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<p>Social inequities in oncology are driven by intersecting determinants of health and healthcare at multiple levels. Inequalities in the social determinants of health (SDOH) result in delayed cancer diagnoses, sub-optimal treatment, and increased mortality rates in patients with lower socioeconomic status (SES). This article describes the SDOH that influence the field of oncology, with the aim of identifying inadequacies in clinical practice and research, and raising awareness among key stakeholders. Some SDOH cannot be modified (age, race, sex and gender), while others are considered modifiable (lifestyle, diet, exercise, unwanted loneliness, economic resources). We have developed practical recommendations for national policymakers, hospital management, healthcare professionals (HCPs), and patients that address the root causes of social disparities in cancer care. HCPs within multidisciplinary teams who manage patients with cancer are in a key position to consider and address the SDOH that impact patients, particularly those of lower SES, in the clinical oncological setting.</p>

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Impact of social determinants on the development, diagnosis, and treatment of cancer: recommended public health interventions

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年12月10日

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  • Regina Gironés Sarrió,
  • Javier David Benítez Fuentes,
  • Victoria García Samblás,
  • Mónica Guillot Morales,
  • Patricia Palacios Ozores,
  • Ana Ruiz-Casado,
  • Javier Torres-Jiménez,
  • María Vieito Villar

摘要

Social inequities in oncology are driven by intersecting determinants of health and healthcare at multiple levels. Inequalities in the social determinants of health (SDOH) result in delayed cancer diagnoses, sub-optimal treatment, and increased mortality rates in patients with lower socioeconomic status (SES). This article describes the SDOH that influence the field of oncology, with the aim of identifying inadequacies in clinical practice and research, and raising awareness among key stakeholders. Some SDOH cannot be modified (age, race, sex and gender), while others are considered modifiable (lifestyle, diet, exercise, unwanted loneliness, economic resources). We have developed practical recommendations for national policymakers, hospital management, healthcare professionals (HCPs), and patients that address the root causes of social disparities in cancer care. HCPs within multidisciplinary teams who manage patients with cancer are in a key position to consider and address the SDOH that impact patients, particularly those of lower SES, in the clinical oncological setting.