Cancer survivorship is defined as the health and well-being of a person starting at cancer diagnosis, continuing through treatment, and lasting until the end of life (Definition of survivorship, 2011). Measures of survivorship outcomes include, but are not limited to, side effects of treatment, follow-up care, cancer recurrence, diagnosis of other cancers, pain and fatigue, and quality of life (QoL) (Definition of survivorship, 2011). Focus on survivorship within the cancer continuum started to gain traction in the 1960s, after cancer survival rates increased substantially as a result of advancements in cancer treatment and early detection cancer screenings (Rowland et al., 2019; Nekhlyudov et al., 2017). There are currently more than 18 million individuals who are living with cancer in the United States and more than 32 million worldwide (Global Cancer Observatory). This number is projected to increase in the future, emphasizing the need for research that addresses the health and well-being of this vulnerable and less examined population within the cancer continuum (Cancer Facts).

There has been an emerging body of research that links cancer risk and outcomes to the neighborhood built environment (referred to hereafter as "built environment"), which refers to the physical makeup of human dwelling and activity, where we live, learn, work, and play (Gomez et al., 2015; The Built Environment Assessment Tool, 2023). The built environment includes various features and characteristics such as neighborhood walkability, proximity to green space and blue space, transportation options, and exposure to noise and light pollution (Gomez et al., 2015; The Built Environment Assessment Tool, 2023; Schulz et al., 2018; Bonaccorsi et al., 2020). Compared to individual- and interpersonal-level factors associated with cancer survivorship, the built environment presents itself as a unique opportunity for modifiable change that could be implemented on a contextual and more impactful scale. Prior interventions related to the built environment have been implemented for other public health issues, such as injury prevention and other chronic health outcomes (Sleet et al., 2011; Stevenson, 2006). Given its modifiability combined with its ubiquity and almost inseparable connection to various aspects of people's lives, the built environment could also serve as a point of intervention on a large scale that may positively impact the wellbeing of cancer survivors. However, the focus in the intersection of the built environment and cancer research currently revolves around cancer incidence and mortality, with a notable underrepresentation in aspects of cancer survivorship (Gomez et al., 2015; Iyer et al., 2020a, 2020b; Chowdhury-Paulino et al., 2023).

This scoping review addressed the need to summarize the current findings on the built environment's role in the survivorship experience of individuals with cancer. The primary objective was to systematically search and summarize the existing literature concerning the relationship between the built environment and cancer survivorship. In doing so, we aimed to identify knowledge gaps for researchers in this interdisciplinary field and provide recommendations for future research directions in this area.