 survey respondents, 516 described unmet needs in open-ended responses; 31.3% of Hispanic survivors reported unmet care needs compared to 25.2% of NHW survivors (p = 0.019). Among both Hispanic and NHW survivors, age was inversely associated with odds of reporting unmet needs (Hispanic: adjusted OR 0.97; CI 0.95, 0.99; NHW: adjusted OR 0.96; CI 0.95, 0.97). Unmet needs of the sample aligned with the Social Ecological Model (SEM) categories: (1) Individual; (2) Interpersonal; (3) Organizational; and (4) Structural. Financial burden, a structural unmet care need, was reported by 24 (22.2%) Hispanic survivors compared to 45 (11.0%) NHW survivors (p = 0.004).
conclusionsIn this state-wide sample, Hispanic cancer survivors were more likely to report unmet care needs than NHW survivors, especially financial burden.
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