Addressing Social Risks in Cancer Care

Background

Social risks are adverse conditions or contextual factors associated with poor health. They may increase an individual’s likelihood of having unmet social needs, such as food-, housing-, and transportation insecurity. Social risks and social needs can pose significant barriers to cancer care and contribute to poorer health-related outcomes, especially for cancer patients and survivors from historically underserved backgrounds.

Healthcare organizations are increasingly implementing approaches to capture and address patient’s social risks and needs. However, there is limited evidence to guide the delivery of system-level efforts in cancer care delivery settings. Improving cancer outcomes for all individuals will require effective integration of social care and clinical care across the cancer care continuum, from prevention and screening through end-of-life care.

What is social risk research?

In cancer care delivery, social risk research focuses on understanding and addressing the structural and institutional contexts and processes that impact the delivery of quality cancer care and outcomes. Social risk research includes developing, implementing, and evaluating multilevel interventions that integrate social and cancer care, such as:

  • Identifying the presence of social risks or needs in patients and communities
  • Adjusting or informing care for cancer patients and survivors experiencing social risks and needs
  • Connecting cancer patients and/or caregivers with social care resources
  • Organizing and distributing new and existing social care resources within and outside cancer care delivery settings
  • Cultivating clinical-community partnerships to increase the availability and accessibility of social care resources for cancer patients and communities

Importantly, social risk research incorporates approaches that recognize the unique histories of patients, communities, and others who have been historically underserved. This research engages communities as partners throughout the research process.

The NCI’s Healthcare Delivery Research Program supports research in this scientific area by developing and facilitating access to funding opportunities, training, and data resources.

Highlighted Notice of Funding Opportunities (NOFOs)

Notice(s) of Special Interest

  • Improving Adherence to Treatment and Prevention Regimens and Maintenance of Health Behaviors to Promote Health (NOT-OD-24-146External Web Site Policy)

Additional Opportunities

Visit the DCCPS funding opportunity page to apply for other cancer control grantsExternal Web Site Policy.

Data Tools & Resources

  • Health DriversExternal Web Site Policy

    Learn more about the promotion and conduction of research that identifies and address the mechanism contributing to these differences across the cancer control continuum and throughout the human lifespan.

  • Social Determinants of Health by US Census Tract

    This data set includes, for each US census tract (defined using 2010 census tract boundaries), certain social determinants of health data elements defined using 2008-2012 American Community Survey data and 2010 definitions of rural urban commuting areas.

  • PhenX Social Determinants of Health (SDOH) Assessments CollectionExternal Web Site Policy

    The SDOH assessments collection enables researchers to develop, disseminate, and use standard data collection measures.

  • Community Resilience Estimates Equity SupplementExternal Web Site Policy

    The CRE for Equity dataset provides information about the nation, states, counties, and census tracts from the Community Resilience Estimates, the American Community Survey, and the Census Bureau’s Planning Database.

  • Social Needs Screen Tool Comparison TableExternal Web Site Policy

    This table summarizes characteristics for each tool, including information about the intended population or setting, total number of questions, social health domains covered, and domain-specific measures used.

Last Updated: 05 Mar, 2025