Young Adult Cancer Survivors Face Increased Social Risks Compared to Peers

Recent research presented at the 18th AACR Conference on the Science of Cancer Health Disparities highlights that young adult cancer survivors, aged 18 to 39, are particularly vulnerable to social risks. These risks include challenges such as housing insecurity, food insecurity, difficulties accessing healthcare, and social isolation, which can significantly impact their overall well-being. The study analyzed data from over 472,000 U.S. adults collected through the Behavioral Risk Factor Surveillance System (BRFSS) during 2022–2023.

The findings reveal that young adult cancer survivors experience higher rates of housing insecurity—9.4 percentage points higher—and food insecurity—7.2 percentage points higher—compared to their peers without a cancer history. Notably, racial and ethnic minority groups within this age group face even greater disparities. The research also indicates that in states without Medicaid expansion, levels of social insecurity among young survivors are higher, underscoring the role of policy in health outcomes.

Interestingly, older cancer survivors, aged 65 and above, do not exhibit the same elevated social risks; in fact, non-cancer individuals in this group report slightly higher risks than survivors. This suggests that the social vulnerabilities associated with cancer survivorship are more pronounced in young adults. Experts emphasize that systemic issues such as financial strain, unstable employment, limited health insurance, and navigating complex healthcare systems contribute to these disparities.

The study underscores the importance of tailored social and economic support policies for young adult cancer survivors. Strengthening social safety nets, expanding Medicaid, and implementing targeted programs could help mitigate these risks and promote equitable health outcomes for this vulnerable population. However, the research also notes limitations, including reliance on self-reported data and exclusion of certain high-risk populations like the homeless or institutionalized, which could underestimate the true extent of social risks.

Addressing these social determinants is vital for improving the quality of life and long-term health of young cancer survivors, emphasizing that survivorship care must go beyond medical treatment to include social support and policy interventions.