Table 1_Cancer care barriers and interventions among immigrant workers: an evidence map and practice-oriented review.xlsx

Evidence was concentrated in structural and policy access, screening and navigation, and language and communication; evidence remained sparse for work-related treatment interruption, survivorship and return to work, employer interventions, and clinical trial access. Professional interpretation, language-concordant communication, patient navigation, community health worker outreach, culturally tailored screening, and community-based participatory approaches had the clearest support in adjacent or broader immigrant populations.

Flexible scheduling, bundled visits, workplace protections, and structured return-to-work support were research or policy priorities requiring evaluation.</p>Conclusions<p>Immigrant workers are a structurally vulnerable oncology population shaped by overlapping employment, legal, linguistic, financial, and health-system barriers. Oncology systems can implement supported language-access and navigation strategies while testing worker-adapted delivery models and advocating for policy changes that reduce coverage and employment-related barriers.</p>