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"It's a lot of things": Household material hardship among Black and Hispanic parents of children with cancer.

Ariana ValenzuelaAlexandria HawkinsAnna RevetteLi ChenNiya XiongEmanuele MazzolaIjeoma Julie Eche-UgwuKristine KarvonenJennifer M SnamanJoanne WolfeKira O BonaPuja J Umaretiya
Published in: Pediatric blood & cancer (2023)
Household material hardship (HMH)-housing, food, transportation, or utility insecurity-is an adverse social determinant of health that is modifiable in the clinical setting. This mixed-methods, single-center study explored the experiences of HMH among Black and Hispanic pediatric oncology parents utilizing a single timepoint survey (N = 60) and semi-structured interviews (N = 20 purposively sampled subcohort). Forty-four (73%) parents reported HMH. Qualitatively, participants expressed stress, anxiety, and embarrassment due to unmet basic resource needs, and childcare emerged as an additional important domain of HMH. Participants recommend a standardized approach to HMH screening and resource allocation, offering insight into targets for future intervention.
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