Immigrant Health and Cancer Disparities Service, Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Department of Medicine, Weill Cornell Medical College, Department of Public Health, New York, New York, USA.
Nutr Cancer. 2021;73(2):206-214. doi: 10.1080/01635581.2020.1743867. Epub 2020 Apr 9.
Food insecurity, which leads to adverse health outcomes, has even more severe implications for cancer patients. Yet medically underserved cancer patients are more likely to be food insecure than the general population. This study is a cross-sectional analysis of intake data from patients who participated in the Integrated Cancer Care Access Network (ICCAN). ICCAN is a specialized program that addresses socioeconomic barriers to cancer care among underserved cancer patients in NYC. This study utilized ICCAN data from 2011 to 2017. The USDA food insecurity score, self-reported SNAP receipt, and SNAP eligibility based on household income were compared between SNAP and non-SNAP recipients. 681 patients were assessed for food insecurity. Sixty-nine percent of participants lived in food insecure households. Despite SNAP assistance, most SNAP recipients (68%) were food insecure; 69% of respondents who did not receive SNAP were also food insecure.: Underserved cancer patients who receive SNAP are still food insecure, hence at more significant risk for its associated negative outcomes. Supplemental programs for patients with chronic diseases are needed in clinics with large low income populations. SNAP benefits should account for the additional financial burden posed by treatment costs and exceptional circumstances faced by cancer patients.
食物不安全会导致不良健康后果,对癌症患者的影响更为严重。然而,医疗服务不足的癌症患者比一般人群更容易出现食物不安全的情况。本研究是对参与综合癌症护理获取网络(ICCAN)的患者摄入数据进行的横断面分析。ICCAN 是一个专门的项目,旨在解决纽约市服务不足的癌症患者接受癌症护理方面的社会经济障碍。本研究利用了 2011 年至 2017 年的 ICCAN 数据。比较了 SNAP 和非 SNAP 接受者之间的美国农业部食物不安全评分、自我报告的 SNAP 领取情况以及基于家庭收入的 SNAP 资格。对 681 名患者进行了食物不安全评估。69%的参与者生活在食物不安全的家庭中。尽管有 SNAP 援助,但大多数 SNAP 接受者(68%)仍存在食物不安全问题;未领取 SNAP 的受访者中,也有 69%存在食物不安全问题。接受 SNAP 的服务不足的癌症患者仍然存在食物不安全问题,因此面临与该问题相关的负面后果的风险更大。需要在低收入人群较多的诊所为患有慢性疾病的患者提供补充计划。SNAP 福利应考虑到治疗费用和癌症患者面临的特殊情况给他们带来的额外经济负担。