Financial hardship among cancer survivors in Southern New Jersey.

Autor: Grafova IB; Rutgers School of Public Health, Piscataway, NJ, USA. grafovib@sph.rutgers.edu., Manne SL; Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA., Bandera EV; Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA., Saraiya B; Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA., Llanos AAM; Rutgers School of Public Health, Piscataway, NJ, USA.; Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA., Devine KA; Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA., Hudson SV; Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA., Paddock LE; Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA., Tsui J; Department of Preventive Medicine, University of Southern California, Los Angeles, CA, USA., Elliott J; Edward J. Bloustein School of Planning and Public Policy, New Brunswick, NJ, USA., Stroup AM; Rutgers School of Public Health, Piscataway, NJ, USA.; Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA., Duberstein PR; Rutgers School of Public Health, Piscataway, NJ, USA.; Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA.
Jazyk: angličtina
Zdroj: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer [Support Care Cancer] 2021 Nov; Vol. 29 (11), pp. 6613-6623. Date of Electronic Publication: 2021 May 04.
DOI: 10.1007/s00520-021-06232-7
Abstrakt: Purpose: To identify predictors of financial hardship, operationalized as foregoing health care, making financial sacrifices, and being concerned about having inadequate financial and insurance information.
Methods: Cancer survivors (n = 346) identified through the New Jersey State Cancer Registry were surveyed from August 2018 to September 2019. Multivariable logistic regression analyses were performed.
Results: Cancer survivors with household incomes less than $50,000 annually were more likely than those earning $50,0000-$90,000 to report foregoing health care (15.8 percentage points, p < 0.05). Compared to retirees, survivors who were currently unemployed, disabled, or were homemakers were more likely to forego doctor's visits (11.4 percentage points, p < 0.05), more likely to report borrowing money (16.1 percentage points, p < 0.01), and more likely to report wanting health insurance information (25.7 percentage points, p < 0.01). Employed survivors were more likely than retirees to forego health care (16.8 percentage points, p < 0.05) and make financial sacrifices (20.0 percentage points, p < 0.01). Survivors who never went to college were 9.8 percentage points (p < 0.05) more likely to borrow money compared to college graduates. Black survivors were more likely to want information about dealing with financial and insurance issues (p < 0.01); men were more likely to forego health care (p < 0.05).
Conclusion: Findings highlight the role of employment status and suggest that education, income, race, and gender also shape cancer survivors' experience of financial hardship. There is a need to refine and extend financial navigation programs. For employed survivors, strengthening family leave policies would be desirable.
(© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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