Cancer survivors' financial hardship and their caregivers' employment: results from a statewide survey.

Autor: Warner EL; University of Utah College of Nursing, 10 S 2000 E, Salt Lake City, UT, 84112, USA. echo.warner@nurs.utah.edu.; Huntsman Cancer Institute, 2000 Circle of Hope Dr, Salt Lake City, UT, 84112, USA. echo.warner@nurs.utah.edu., Millar MM; Utah Cancer Registry, University of Utah, 250 East 200 South, Suite 1375, Salt Lake City, UT, 84111, USA.; Division of Epidemiology, School of Medicine, University of Utah, 295 Chipeta Way, Salt Lake City, UT, 84108, USA., Orleans B; Division of Epidemiology, School of Medicine, University of Utah, 295 Chipeta Way, Salt Lake City, UT, 84108, USA., Edwards SL; Utah Cancer Registry, University of Utah, 250 East 200 South, Suite 1375, Salt Lake City, UT, 84111, USA., Carter ME; Utah Cancer Registry, University of Utah, 250 East 200 South, Suite 1375, Salt Lake City, UT, 84111, USA., Vaca Lopez PL; Huntsman Cancer Institute, 2000 Circle of Hope Dr, Salt Lake City, UT, 84112, USA., Sweeney C; Huntsman Cancer Institute, 2000 Circle of Hope Dr, Salt Lake City, UT, 84112, USA.; Utah Cancer Registry, University of Utah, 250 East 200 South, Suite 1375, Salt Lake City, UT, 84111, USA.; Division of Epidemiology, School of Medicine, University of Utah, 295 Chipeta Way, Salt Lake City, UT, 84108, USA., Kirchhoff AC; Huntsman Cancer Institute, 2000 Circle of Hope Dr, Salt Lake City, UT, 84112, USA.; Department of Pediatrics, University of Utah, 295 Chipeta Way, Salt Lake City, UT, 84108, USA.
Jazyk: angličtina
Zdroj: Journal of cancer survivorship : research and practice [J Cancer Surviv] 2023 Jun; Vol. 17 (3), pp. 738-747. Date of Electronic Publication: 2022 Apr 12.
DOI: 10.1007/s11764-022-01203-1
Abstrakt: Purpose: Many caregivers take paid and/or unpaid time off work, change from full-time to part-time, or leave the workforce. We hypothesized that cancer survivor-reported material hardship (e.g., loans, bankruptcy), behavioral hardship (e.g., skipping care/medication due to cost), and job lock (i.e., staying at a job for fear of losing insurance) would be associated with caregiver employment changes.
Methods: Adult cancer survivors (N = 627) were surveyed through the Utah Cancer Registry in 2018-2019, and reported whether their caregiver had changed employment because of their cancer (yes, no). Material hardship was measured by 9 items which we categorized by the number of instances reported (0, 1-2, and ≥ 3). Two items represented both behavioral hardship (not seeing doctor/did not take medication because of cost) and survivor/spouse job lock. Odds ratios (OR) were estimated using survey-weighted logistic regression to examine the association of caregiver employment changes with material and behavioral hardship and job lock, adjusting for cancer and sociodemographic factors.
Results: There were 183 (29.2%) survivors reporting their caregiver had an employment change. Survivors with ≥ 3 material hardships (OR = 3.13, 95%CI 1.68-5.83), who skipped doctor appointments (OR = 2.88, 95%CI 1.42-5.83), and reported job lock (OR = 2.05, 95%CI 1.24-3.39) and spousal job lock (OR = 2.19, 95%CI 1.17-4.11) had higher odds of caregiver employment changes than those without these hardships.
Conclusions: Caregiver employment changes that occur because of a cancer diagnosis are indicative of financial hardship.
Implications for Cancer Survivors: Engaging community and hospital support for maintenance of stable caregiver employment and insurance coverage during cancer may lessen survivors' financial hardship.
(© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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