Sociodemographic disparities and reasons for delayed healthcare among U.S. cancer survivors: an All of Us study

OBJECTIVE: To examine how sociodemographic factors influence healthcare access among cancer survivors. METHODS: From the National Institutes of Health's All of Us dataset (2018-2022, n = 27,589), we analyzed the relationship between characteristics like age, income, race/ethnicity, and insurance, and reasons for delayed healthcare, including affordability, transportation, and nervousness. RESULTS: Young adult cancer survivors (ages 18-39), those on Medicaid, and individuals earning less than $25,000 annually consistently experienced higher rates of delayed healthcare. The top reasons for delayed healthcare were affordability issues (12%), nervousness (8%), and transportation barriers (6%). Female survivors were more likely to delay care for all reasons except transportation. Work and caregiving-related delays were more common among minoritized racial/ethnic groups, while non-Hispanic White survivors more often delayed healthcare due to nervousness and socioeconomic factors. CONCLUSIONS: Considerable differences in delayed healthcare were observed among cancer survivors by sociodemographic characteristics. Findings highlight the need for tailored interventions to effectively address the unique social needs of each cancer survivor, ultimately improving healthcare access for all.