Supplemental Nutrition Assistance Program participation gaps within a pediatric leukemia clinical trial cohort
Corresponding Author
Rahela Aziz-Bose
Department of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
Division of Pediatric Hematology/Oncology, Boston Children's Hospital, Boston, Massachusetts, USA
Department of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA
Division of Population Sciences, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
Correspondence
Rahela Aziz-Bose, Department of Pediatric Oncology, Dana-11, Dana-Farber Cancer Institute, Boston, MA 02215, USA.
Email: [email protected]
Search for more papers by this authorColin Cernik
Department of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
Search for more papers by this authorPuja J. Umaretiya
Division of Pediatric Hematology/Oncology, University of Texas Southwestern Medical Center, Dallas, Texas, USA
Search for more papers by this authorLenka Ilcisin
Department of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
Division of Pediatric Hematology/Oncology, Boston Children's Hospital, Boston, Massachusetts, USA
Department of Pediatric Surgery, Boston Children's Hospital, Boston, Massachusetts, USA
Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts, USA
Search for more papers by this authorColleen A. Kelly
Department of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
Division of Pediatric Hematology/Oncology, Boston Children's Hospital, Boston, Massachusetts, USA
Department of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA
Search for more papers by this authorAriana Valenzuela
Department of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
Search for more papers by this authorCharlotte Bruce
Department of Pediatrics, Boston Medical Center, Boston, Massachusetts, USA
Search for more papers by this authorStephanie Ettinger de Cuba
Department of Health Law, Policy & Management, Boston University School of Public Health, Boston, Massachusetts, USA
Search for more papers by this authorPeter D. Cole
Rutgers Cancer Institute, New Brunswick, New Jersey, USA
Search for more papers by this authorLisa M. Gennarini
Montefiore Medical Center, Bronx, New York, USA
Search for more papers by this authorJustine M. Kahn
Division of Pediatric Hematology, Oncology and Stem Cell Transplantation, Columbia University Irving Medical Center, New York, New York, USA
Search for more papers by this authorKara M. Kelly
Department of Pediatrics, Roswell Park Comprehensive Cancer Center, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA
Search for more papers by this authorBruno Michon
Centre Hospitalier Universitaire de Quebec, Saint-Foy, Quebec, Canada
Search for more papers by this authorThai-Hoa Tran
Division of Pediatric Hematology/Oncology, Charles-Bruneau Cancer Center, CHU Ste-Justine, University of Montreal, Montreal, Quebec, Canada
Search for more papers by this authorJennifer J. G. Welch
Division of Pediatric Hematology/Oncology, Hasbro Children's Hospital/Brown University, Providence, Rhode Island, USA
Search for more papers by this authorLewis B. Silverman
Division of Pediatric Hematology, Oncology and Stem Cell Transplantation, Columbia University Irving Medical Center, New York, New York, USA
Search for more papers by this authorKira Bona
Department of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
Division of Pediatric Hematology/Oncology, Boston Children's Hospital, Boston, Massachusetts, USA
Department of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA
Division of Population Sciences, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
Search for more papers by this authorCorresponding Author
Rahela Aziz-Bose
Department of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
Division of Pediatric Hematology/Oncology, Boston Children's Hospital, Boston, Massachusetts, USA
Department of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA
Division of Population Sciences, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
Correspondence
Rahela Aziz-Bose, Department of Pediatric Oncology, Dana-11, Dana-Farber Cancer Institute, Boston, MA 02215, USA.
Email: [email protected]
Search for more papers by this authorColin Cernik
Department of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
Search for more papers by this authorPuja J. Umaretiya
Division of Pediatric Hematology/Oncology, University of Texas Southwestern Medical Center, Dallas, Texas, USA
Search for more papers by this authorLenka Ilcisin
Department of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
Division of Pediatric Hematology/Oncology, Boston Children's Hospital, Boston, Massachusetts, USA
Department of Pediatric Surgery, Boston Children's Hospital, Boston, Massachusetts, USA
Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts, USA
Search for more papers by this authorColleen A. Kelly
Department of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
Division of Pediatric Hematology/Oncology, Boston Children's Hospital, Boston, Massachusetts, USA
Department of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA
Search for more papers by this authorAriana Valenzuela
Department of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
Search for more papers by this authorCharlotte Bruce
Department of Pediatrics, Boston Medical Center, Boston, Massachusetts, USA
Search for more papers by this authorStephanie Ettinger de Cuba
Department of Health Law, Policy & Management, Boston University School of Public Health, Boston, Massachusetts, USA
Search for more papers by this authorPeter D. Cole
Rutgers Cancer Institute, New Brunswick, New Jersey, USA
Search for more papers by this authorLisa M. Gennarini
Montefiore Medical Center, Bronx, New York, USA
Search for more papers by this authorJustine M. Kahn
Division of Pediatric Hematology, Oncology and Stem Cell Transplantation, Columbia University Irving Medical Center, New York, New York, USA
Search for more papers by this authorKara M. Kelly
Department of Pediatrics, Roswell Park Comprehensive Cancer Center, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA
Search for more papers by this authorBruno Michon
Centre Hospitalier Universitaire de Quebec, Saint-Foy, Quebec, Canada
Search for more papers by this authorThai-Hoa Tran
Division of Pediatric Hematology/Oncology, Charles-Bruneau Cancer Center, CHU Ste-Justine, University of Montreal, Montreal, Quebec, Canada
Search for more papers by this authorJennifer J. G. Welch
Division of Pediatric Hematology/Oncology, Hasbro Children's Hospital/Brown University, Providence, Rhode Island, USA
Search for more papers by this authorLewis B. Silverman
Division of Pediatric Hematology, Oncology and Stem Cell Transplantation, Columbia University Irving Medical Center, New York, New York, USA
Search for more papers by this authorKira Bona
Department of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
Division of Pediatric Hematology/Oncology, Boston Children's Hospital, Boston, Massachusetts, USA
Department of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA
Division of Population Sciences, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
Search for more papers by this authorPreviously presented as an abstract at the AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorites and the Medically Underserved, Philadelphia, PA, USA; 2022.
Abstract
Poverty-exposed children with cancer are more likely to experience adverse outcomes. Supplemental Nutrition Assistance Program (SNAP) benefits improve food insecurity and child health outcomes, and could be used to mitigate disparities. We conducted a secondary analysis of parent-reported data collected in a frontline pediatric leukemia trial (NCT03020030) to assess SNAP eligibility (proxied by other means-tested program participation) and participation. At diagnosis, 105/287 families (37%) were SNAP-eligible, of whom 53 (50%) were SNAP participants. At 6 months, 104/257 families (41%) were SNAP-eligible, and 59 (57%) were SNAP participants. Interventions to increase benefits participation during childhood cancer treatment represent an immediate opportunity to reduce disparities.
CONFLICT OF INTEREST STATEMENT
The authors declare no conflicts of interest.
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