Background Lack of stable and affordable housing is an important social determinant of health. Federal housing assistance may buffer against housing vulnerabilities among low-income households, but research examining the association of housing assistance and cancer care has been limited. We introduce a new linkage of SEER-Medicare and Housing and Urban Development (HUD) administrative data. Methods Individuals enrolled in HUD public and assisted housing programs 2006-2021 were linked with cancer diagnoses 2006-2019 identified in the SEER-Medicare data from 16 states using Match*Pro probabilistic linkage software. HUD administrative data include timing and type of housing assistance and verified household income. Medicare administrative data are available through 2020. Results A total of 335,490 unique individuals who received housing assistance matched to SEER-Medicare data at any point in time, including 156,794 that recieved housing assistance around the time of their diagnosis (at least 6 months prior to diagnosis until 6 months after diagnosis or death). A total of 63,251 persons with housing assistance at the time of their diagnosis were aged 66 years and older and continuously enrolled in Medicare Parts A and B fee-for-service, 12,035 with lung, 8,866 with breast, 7,261 with colorectal, and 4,703 with prostate cancer. Conclusions This novel data linkage will be available through the National Cancer Institute and can be used to explore the ways in which housing assistance is associated with cancer diagnosis, care, and outcomes, including the role of housing assistance status in potentially reducing or contributing to inequities across racialized and ethnic groups.

中文翻译：

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癌症患者的住房援助：SEER-Medicare 美国住房和城市发展部数据链接

背景 缺乏稳定和负担得起的住房是健康的一个重要社会决定因素。联邦住房援助可能会缓冲低收入家庭的住房脆弱性，但对住房援助与癌症护理之间关系的研究却很有限。我们引入了 SEER-Medicare 与住房和城市发展 (HUD) 行政数据的新联系。方法 使用 Match*Pro 概率关联软件，将 2006-2021 年参加 HUD 公共和辅助住房计划的个人与 16 个州的 SEER-Medicare 数据中确定的 2006-2019 年癌症诊断相关联。 HUD 行政数据包括住房援助的时间和类型以及经核实的家庭收入。医疗保险行政数据可提供至 2020 年。 结果 共有 335,490 名接受过住房援助的个人在任何时间点都与 SEER-Medicare 数据相匹配，其中包括 156,794 名在诊断前后（至少在诊断前 6 个月）接受住房援助的个人。诊断直至诊断或死亡后 6 个月）。诊断时有住房援助的共有 63,251 人，年龄在 66 岁及以上，并持续参加 Medicare A 部分和 B 部分按服务收费，其中 12,035 人患有肺癌，8,866 人患有乳腺癌，7,261 人患有结直肠癌，4,703 人患有癌症。前列腺癌。结论 这种新颖的数据链接将通过国家癌症研究所提供，可用于探索住房援助与癌症诊断、护理和结果相关的方式，包括住房援助状况在潜在减少或加剧不平等方面的作用跨越种族和族裔群体。