Reginald Tucker-Seeley

Reginald Tucker-Seeley
University of Southern California | USC · School of Gerontology

MA, ScM, ScD

About

74
Publications
6,456
Reads
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2,389
Citations
Introduction
My research has focused primarily on social determinants of health across the life course, such as the association between the neighborhood environment and health behavior; and on individual-level socioeconomic determinants of multimorbidity, mortality, self-rated physical, mental, and oral health, and adult height.
Additional affiliations
January 2011 - present
Dana-Farber Cancer Institute
January 2009 - present
Education
September 2004 - March 2009
Harvard University
Field of study
  • Health and Social Policy

Publications

Publications (74)
Article
Full-text available
Despite a large body of literature documenting the association between individual characteristics and financial literacy, our understanding of the impact of macro-environmental conditions on individual financial literacy remains limited, particularly in later life. Drawing from a micro–macro perspective on the social environment and individual proc...
Article
We examine cross-spouse associations between education and financial literacy among older couples, net of own education, and whether the cross-spouse associations differ by gender. Using data from the Cognitive Economics Study, we employ multilevel actor–partner interdependence regression models to examine both the actor and partner associations be...
Article
Colon cancer is the third most common cancer in the US. While the socioeconomic status -health gradient has been established, findings linking adult socioeconomic status to colon cancer incidence specifically are mixed. Considering childhood socioeconomic status (CSES) and relevant risk factors, including related lifestyle behaviors, may provide mo...
Article
Objective: Adolescent and young adult (AYA) cancer survivors are vulnerable to cancer-related financial burden, which is likely shared by their caregivers. This study aims to enhance an existing conceptual model of financial burden by conducting concept elicitation interviews with caregivers to generate knowledge that can be translated to inform i...
Article
The population of older adults with cancer in the United States is rapidly increasing, which will have a substantial impact on the oncology and public health workforces across the cancer continuum, from prevention to end of life. Unfortunately, inequities in existing social structures that cause increased psychosocial stressors have led to disparit...
Article
Policy Points Clarifications to Senate Bill (SB) 1152 are necessary to address the differences between inpatient and emergency department (ED) discharge processes, determine how frequently an ED must deliver the SB 1152 bundle of services to a single patient, and establish expectations for compliance during off-hours when social services are unavai...
Article
Full-text available
Despite a large body of literature documenting the association between individual characteristics and financial literacy, our understanding of the impact of macro-environmental conditions on individual financial literacy remains limited, particularly in later life. Drawing from a micro-macro perspective on the social environment and individual proc...
Article
Background Cancer and its treatments can result in substantial financial burden that may be especially distressing for adolescents and young adults (AYAs) since they are at a developmental stage focused on completing one’s education and establishing independence. The purpose of this study was to develop a conceptual model of financial burden among...
Article
Amidst the concurrent global crises of coronavirus disease 2019 (COVID-19), uprisings against Anti-Black racism and police brutality, as well as anti-Asian racism and violence, the field of medicine found itself simultaneously called upon to respond as essential workers in the public health devastation of COVID-19, and as representatives of healthc...
Article
Objective Examine whether an existing conceptual framework for understanding financial hardship following a cancer diagnosis captures experiences among military adolescent and young adult (AYA) patients. Methodological approach Investigators conducted focus groups and key informant interviews (n = 24) with active-duty military AYA cancer patients,...
Article
The cost of cancer care is rising and represents a stressor that has significant and lasting effects on quality of life for many patients and caregivers. Adolescents and young adults (AYAs) with cancer are particularly vulnerable. Financial burden measures exist but have varying evidence for their validity and reliability. The goal of this systemat...
Article
Full-text available
Extant research offers limited understanding of the context in which economic resource and hardship at older ages are assessed. This study investigates the association between location-specific income security and hardship, and the moderating role of financial knowledge, using data from the Understanding America Study. We found that respondents wit...
Article
Full-text available
Approximately 80% of adults aged 50+ report a desire to stay in their homes as long as possible, or to “age in place.” Yet, as the US aging population becomes more racially and ethnically diverse, the frameworks used to describe “aging in place” will require explicit recognition of the issues specific to racial/ethnic minorities. For example, given...
Article
Full-text available
The association between socioeconomic status and health/healthcare related outcomes across the life course is well established; however, the specific mechanisms that underlie this complex association are not well understood. There have been calls in the health disparities literature for greater explication of the socioeconomic factors associated wi...
Article
Full-text available
Background Studies evaluating depression's role in lung cancer risk revealed contradictory findings, partly because of the small number of cases, short follow-up periods, and failure to account for key covariates including smoking exposure. We investigated the association of depressive symptoms with lung cancer risk in a large prospective cohort ov...
Conference Paper
Background: The term “financial toxicity” (FT) describes the negative financial impact of a cancer diagnosis on the household; and research suggests that FT has a prevalence of 25-50% among cancer patients. In bladder cancer (BC), the 5th most common malignancy in the U.S., but one of the highest cost per capita of cancer sites, prevalence has been...
Article
Full-text available
Background: Social determinants of health (SDoHs) and social risks (SRs) have been associated with adverse health and healthcare utilization and racial/ethnic disparities. However, there is limited information about the prevalence of SRs in non-"safety net" adult populations and how SRs differ by race/ethnicity, age, education, and income. Method...
Article
163 Background: Cancer can be a setback for young active-duty military patients, with potential implications for their financial well-being, early career paths, and young families. Despite the assumption of sufficient material support for military patients, cancer and its treatments still result in substantial out-of-pocket expenses and lost-opport...
Article
133 Background: Due to a long course of surveillance, and for some patients, multimodal therapy with chemotherapy and surgery, bladder cancer (BC) can present a financial burden to the household. Yet, there are several terms used to describe this burden such as financial hardship and financial toxicity (FT); and it is unclear whether different meas...
Article
Living donor liver transplantation (LDLT) has increased availability of liver transplantation, particularly in countries with limited access to deceased organ donors. It is unclear how individual countries address the financial impact of donation for potential living donors. Herein, living liver donor financial supports were examined, focusing on c...
Article
Social isolation among individuals ages 65 years and older is associated with poor health outcomes. However, little is known about health care utilization patterns of socially isolated individuals. This retrospective, observational study evaluated associations between social isolation and hospital and emergency department (ED) utilization among Med...
Article
Introduction This study examined associations of both medical and nonmedical financial hardships with healthcare utilization and self-rated health among cancer survivors. Methods The National Health Interview Survey (2013–2017) was used to identify cancer survivors (aged 18–64 years: n=4,939; aged ≥65 years: n=6,972). A total of 4 levels of medica...
Article
e19013 Background: A prostate cancer diagnosis can have a significant financial impact on the family; and, the various treatment options present a variety of economic consequences. Treatments can present short- and long-term sequelae leading to additional therapies, and the costs for the household can vary depending on the type of treatment receive...
Article
Background: A cancer diagnosis can impose substantial medical financial burden on individuals and may limit their ability to work. However, less is known about worry for nonmedical financial needs and food insecurity among cancer survivors. Methods: The National Health Interview Survey (2013-2017) was used to identify cancer survivors (age 18-39...
Article
Full-text available
Medicare is a large government health insurance program in the United States that covers about 60 million people. This paper analyzes the effects of Medicare insurance on health for a group of people in urgent need of medical care: people with cancer. We used a regression discontinuity design to assess impacts of near‐universal Medicare insurance a...
Article
133 Background: A cancer diagnosis is associated with medical financial hardship in the U.S. However, little is known about health consequences associated with financial hardship. This study examines associations between medical and non-medical financial hardship on healthcare utilization among cancer survivors. Methods: We used the National Health...
Article
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Objectives: Although stronger social relationships have been associated with reduced mortality risk in prior research, their associations with favorable health outcomes are understudied. We evaluated whether higher social integration levels were associated with longer lifespan and greater likelihood of achieving exceptional longevity. Method: Wo...
Article
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Risk of cancer increases with age; and socioeconomic factors have been shown to be relevant for (predictive of) cancer risk-related behaviors and cancer early detection and screening. Yet, much of this research has relied on traditional measures of socioeconomic status (SES) to assess socioeconomic circumstances, which limits our understanding of t...
Conference Paper
The cost of cancer care is rising faster than other diseases, and the financial hardship that cancer imposes on families may exacerbate racial/ethnic and socioeconomic disparities in outcomes throughout survivorship. Discussions about the financial burden of cancer care have increased in recent years in the academic literature and popular press, an...
Article
p>The recent trend of premature death among Whites in the United States has garnered attention in both the popular and academic literature. This attention has focused on the plight of low socioeconomic status Whites in non-urban areas. The population health lit­erature in general and the health disparities literature more specifically has struggled...
Article
Purpose: The purpose of this study was to investigate the association between four specific forms of hardship (difficulty paying bills, ongoing financial stress, medication reduction due to cost, and food insecurity) and self-rated health among older men and women. Methods: Cross-sectional logistic regression analysis was conducted using the 201...
Article
Full-text available
Very little work has examined the relationship between food hardship (having inconsistent financial resources to buy food) and obesity among immigrant groups. A cross-sectional study was conducted in a low-income, multi-racial/ethnic adult sample in greater Boston, MA (n = 828). Modified Poisson regression models estimated the association between f...
Article
Cigarette smoking has been implicated in causing many cancers and cancer deaths. There is mounting evidence indicating that smoking negatively impacts cancer treatment efficacy and overall survival. The NCCN Guidelines for Smoking Cessation have been created to emphasize the importance of smoking cessation and establish an evidence-based standard o...
Poster
Research related to aspects of the neighborhood environment that may influence HRQoL is relatively scant. Our findings suggest that over and above socio-demographic and socioeconomic indicators, perceived neighborhood environment may influence the HRQoL among neighborhood residents; in particular, even after considering factors such as neighborhood...
Article
Background With rising cancer care costs, including high-priced cancer drugs, financial hardship is increasingly documented among cancer survivors in the United States; research findings have not been synthesized. Methods We conducted a systematic review of articles published between 1990 and 2015 describing the financial hardship experienced by c...
Article
Full-text available
Neighborhood effects on health research has grown over the past 20 years. While the substantive findings of this literature have been published in systematic reviews, meta-analyses, and commentaries, operational details of the research have been understudied. We identified 7140 multi-level neighborhoods and health papers published on US populations...
Article
Measures of hardship have been proffered as better indicators of economic well-being than traditional measures of socioeconomic status (SES). However, there is a dearth of research on latent factor structures and measurement bias in items assessing hardship across socio-demographic characteristics, especially among older adults. As such, the purpos...
Article
Background: Population-level research on the implications of retail pharmacy policies to end the sale of tobacco products is scant, and the impact of such policies on racial/ethnic and socioeconomic disparities across neighborhoods in access to tobacco products remains unexplored. Methods: We investigated the association between neighborhood soc...
Article
Objective: To determine the impact of recent relocation prior to a cancer diagnosis on cancer-specific outcomes. Methods: We identified 272,718 patients with two different entries in the Surveillance, Epidemiology, and End Results database within three years of each other. Those who had relocated to a different county between entries were identi...
Article
Full-text available
Although hematopoietic cell transplantation (HCT) is the only curative therapy for many advanced hematologic cancers, little is known about the financial hardship experienced by HCT patients, nor the association of hardship with patient-reported outcomes. We mailed a 43-item survey to adult patients approximately 180 days post first autologous or a...
Article
Full-text available
Purpose: To measure the association between patient financial strain and symptom burden and quality of life (QOL) for patients with new diagnoses of lung or colorectal cancer. Patients and methods: Patients participating in the Cancer Care Outcomes Research and Surveillance study were interviewed about their financial reserves, QOL, and symptom...
Article
Full-text available
Importance There is extensive evidence suggesting that black men with localized prostate cancer (PCa) have worse cancer-specific mortality compared with their non-Hispanic white counterparts.Objective To evaluate racial disparities in the use, quality of care, and outcomes of radical prostatectomy (RP) in elderly men (≥65 years) with nonmetastati...
Article
Full-text available
Objectives: We estimated the impact on cancer disparities in US states that have chosen or not chosen to expand Medicaid since passage of the Patient Protection and Affordable Care Act. Methods: Data came from the 2013 Uniform Data System for colorectal and cervical cancer screening rates among patients of federally qualified health centers (FQH...
Article
Purpose: The purpose of this study was to examine material hardship among smokers to determine whether such hardship was positively associated with current attempts to quit tobacco use. Methods: We analyzed cross-sectional data from the Health in Common (HIC) study, an observational study to investigate social and physical determinants of cancer...
Article
Full-text available
Mammography is the most effective method to detect breast cancer in its earliest stages, reducing the risk of breast cancer death. We investigated the relationship between accessibility of mammography services at Federally Qualified Health Centers (FQHCs) and mortality-to-incidence ratio (MIR) of breast cancer in each county in the United States. C...
Article
Full-text available
Federally qualified health centers (FQHCs) offer primary and preventive healthcare, including cancer screening, for the nation's most vulnerable population. The purpose of this study was to explore the relationship between access to FQHCs and cancer mortality-to-incidence ratios (MIRs). One-way analysis of variance was conducted to compare the mean...
Article
Background. Health self-efficacy (the confidence to take care of one's health) is a key component in ensuring that individuals are active partners in their health and health care. The purpose of this study was to determine the association between financial hardship and health self-efficacy among African American men and to determine if unmet medica...
Article
Full-text available
Acculturation may influence health behaviors, yet mechanisms underlying its effect are not well understood. In this study, we describe relationships between acculturation and health behaviors among low-income housing residents, and examine whether these relationships are mediated by social and contextual factors. Residents of 20 low-income housing...
Article
Background: Although end-of-life (EOL) care can present a substantial financial burden for the household, the influence of this burden on the intensity of care received at the EOL remains unknown. The goal of this study was to determine the association between financial hardship and intensive care in the last week of life. Methods: The Coping wi...
Article
Background: Disproportionate access to unhealthy foods in poor or minority neighborhoods may be a primary determinant of obesity disparities. We investigated whether fast-food access varies by Census block group (CBG) percent black and poverty. Methods: We measured the average driving distance from each CBG population-weighted centroid to the fi...
Article
Full-text available
Purpose To examine behavioral patterns and sociodemographic predictors of diet, inactivity, and tobacco use among a diverse sample of residents from low-income housing developments. Design In this cross-sectional survey study, households and residents were randomly selected using multistage cluster sampling. Setting The study was conducted in 20...
Conference Paper
The urban planning and public health fields both describe complex relationships between the neighborhood environment and health. A Health in All Policies framework suggests that health determinants be considered in every policy. To explore whether this health equity lens is used in the U.S., we conducted a policy scoping of the 15 largest cities -...
Article
Purpose: Cancer-related stress is heavily influenced by culture. This study explored similarities and differences in survivorship care concerns among Chinese American and non-Hispanic White (NHW) breast cancer survivors. Methods: A sequential, mixed-method design (inductive/qualitative research-phase I and deductive/quantitative research-phase I...
Article
Objectives: We evaluated the relationship between financial hardship and self-reported oral health for older men and women. Methods: We focused on adults in the 2008 Health and Retirement Study (n = 1,359). The predictor variables were 4 financial hardship indicators. We used Poisson regression models to estimate the prevalence ratio of poor sel...
Article
Walking, both for leisure and for travel/errands, counts toward meeting physical activity recommendations. Both social and physical neighborhood environmental features may encourage or inhibit walking. This study examined social capital, perceived safety, and disorder in relation to walking behavior among a population of low-income housing resident...
Article
Objective: To examine associations between social support and ties (family, friend, and neighbors) individually and jointly with diet and physical activity among an ethnically-diverse, low-income population. Methods: The Health in Common study (2005-2009) was designed to examine risk factors among individuals residing in low-income housing in th...
Article
Background: Self-rated health (SRH) has been shown to be predictive of morbidity and mortality. Evidence also shows that SRH is socioeconomically patterned, although this association differs depending on the indicator of socioeconomic status used. The purpose of this study was to determine the association between SRH and financial hardship among r...
Article
6012 Background: Research suggests that Black cancer patients have higher end-of-life (EOL) medical costs than White patients; and that Black, compared with White, families are more likely to use all or most of their savings to pay for EOL care. Although Black cancer patients receive more intense EOL care than Whites, research has yet to determine...
Article
Full-text available
Many older adults manage multiple chronic conditions (i.e. multimorbidity); and many of these chronic conditions share common risk factors such as low socioeconomic status (SES) in adulthood and low SES across the lifecourse. To better capture socioeconomic condition in childhood, recent research in lifecourse epidemiology has broadened the notion...
Article
We investigated the association between adult height and three indicators of childhood circumstances: mother's education, childhood financial hardship, and childhood health in the United States. Cross-sectional analysis of adults aged 50 and older in the 2004 Health and Retirement Study (N = 14,079) was conducted. Gender and gender-race stratified...
Article
The purpose of this exploratory study was to investigate differences between African-American men who have sex with men (MSM) who use behavioral escape avoidance coping responses and those who do not. In particular, we investigated differences in the African-American MSM in our study on psychosocial factors such as internalized homonegativity, expl...
Article
We investigated the effect of financial hardship on mortality risk in a community-dwelling sample of adults 50 years of age and olderin the United States. The 1996 Health and Retirement Study cohorts were followed prospectively to 2004 (N = 8,377). Gender-stratified grouped Cox models were used to estimate the difference in the relative risk (RR) o...
Article
Full-text available
Gary Bennett and colleagues discuss the ways in which the dramatic rise in home foreclosures, particularly in the US, may have health consequences.
Article
Neighborhood environment can have a substantial influence on the level of physical activity among older adults. Yet, the moderating influence of various measures of SES on the association between perceived neighborhood safety and leisure-time physical activity (LTPA) among older adults remains unknown. The study was designed to investigate the asso...
Article
Full-text available
The John Henryism (JH) hypothesis argues that prolonged high-effort coping with chronic psychosocial stressors may be associated with elevated risk for negative health outcomes among those without sufficient socioeconomic resources. Early JH studies found a significant association between high JH, low socioeconomic status, and hypertension among Af...

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