Kayleigh R. Majercak, Emily F. Gorman, Nicholas J. Robert, Barbara Palmer, Henry Asante Antwi, C. Daniel Mullins
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Literature was retrieved from literary databases and oncology organizations' websites. Eligible studies included discussion of SDOH and health equity as outlined by the World Health Organization and Centers for Disease Control and Prevention, respectively, and involved community oncology/cancer care in outpatient settings. Studies were excluded if the SDOH-health equity relationship was not discussed.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The review resulted in 61 exploratory and 17 confirmatory “intervention” studies addressing the impact of SDOH on health equity in community oncology settings. The most frequently SDOH-health equity pairs identified were the SDOH categories, <i>social inclusion and non-discrimination</i>, <i>income and social protection,</i> and <i>structural conflict,</i> all paired with the health equity category, <i>access to care/treatment</i>. Confirmatory studies focused on <i>income and social protection</i> (SDOH) and <i>access to care/treatment</i> (health equity); the SDOH categories, <i>social inclusion and non-discrimination</i> and <i>health/general literacy–patient,</i> paired with the health equity category, and <i>adherence/compliance</i>.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Literature highlights the SDOH and health equity relationship within the realm of oncology. Most studies on SDOH/health inequities in the community oncology setting are exploratory. There is the need to shift from documentation of cancer inequities to implementing solutions.</p>\n </section>\n </div>","PeriodicalId":139,"journal":{"name":"Cancer Medicine","volume":null,"pages":null},"PeriodicalIF":2.9000,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cam4.70160","citationCount":"0","resultStr":"{\"title\":\"Which social determinants of health have the highest impact in community oncology to advance patient care equity and improve health outcomes? A scoping review\",\"authors\":\"Kayleigh R. Majercak, Emily F. Gorman, Nicholas J. Robert, Barbara Palmer, Henry Asante Antwi, C. 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Which social determinants of health have the highest impact in community oncology to advance patient care equity and improve health outcomes? A scoping review
Introduction
To better understand the SDOH-health equity landscape within a community oncology setting to answer the research question, “Which SDOH can have the highest impact in community oncology to advance patient care equity and improve health outcomes?”
Methods
Arksey and O'Malley's scoping review framework was used to identify evidence related to SDOH and health equity in community oncology. The study was guided by the “10-Step Framework for Continuous Patient Engagement” and a Community Advisory Board to assure relevance to patients and community providers. Literature was retrieved from literary databases and oncology organizations' websites. Eligible studies included discussion of SDOH and health equity as outlined by the World Health Organization and Centers for Disease Control and Prevention, respectively, and involved community oncology/cancer care in outpatient settings. Studies were excluded if the SDOH-health equity relationship was not discussed.
Results
The review resulted in 61 exploratory and 17 confirmatory “intervention” studies addressing the impact of SDOH on health equity in community oncology settings. The most frequently SDOH-health equity pairs identified were the SDOH categories, social inclusion and non-discrimination, income and social protection, and structural conflict, all paired with the health equity category, access to care/treatment. Confirmatory studies focused on income and social protection (SDOH) and access to care/treatment (health equity); the SDOH categories, social inclusion and non-discrimination and health/general literacy–patient, paired with the health equity category, and adherence/compliance.
Conclusions
Literature highlights the SDOH and health equity relationship within the realm of oncology. Most studies on SDOH/health inequities in the community oncology setting are exploratory. There is the need to shift from documentation of cancer inequities to implementing solutions.
期刊介绍：
Cancer Medicine is a peer-reviewed, open access, interdisciplinary journal providing rapid publication of research from global biomedical researchers across the cancer sciences. The journal will consider submissions from all oncologic specialties, including, but not limited to, the following areas:
Clinical Cancer Research
Translational research ∙ clinical trials ∙ chemotherapy ∙ radiation therapy ∙ surgical therapy ∙ clinical observations ∙ clinical guidelines ∙ genetic consultation ∙ ethical considerations
Cancer Biology:
Molecular biology ∙ cellular biology ∙ molecular genetics ∙ genomics ∙ immunology ∙ epigenetics ∙ metabolic studies ∙ proteomics ∙ cytopathology ∙ carcinogenesis ∙ drug discovery and delivery.
Cancer Prevention:
Behavioral science ∙ psychosocial studies ∙ screening ∙ nutrition ∙ epidemiology and prevention ∙ community outreach.
Bioinformatics:
Gene expressions profiles ∙ gene regulation networks ∙ genome bioinformatics ∙ pathwayanalysis ∙ prognostic biomarkers.
Cancer Medicine publishes original research articles, systematic reviews, meta-analyses, and research methods papers, along with invited editorials and commentaries. Original research papers must report well-conducted research with conclusions supported by the data presented in the paper.
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