Key result
Utility shut-off threats are linked to ~50% lower clinical trial participation among cancer survivors.
Why the study?
Clinical trial recruitment and participation among cancer patients remain low, and it was unknown whether social determinants of health are associated with participation among cancer survivors.
Are social determinants of health associated with clinical trial participation among cancer survivors?
Population
6,929 cancer survivors aged 18 years or older from 15 states and 2 U.S. territories
Comparison
Clinical trial participants vs non-participants across social determinants of health
Design
Multi-state cross-sectional study
Authors
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Financial vulnerabilities may warrant attention when discussing trials with cancer survivors; extends SDOH literature but leaves open how best to improve equity.
Are social determinants of health associated with clinical trial participation among cancer survivors?
Specific financial vulnerabilities, such as utility shut-off threats and having Medicaid, significantly reduce clinical trial participation among cancer survivors.
Mukunda et al. (2026) studied this question. Private insurance (aOR 1.62) and Medicare (aOR 1.69) increased clinical trial participation in cancer survivors compared to Medicaid, while utility shut-off threats reduced it (aOR 0.504).
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