Office of Community Outreach and Engagement, Fred Hutchinson Cancer Center, Seattle, WA, United States.
Department of Internal Medicine, University of New Mexico, Albuquerque, NM, United States.
JNCI Cancer Spectr. 2024 Nov 1;8(6). doi: 10.1093/jncics/pkae107.
Screening for food insecurity and other social determinants of health is being integrated into oncology practice. We performed a pilot randomized trial to investigate whether an unconditional cash transfer (UCT) could be used to address food insecurity among female breast and gynecological cancer survivors. Food-insecure cancer survivors completed a baseline survey and were randomly assigned to receive $100/month for 3 months (UCT) or usual care (UC). Participants (n = 14) completed a follow-up survey after 3 months, and we compared changes in health-related quality of life, indicators of food insecurity, diet quality, and whether a participant had to forgo, delay, or make changes to medical care because of cost. The UCT was associated with higher physical health scores, fewer indicators of food insecurity, better diet quality, and a lower likelihood of forgoing medical care than those who received UC. Our results suggest that UCTs can improve outcomes for food-insecure cancer survivors.
筛查食物不安全和其他健康决定因素正在被整合到肿瘤学实践中。我们进行了一项试点随机试验，以研究无条件现金转移（UCT）是否可用于解决女性乳腺癌和妇科癌症幸存者的食物不安全问题。食物不安全的癌症幸存者完成了基线调查，并被随机分配接受 3 个月的每月 100 美元（UCT）或常规护理（UC）。参与者（n=14）在 3 个月后完成了后续调查，我们比较了健康相关生活质量、食物不安全指标、饮食质量的变化，以及参与者是否因为费用而不得不放弃、延迟或改变医疗护理。UCT 与更高的身体健康评分、更少的食物不安全指标、更好的饮食质量以及更低的放弃医疗护理的可能性相关，而 UC 组则没有。我们的结果表明，UCT 可以改善食物不安全癌症幸存者的结局。
