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Interviews with adults (n=18) living in urban areas of the UK examine how recovery of health and wellbeing is shaped by both supportive and adverse contextual factors. Results highlight amenities, social support, travel, and healthcare as opportunities, while pollution, traffic, and fewer green spaces are key challenges. Findings conclude that place of residence functions as both barrier and facilitator, informing future survivorship practice.",{"@graph":14,"@context":71},[15,34,54],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/research-report/","Research & 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\n[https://doi.org/10.1007/s00520-024-08464-9](https://doi.org/10.1007/s00520-024-08464-9)  \nCancer survivorship in urban people living with cancer following primary treatment: A secondary analysis of qualitative interview data  \nSaood Mahmood1 · Florence Graham1 · Samuel Cooke2 · Ros Kane3 · David Nelson2,4  \nReceived: 10 December 2023 / Accepted: 25 March 2024 / Published online: 2 April 2024 © The Author(s) 2024  \nAbstract  \nPurpose Urban cancer survivors have been shown to have better opportunities for recovery of health and wellbeing than their rural counterparts. Whilst there is a considerable body of evidence that explores urban people with cancers’ experiences and outcomes, there is a dearth of research that explicitly explores ‘urban cancer survivorship’ in its own right. This study aimed to explore cancer survivorship in urban people living with cancer who have completed primary treatment.  \nMethods Secondary analysis of in-depth interview data (n = 18) with adults living with cancer who resided in urban parts of the UK. Data were drawn from a broader study on self-management of people living with cancer. An adapted version of Foster and Fenlon’s recovery of health and wellbeing in cancer survivorship framework was used to inform the analysis of the data. Results Recovery of health and wellbeing was impacted by a variety of contributory factors, which had a largely positive impact. Access to amenities, social support, travel, and healthcare factors were opportunities for urban cancer survivors, whilst pollution, traffic and a lack of green spaces acted as challenges for health management.  \nConclusion This study demonstrated how urban residency acted as both a barrier and a facilitator to recovery of health and wellbeing in urban cancer survivors following the completion of primary treatment. Area of residence should be taken into account by health providers and policymakers supporting cancer survivorship and the views of those with lived experiences should be included in informing future practice.  \nKeywords Cancer survivorship · Urban health · Interview data · Qualitative study · United Kingdom  \nIntroduction  \nGlobally, cancer incidence has been increasing exponentially [1] . In the UK, rates of cancer have been rising each year with over 375,000 diagnoses between 2015 and 2018 [2] . In addition, the number of UK people surviving cancer has doubled over the last 40 years [2], and with 40% of cancer  \n* David Nelson [dnelson@lincoln.ac.uk](dnelson@lincoln.ac.uk)  \n1 Lincoln Medical School, Universities of Nottingham and Lincoln, Lincoln, UK  \n2 College of Health and Science, Lincoln International Institute for Rural Health, University of Lincoln, Lincoln LN6 7TS, UK  \n3 School of Health and Social Care, University of Lincoln, Lincoln, UK  \n4 Macmillan Cancer Support, London, UK  \nsurvivors expressing abandonment post active treatment [3], the survivorship experience is becoming an increasingly integral part of cancer care. Whilst there is no universal definition of ‘cancer survivor’ or ‘cancer survivorship’ and definitions and terminology can vary by geographic setting [4–7] . In this study, we use the term survivorship to refer to the post-treatment experiences of people who had completed primary treatment within the last five years and were not in receipt of active treatment. The terms ‘living with cancer’and ‘living with and beyond cancer’ are also becoming increasingly used, particularly in the UK [8 , 9], in that people live with the consequences of a cancer diagnosis for the rest of their life regardless of their treatment trajectory and outcomes.  \nIn the UK, urban areas are defined as settlements with populations over 10,000, in which ~ 80% of the total population reside [10 , 11] . Due to their geography and population density, urban residents typically have easier access to specialist healthcare, support groups, public  \ntransport and other amenities compared to the","cbCaickmorauqPlv","https://ap.wps.com/l/cbCaickmorauqPlv","pdf",717939,11,"English","# Abstract\n## Purpose\n## Methods\n## Results\n## Conclusion\n# Introduction\n## Urban definitions and cancer outcomes\n## Recovery as a multifaceted process\n## Study aim\n# Methods\n## Design and procedure","[{\"question\":\"What was the purpose of the study?\",\"answer\":\"To explore cancer survivorship among urban people living with cancer who have completed primary treatment, addressing the limited research focused specifically on “urban cancer survivorship.”\"},{\"question\":\"What data and methods were used?\",\"answer\":\"A secondary analysis was conducted on in-depth interview data from adults living with cancer residing in urban parts of the UK (n=18).\"},{\"question\":\"Which factors supported or challenged recovery?\",\"answer\":\"Access to amenities, social support, travel, and healthcare were described as opportunities, while pollution, traffic, and lack of green spaces were identified as challenges for health management.\"}]","Cancer survivorship in urban people living with cancer following primary treatment - A secondary analysis of qualitative interview data | PDF",1790047598,28]