Housing Status and Overall Survival in People with Lung Cancer: Utilization of a Housing Insecurity Screening and Referring Program.

IF 1.2 4区医学 Q4 HEALTH POLICY & SERVICES

Journal of Health Care for the Poor and Underserved Pub Date : 2026-01-01 DOI:10.1353/hpu.2026.a982971

Alexander Lazzaro, Laura B Amin, Chinmay Jani, Sara Young, Hyerim Jang, Monica Abou-Ezzi, Amr Radwan, Omar Al Omari, Mohini Patel, Harshitha Dudipala, Mariam Markouli, Pablo Buitron de la Vega, Matthew H Kulke, Umit Tapan

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引用次数: 0

Abstract

Social determinants of health (SDOH), including housing insecurity, have been linked to poorer lung cancer outcomes. We investigated the relationship between housing status and overall survival (OS) of people with lung cancer. Our study examined all patients with lung cancer evaluated at Boston Medical Center (BMC), a tertiary care academic medical center and New England's largest safety-net hospital, between 2015 and 2021. Data was collected from electronic health records and THRIVE, a program that screens and refers for SDOH. We conducted univariable and multivariable survival analyses on 346 participants (housing-secure: n = 308; housing-insecure: n = 38). Results showed no statistically significant association between housing security and OS (HR 1.40, 95% C.I. 0.78-2.53, p = .27). While our findings suggest that standardized SDOH screening and referral programs may help reduce health disparities among housing-insecure people with lung cancer, prospective studies are needed to establish causality.

查看原文本刊更多论文

肺癌患者的住房状况和总体生存：利用住房不安全筛查和转诊计划。

健康的社会决定因素（SDOH），包括住房不安全，与较差的肺癌结果有关。我们调查了居住状况与肺癌患者总生存（OS）之间的关系。我们的研究检查了2015年至2021年间在波士顿医疗中心（BMC）评估的所有肺癌患者，波士顿医疗中心是三级医疗学术中心和新英格兰最大的安全网医院。数据是从电子健康记录和THRIVE（一个筛选和参考SDOH的程序）中收集的。我们对346名参与者（住房安全：n = 308；住房不安全：n = 38）进行了单变量和多变量生存分析。结果显示，住房保障与OS之间无统计学意义的关联（HR 1.40, 95% ci 0.78-2.53, p = 0.27）。虽然我们的研究结果表明，标准化的SDOH筛查和转诊计划可能有助于减少无住房保障的肺癌患者之间的健康差距，但需要前瞻性研究来确定因果关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Health Care for the Poor and Underserved Multiple-

CiteScore

2.00

自引率

7.10%

发文量

154

期刊介绍： The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.