Spirituality and financial toxicity among Hispanic breast cancer survivors in New Jersey.

Autor: Echeverri-Herrera S; Rutgers School of Public Health, Piscataway, NJ, USA. secheverri@unm.edu.; Department of Sociology and Criminology, University of New Mexico, MSC05 3080, 1915 Roma NE Ste. 1103, Albuquerque, NM, USA. secheverri@unm.edu., Nowels MA; Rutgers School of Public Health, Piscataway, NJ, USA.; Institute for Health, Health Care Policy, and Aging Research, Rutgers University, New Brunswick, NJ, USA., Qin B; Cancer Epidemiology and Health Outcomes, Rutgers Cancer Institute of New Jersey, Robert Wood Johnson Medical School, NJ, New Brunswick, USA., Grafova IB; Rutgers School of Public Health, Piscataway, NJ, USA., Zeinomar N; Cancer Epidemiology and Health Outcomes, Rutgers Cancer Institute of New Jersey, Robert Wood Johnson Medical School, NJ, New Brunswick, USA., Chanumolu D; Cancer Epidemiology and Health Outcomes, Rutgers Cancer Institute of New Jersey, Robert Wood Johnson Medical School, NJ, New Brunswick, USA., Duberstein PR; Rutgers School of Public Health, Piscataway, NJ, USA., Bandera EV; Cancer Epidemiology and Health Outcomes, Rutgers Cancer Institute of New Jersey, Robert Wood Johnson Medical School, NJ, New Brunswick, USA.
Jazyk: angličtina
Zdroj: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer [Support Care Cancer] 2022 Dec; Vol. 30 (12), pp. 9735-9741. Date of Electronic Publication: 2022 Oct 07.
DOI: 10.1007/s00520-022-07387-7
Abstrakt: Objective: Cancer survivors often incur significant out-of-pocket costs; this can result in financial toxicity, defined as the adverse financial impact of cancer due to direct or indirect costs related to the disease. There has been little research on whether spirituality is associated with the experience of financial toxicity. In this study, we tested the hypothesis that spirituality would be inversely associated with financial toxicity.
Methods: We evaluated these associations in a cross-sectional study of Hispanic breast cancer survivors (n = 102) identified through the New Jersey State Cancer Registry. Participants completed the FACIT-Sp-12, which has two spirituality subscales (meaning/peace; faith). Financial toxicity was assessed using the 11-item COST measure; lower scores suggest worse toxicity. In multivariable linear regression analyses, we examined the associations between spirituality scores and financial toxicity, adjusting for age, race, education, household income, and insurance status.
Results: The spirituality total score (β = 0.49, 95% confidence interval (CI): 0.17, 0.8), meaning/peace subscale score (β = 0.71, 95% CI: 0.12, 1.31), and faith (β = 0.71, 95% CI: 0.2, 1.21) subscale score were all inversely associated with financial toxicity.
Conclusions: Spirituality may be an important factor in ameliorating the detrimental effects of financial toxicity among Hispanic breast cancer survivors and should be considered in interventions for financial toxicity in this population.
(© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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