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August 22, 2026

Mechanisms of Food Insecurity Following a Cancer Diagnosis: A Systematic Review and Implications for Measurement.

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Authors

MKMakenzie KeenRMRebecca Catherine MitchellEBEmily Belarmino

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Overview

Systematic review reveals complex financial and nonfinancial drivers of food insecurity across cancer survivors, indicating standard screening tools underestimate patient nutritional vulnerability.

Key Points

  • To identify the financial and nonfinancial mechanisms driving food insecurity across the cancer care continuum and assess implications for measurement in clinical research and practice.
  • Conducted a systematic review (PROSPERO CRD42024585815) across Web of Science, Ovid MEDLINE, EMBASE, CABI, and CINAHL for US studies published through November 2024.
  • Dual independent reviewers screened studies, extracted clinical and measurement variables, and performed risk-of-bias and quality assessments.
  • Identified 21 eligible studies with reported food insecurity prevalence rates ranging from 6.2% to 72.7%.
  • Financial mechanisms were evaluated in 20 of 21 studies, revealing income loss, medical expenses, and work disruptions disproportionately affecting younger, low-income, and minoritized survivors.
  • Nonfinancial mechanisms were explicitly measured in only 1 of 21 studies, although 9 studies documented related barriers such as mobility limitations, transportation deficits, and social isolation.

Cite This Study

Keen et al. (2026) studied this question.

synapsesocial.com/papers/6a895ffeca7ade938187eea1https://doi.org/10.1093/nutrit/nuag112
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Food and Nutrition Insecurity in Cancer Survivorship: A Global Scoping Review2026 · 1 citations
  2. 2Abstract 1016: Food insecurity among patients with cancer in the US2024
  3. 3Data from Medical Financial Hardship and Food Security among Cancer Survivors in the United States2024
  4. 4Prevalence and determinants of food insecurity among United States cancer survivors based on the Medical Expenditure Panel Survey 20212026
  5. 5Guaranteed care, uncertain meals: When universal coverage fails to feed2025