The COVID-19 Pandemic and Changes in Cancer Screening Disparities from 2015 to 2023: An NSHAP Survey Study - Report - MDSpire

The COVID-19 Pandemic and Changes in Cancer Screening Disparities from 2015 to 2023: An NSHAP Survey Study

  • By

  • Lahari Vuppaladhadiam

  • Kristen Wroblewski

  • Phil Schumm

  • Jasmin Tiro

  • Louise Hawkley

  • Martha McClintock

  • Elbert S. Huang

  • July 16, 2026

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Clinical Report: Impact of the COVID-19 Pandemic on Cancer Screening Disparities

Background

Cancer screening is crucial for early detection and improved outcomes, yet disparities persist among various demographic groups. The COVID-19 pandemic disrupted healthcare services, leading to delays in cancer screenings, which may exacerbate existing inequalities.

Data Highlights

The study utilized longitudinal data from the NSHAP surveys conducted in 2015-2016 and 2021-2023, focusing on colorectal, prostate, and breast cancer screening rates among middle-aged and older adults.

Key Findings

  • Overall cancer screening rates recovered by 2023, but disparities persisted among certain subpopulations.
  • Hispanic patients and Black women showed lower screening rates compared to their non-Hispanic white counterparts.
  • Unmarried individuals exhibited lower rates of cancer screenings across multiple types.
  • Changes in USPSTF guidelines during the pandemic influenced screening behaviors.
  • One-third of older adults reported delaying medical care due to the pandemic.

Clinical Implications

Healthcare providers should be aware of the ongoing disparities in cancer screening rates exacerbated by the pandemic. Targeted interventions may be necessary to improve access and encourage screening among underrepresented groups.

Conclusion

The findings underscore the need for continued monitoring of cancer screening rates and targeted efforts to address disparities in the wake of the COVID-19 pandemic.

Related Resources & Content

  1. Dana-Farber, Press Release, 2023 -- COVID-19 and Cancer: Screenings Rebound but Study Finds Disparities
  2. The ASCO Post, 2021 -- The COVID-19 Pandemic and Cancer Screening Deficits in the United States KEY POINTS
  3. The ASCO Post, 2023 -- Certain Cancers Will Likely Rise Exponentially Because of COVID-19 Screening Delays, Study Predicts
  4. JAMA Network, 2024 -- Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement
  5. American Cancer Society, 2026 -- Colorectal Cancer Guideline | How Often to Have Screening Tests
  6. The ASCO Post — New Research Measures Decrease in Cancer Detection Due to the COVID-19 Pandemic
  7. Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement | Breast Cancer | JAMA | JAMA Network
  8. Breast Cancer Screening for Women at Average Risk Recommendations | WPSI
  9. Revised 2025
  10. Colorectal Cancer Guideline | How Often to Have Screening Tests | American Cancer Society
  11. Final Recommendation Statement: Colorectal Cancer: Screening | United States Preventive Services Taskforce
  12. Cancer Screening 3 Years After the Onset of the COVID-19 Pandemic
  13. Changes in Colorectal Cancer Screening Modalities Among Insured Individuals
  14. Centralized Colorectal Cancer Screening Outreach in Federally Qualified Health Centers: A Randomized Clinical Trial - PMC
  15. Mailed Outreach and Patient Navigation for Colorectal Cancer Screening Among Rural Medicaid Enrollees: A Cluster Randomized Clinical Trial | Gastroenterology and Hepatology | JAMA Network Open | JAMA Network
  16. Mailed FITs and Patient Navigation to Increase CRC Screening in Rural Populations
  17. AACR CANCER DISPARITIES PROGRESS REPORT 2026 AACR.

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