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Mackenzie E. Fowler

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Review Open access Sep 2026

Unequal paths to care: a scoping review of access and cancer outcomes in Alabama.

PURPOSE Alabama experiences some of the highest cancer incidence and mortality rates in the USA. Black and rural residents experience a disproportionate burden of cancer disparities, driven by geographic isolation, financial hardship, limited insurance coverage, and fragmented healthcare systems, all of which impede ti...

Nicole Caviness-Ashe, Cha'Breia Means, Lindsay Aaron-Wade et al. · 0 citations
Review Open access Jul 2026

Environmental factors shaping cancer outcomes in Alabama: A scoping review.

How environmental, social, and structural factors influence cancer outcomes in Alabama are explored, using the Robison and Hudson (2014) survivorship framework, to examine how individual, healthcare provider, and system-level factors influence cancer vulnerability across communities in Alabama.

Anita Aboagye, Nicole Caviness-Ashe, Miriam A Miles et al. · 0 citations
Open access Aug 2026

Differential Effects of Social Determinants on Cancer Survival by Age at Diagnosis: A Population-Based Study in Alabama

Higher levels of SVI and being insured by Medicare or public insurance are associated with worse survival among adults with breast, prostate, CRC, and lung cancer in Alabama with stronger effects observed among those diagnosed under <65, indicating that age at diagnosis is important in contextualizing and understanding...

Mackenzie E. Fowler, Geetanjali Saini, Elizabeth H. Baker et al. · 0 citations

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