Abstract 6182: Receipt of survivorship care plans is associated with self-reported health status for Black female cancer survivors in Maryland
Authors: Camryn Mae Cohen, Kassandra I. Alcaraz, Lensa S. Keno, Mu Jin, Avonne E. Connor
Journal: Cancer Research (2025)

Abstract Background: Survivorship care plans (SCPs) support the transition from specialized cancer treatment to primary care and have been promoted for improving cancer survivorship. We previously demonstrated that non-Hispanic Black (NHB) female cancer survivors in Maryland are more likely to receive SCPs than their non-Hispanic White (NHW) counterparts. Here, we assessed whether receipt of SCPs is associated with general health of female cancer survivors. Methods: Using cross-sectional data from the 2011-2023 Maryland Behavioral Risk Factor Surveillance System (BRFSS) survey, we evaluated receipt of SCPs and general health for NHB and NHW female cancer survivors (N, weighted %). A survey-weighted multivariable logistic regression model was used to estimate odds ratios (ORs) with 95% confidence intervals (CIs) for the association between self-reported receipt of a SCP and general health (fair or poor health vs. excellent or very good health); stratified by race, adjusted for time since cancer diagnosis (1-5, 6-10, 11+ years), age (years), income (≤$50k vs. &amp;gt;$50k), education (less than college vs. at least some college or greater) and body mass index (underweight, normal weight, overweight, obese). Individuals on active treatment and &amp;lt;1 year out from their cancer diagnosis were excluded. Results: Of the 2, 854 female cancer survivors, 312 (14%) were NHB and 2, 542 (86%) were NHW. Most women received an SCP (73%), with NHB women being more likely to receive a SCP than NHW women (80% vs. 72%). High income and high education individuals were more likely to receive SCPs (76% vs. 72% and 76% vs. 70%, respectively). While most women reported excellent or very good health (75%), NHB vs. NHW women were more likely to report fair or poor health (38% vs. 22%, respectively). NHB vs. NHW women were significantly [OR: 48.31; 95% CI: 5.35-436.02, p=0.001] more likely to report fair or poor general health. However, NHB women who received a SCP were significantly less likely [OR: 0.031; 95% CI:0.003-0.31; p=0.003] to report fair or poor health compared to NHB women who did not receive a SCP. There was no significant difference in health status for NHW women who did vs. did not receive a SCP [OR: 1.20; 95% CI: 0.62-2.36; p=0.587]. Conclusions: Our results indicate that receipt of SCPs post-treatment is important for current health status among NHB women and highlights a potential intervention for improving the general health of minoritized female cancer survivors. Citation Format: Camryn Mae Cohen, Kassandra I. Alcaraz, Lensa S. Keno, Mu Jin, Avonne E. Connor. Receipt of survivorship care plans is associated with self-reported health status for Black female cancer survivors in Maryland [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2025; Part 1 (Regular Abstracts); 2025 Apr 25-30; Chicago, IL. Philadelphia (PA): AACR; Cancer Res 2025;85(8_Suppl_1):Abstract nr 6182.