Researchers note that identifying the characteristics of individuals who were within the age range of guideline-recommended screening but did not schedule one was crucial, because these populations have historically faced barriers to adherence to guideline-recommended cancer screenings. The COVID-19 pandemic disruption presented even more barriers to health care access.

“Our data reinforce the need for health care clinics and public health organizations to form partnerships at a community level to help address the barriers to care for these populations to very intentionally address and work to overcome these persistent and layered barriers to care,” said Paskett, who is the Founding Director of the Center for Cancer Health Equity at the OSUCCC – James.


Researchers specifically cite the important role of health-education programs to inform people of available cancer-screening coverage through The Affordable Care Act as well as free or low-cost screening options for the uninsured or those without physician referrals. They also note the important role mobile screening programs can play in delivering cost-effective screenings to underserved populations. They urge health care providers to consider expanding access to cancer screenings specifically in low-resource communities through mobile screening programs.

“Screening is important to help prevent and detect cancer early when it can be successfully treated. Know what tests you need and get those tests. If you don’t know or have barriers to getting screened, talk to your provider and be your own best advocate. Screening can truly save lives,” said Paskett, co-leader of the OSUCCC – James Cancer Control Program.

This study was funded by the National Cancer Institute. Co-authors include Xiaochen Zhang (first author), Mohamed Elsaid, Cecilia DeGraffinreid and Victoria Champion.

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