“…Several factors have been suggested as predictors of nonadherence and early discontinuation of ET, including extremes of age, 18,19 African American race, 20‐24 greater comorbidities, 18,19,25 postmenopausal status, 12 cognitive impairment, disease‐related and treatment‐related factors (eg, type of surgery, receipt of adjuvant chemotherapy, 26 and greater treatment side effects), 18,19 low recurrence risk perception, 19 lack of provider communication regarding the importance of ET, 18,19 follow‐up care with a general practitioner versus a cancer specialist, 18,19 increased out‐of‐pocket costs, 18 low social support, 18,19,25 and low socioeconomic status (SES) 27‐29 . Social determinants of health incorporate economic stability (eg, income and insurance), the built environment (eg, zip code/geography), and health system factors (access to and quality of care) 30 .…”