Aim: The goal of this study was to assess the impact of economic and social crisis on access to cancer care in Lebanon. Materials 95% confidence interval CI: 1.53–1.76, p < 0.0004), enrollment prior to 1 January 2019 (HR: 1.24; 95% CI: 1.07–1.44, p = 0.004), treatment at a hospital with fewer than five physicians (HR: 1.11; 95% CI: 1.00–1.23, p = 0.04), and lower 2019 MPI (HR: 1.69; 95% CI: 1.30–2.20) were significant predictive factors associated with survival. Higher governorate-level MPI was associated with increased mortality (adjusted rate ratio per 0.1-unit, HR: 2.88; 95% CI: 0.95–8.77, p = 0.06). Conclusion: Economic crises have negative impacts on health outcomes, and we identified a change in survival pre/post crisis onset. This study argues strongly for coordinated efforts to mitigate the negative effects of poverty on health.
Ladner et al. (Wed,) studied this question.