本研究旨在了解COVID-19如何以及对谁造成了癌症护理的中断，以了解癌症预防和控制范畴内潜在的癌症健康差距。在这项横断面研究中，2020年6月至8月期间，居住在密苏里州和伊利诺伊州82县地区、年龄在30岁以上的参与者完成了一项在线调查。对所有变量进行了描述性统计，并按照护理中断状态进行了计算。进行了逻辑回归建模以确定护理中断的相关因素。参与者（N = 680）报告称，自2020年3月至2020年底期间，癌症筛查或治疗约取消/推迟了21％至57％的预约。约34％的居民表示，为了返回护理，他们需要知道他们的医生办公室是否采取了适当的与COVID相关的安全预防措施。高教育水平（OR = 1.26，95％CI：1.11-1.43），女性认同（OR = 1.60，95％CI：1.12-2.30），在医疗保健环境中经历更多歧视（OR = 1.40，95％CI：1.13-1.72），以及已安排远程医疗预约（OR = 1.51，95％CI：1.07-2.15）与护理中断的概率较高相关。与白人居民相关的护理中断风险较高的因素包括高教育水平、女性身份、年龄较大、以及安排远程医疗预约；而与黑人居民相关的护理中断风险较高的因素仅为高教育水平。本研究提供了与癌症护理中断相关的因素和患者返院需求的理解。结果可为减少延迟癌症筛查和鼓励返回癌症治疗的外展和参与策略提供参考。本研究得到了国家癌症研究所（National Cancer Institute）的P30癌症中心支持补助（P30CA091842-18S2和P30CA091842-19S4）的支持。Kia L. Davis、Lisa Klesges、Sarah Humble和Bettina Drake得到了国家癌症研究所的P50CA244431的支持，Kia L. Davis还得到了乳腺癌研究基金会（Breast Cancer Research Foundation）的支持。Callie Walsh-Bailey得到了NIMHD T37 MD014218的支持。内容不一定代表这些资助机构的官方观点，应由作者独自负责。© 2023年，Davis等人。

This study seeks to understand how and for whom COVID-19 disrupted cancer care to understand the potential for cancer health disparities across the cancer prevention and control continuum.In this cross-sectional study, participants age 30+residing in an 82-county region in Missouri and Illinois completed an online survey from June-August 2020. Descriptive statistics were calculated for all variables separately and by care disruption status. Logistic regression modeling was conducted to determine the correlates of care disruption.Participants (N=680) reported 21% to 57% of cancer screening or treatment appointments were canceled/postponed from March 2020 through the end of 2020. Approximately 34% of residents stated they would need to know if their doctor's office is taking the appropriate COVID-related safety precautions to return to care. Higher education (OR = 1.26, 95% CI:1.11-1.43), identifying as female (OR = 1.60, 95% CI:1.12-2.30), experiencing more discrimination in healthcare settings (OR = 1.40, 95% CI:1.13-1.72), and having scheduled a telehealth appointment (OR = 1.51, 95% CI:1.07-2.15) were associated with higher odds of care disruption. Factors associated with care disruption were not consistent across races. Higher odds of care disruption for White residents were associated with higher education, female identity, older age, and having scheduled a telehealth appointment, while higher odds of care disruption for Black residents were associated only with higher education.This study provides an understanding of the factors associated with cancer care disruption and what patients need to return to care. Results may inform outreach and engagement strategies to reduce delayed cancer screenings and encourage returning to cancer care.This study was supported by the National Cancer Institute's Administrative Supplements for P30 Cancer Center Support Grants (P30CA091842-18S2 and P30CA091842-19S4). Kia L. Davis, Lisa Klesges, Sarah Humble, and Bettina Drake were supported by the National Cancer Institute's P50CA244431 and Kia L. Davis was also supported by the Breast Cancer Research Foundation. Callie Walsh-Bailey was supported by NIMHD T37 MD014218. The content does not necessarily represent the official view of these funding agencies and is solely the responsibility of the authors.© 2023, Davis et al.