Evidence map›Paper›PMID 41709174›Full record

ArticleBMC cancer2026

Surviving more than cancer: the unseen toll of financial toxicity and basic needs insecurity in adolescent and young adult cancer survivors.

Trishnee Bhurosy, Pindar Yawulda Mbaya, Brian L Sprague, Alison Jones, Jessica Heath, Florence Onyeje Abraham, Maija Reblin, Tammy Chung

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Trishnee BhurosyDepartment of Nutrition and Food Sciences, College of Agriculture and Life Sciences, University of Vermont, VT, 05405, Burlington, USA. trishnee.bhurosy@uvm.edu.
Pindar Yawulda MbayaUniversity of Vermont Cancer Center, University of Vermont, Burlington, VT, 05405, USA.
Brian L SpragueUniversity of Vermont Cancer Center, University of Vermont, Burlington, VT, 05405, USA.
Alison JonesUniversity of Vermont Cancer Center, University of Vermont, Burlington, VT, 05405, USA.
Jessica HeathUniversity of Vermont Cancer Center, University of Vermont, Burlington, VT, 05405, USA.
Florence Onyeje AbrahamDepartment of Nutrition and Food Sciences, College of Agriculture and Life Sciences, University of Vermont, VT, 05405, Burlington, USA.
Maija ReblinUniversity of Vermont Cancer Center, University of Vermont, Burlington, VT, 05405, USA.
Tammy ChungCenter for Population Behavioral Health, Rutgers The State University of New Jersey, New Brunswick, NJ, 08901, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdolescent and young adult (AYA) survivors of cancer are at elevated risk for financial challenges, food insecurity, and basic needs instability. However, little is known about their lived experiences. Hence, this study explored the lived experiences of financial toxicity, basic needs instability, and food insecurity among AYA survivors and described the impact of financial toxicity on the overall well-being of AYA survivors.

methodsUsing a systematic content analysis approach, this study examined 3,868 Reddit items (original posts and associated comments) drawn from 26 Reddit communities from 2005 to July 2025. Reddit cancer community posts were screened to determine those made by someone who self-identified as an individual diagnosed with cancer between the ages of 15–39, completed primary treatment, and shared about financial or food access challenges. Posts were excluded if the age at diagnosis could not be ascertained. Posts were coded by two researchers into major themes and sub-themes using MAXQDA software.

resultsThe most common cancer types reported in the Reddit data were breast, cervical, and colon. The data revealed four main themes: four main themes: (1) Distress caused and amplified by navigating broken systems; (2) Barriers to social support that worsen financial toxicity; (3) Spiraling consequences of financial toxicity: Food, housing, employment, and education instability; and (4) Healthcare system and policy barriers that exacerbate treatment burden and financial toxicity.

conclusionsOngoing financial impacts of cancer, and associated psychosocial distress, created numerous challenges for AYAs in terms of managing the costs of treatment, medications, lodging, relocation, food, education, and retaining employment. Cancer centers, insurers, and community organizations need to prioritize multi-level safety net programs that ensure AYA survivors have access to resources that meet their basic necessities and other long-term survivorship needs.

Indexed as

Cancer SurvivorsFinancial StressFood InsecurityNeoplasmsAdolescentAdultFemaleHumansYoung AdultAge-appropriate careAYA cancer survivorsFinancial toxicityFood insecurity

Identifiers

PMID41709174
PMCPMC13020257

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.