From digital escape to memory impairment: The mediating role of digital dementia in the effect of digital fugue on digital amnesia.

Cancer is the number one cause of death for Canadians, with the number of cases rising annually due to population growth and aging (). Despite the overall reduction in cancer incidence and progress in cancer prevention, treatment, and screening, an estimated 88,100 people were expected to die from cancer in 2024 (), with 96% of these deaths projected to occur among individuals 50 years of age and older (). As national cancer data undergo rigorous collection and verification processes, final figures for 2024 will not be available until the next report is released in 2026 (). While these reports offer important insights into cancer prevalence and mortality trends, they largely reflect population-level factors such as age, sex and behavior (). As a result, Canadian cancer data does not yet account for contextual influences and social determinants of health (), obscuring correlations between cancer burden and structural inequities. Specifically, research by Canadian scholars (; ) has highlighted that people who experience multiple and intersecting socio-economic barriers to accessing healthcare, such as discrimination, poverty, and insecure housing, among others, are more likely to receive a diagnosis after their cancer has become advanced. In addition, individuals facing these barriers often encounter difficulties accessing cancer prevention and treatment services, which contributes to their limited inclusion in broader cancer control efforts (; ). For people who experience incarceration, structural barriers to cancer treatment and care are further exacerbated (). Cancer mortality is higher among people who experience incarceration than in the general population, and the mortality risk persists post-release (). Population-based data from Ontario show higher cancer mortality among people who experienced incarceration, with standardized mortality ratios of 1.6 for men and 1.4 for women compared with the general population (). In the US, a longitudinal cohort study using data from 690 individuals in Connecticut found that among individuals diagnosed with local or regional cancer, adherence to recommended treatment measures was lower for individuals diagnosed during incarceration (49.2%) than for those without an incarceration history, who received 66.7% of recommended care (). However, these challenges are not coincidental but are actively produced and reinforced through complex and intersecting practices of healthcare and carceral systems. In concert, healthcare organizations and correctional institutions, both tasked with maintaining health and safety, contribute to the ongoing disparities in cancer care (; ). In 2023, Canada's total incarcerated adult population was 34,986 (), with an average of 1,712 adults held across 10 provincial correctional centers in British Columbia (). Despite these incarceration rates, there is limited evidence about access to and the quality of cancer care for people who experience incarceration (). Considering the significant population cancer prevalence and disparities in access to cancer care for people who experience incarceration, it is crucial to explore how healthcare providers understand and navigate the delivery of cancer services for this population. Evidence on how access to cancer diagnosis and treatment is shaped within correctional settings remains limited in the Canadian context, despite emerging findings from other countries. For example, conducted interviews with people in prison, correctional staff, healthcare providers, and oncology specialists in England. Key barriers to timely cancer diagnosis and treatment included communication breakdowns, logistical challenges, and limited patient autonomy. In contrast, factors such as the recognition of cancer-specific symptoms and the role of peer advocacy, were noted as important enablers of access to cancer care.