Alabama Faces Significant Cancer Care Disparities Due to Geographic, Financial, and Systemic Barriers
A new scoping review published in the Journal of Cancer Survivorship highlights the profound cancer care disparities in Alabama, revealing that despite a lower cancer incidence rate than the national average, the state experiences substantially higher cancer mortality rates. The review, led by Nicole Caviness-Ashe and Timiya S. Nolan of the University of Alabama at Birmingham’s Heersink School of Medicine, synthesized nearly three decades of research to identify the root causes. Key barriers include long travel distances to healthcare facilities, rural residency, and living in under-resourced areas, which consistently correlate with delayed treatment and poorer prognoses. Financial hardship emerged as the most pervasive obstacle, affecting patients across all age groups and leading to medication non-adherence and delayed care. Insurance status, particularly the lack of Medicaid expansion in Alabama, further exacerbates these financial burdens. Additionally, provider and system-level factors such as poor co...