Abstract 4966: Understanding social capital and health care treatment delays for cervical cancer survivors: a cross-sectional study using All of Us data

Abstract Black and Latina women are more likely to report heath care delays when receiving treatment for cervical cancer compared to other racial and ethnic groups. Although studies have found higher social capital to be associated with higher cervical cancer screening, it is unclear if social capital is associated with health care delays among women diagnosed with cervical cancer. The purpose of this study was to examine the role of social capital (resources rooted in social networks) on treatment delays in a national sample of cervical cancer survivors from the All of Us dataset. We assessed the relationship between neighborhood social capital and healthcare delays (i.e., experienced at least one health care delay) among women self-reporting they have ever been diagnosed with cervical cancer. We conducted multivariable logistic regression to assess the association between social capital and health care delays while accounting for potential confounding variables (i.e., socioeconomic status, race, marital status, nativity status). Approximately 20% of participants (N=1,009) encountered health care treatment delays. Higher social capital was associated with lower odds of experiencing a health care treatment delay among women diagnosed with cervical cancer after adjusting for confounders (OR = 0.67, CI: 0.60, 0.79). Compared to their White counterparts, Black (OR = .63, CI: 0.50, 0.80) and Hispanic (OR = 0.74, CI: 0.60, 0.90) women had lower levels of self-reported social capital. Social capital was unrelated to nativity status among sample participants. Findings suggest that the development of social capital may help to reduce health care treatment delays among racially and ethnically diverse communities. Understanding how healthcare delays impact cancer care follow-up is an important step towards addressing cancer equity. Citation Format: Samantha Garcia, Angel Arizpe, Albert J. Farias, Brittany N. Morey, Brenda Y. Hernandez, Lawrence A. Palinkas, Lourdes Baezconde-Garbanati, Jennifer Tsui. Understanding social capital and health care treatment delays for cervical cancer survivors: a cross-sectional study using All of Us data [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 4966.