COVID-19-Related Employment Disruptions and Increased Financial Burden Among Survivors of Adolescent and Young Adult Cancer.

Autor: Waters AR; Cancer Control and Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA.; Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, USA., Kaddas HK; Cancer Control and Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA., van Thiel Berghuijs KM; Cancer Control and Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA., Vaca Lopez PL; Cancer Control and Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA., Warner EL; Cancer Control and Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA.; College of Nursing, University of Utah, Salt Lake City, Utah, USA., Ou JY; Cancer Control and Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA.; Cancer Biostatistics Shared Resource, Huntsman Cancer Institute, Salt Lake City, Utah, USA., Ramsay JM; Cancer Control and Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA.; Department of Surgery, University of Utah, Salt Lake City, Utah, USA., Palmer A; Cancer Control and Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA., Ray N; Cancer Control and Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA., Tsukamoto T; Intermountain Health, Salt Lake City, Utah, USA., Fair DB; Cancer Control and Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA.; Primary Children's Hospital, Salt Lake City, Utah, USA.; Department of Pediatrics, University of Utah, Salt Lake City, Utah, USA., Lewis MA; Intermountain Health, Salt Lake City, Utah, USA., Linder L; Cancer Control and Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA.; College of Nursing, University of Utah, Salt Lake City, Utah, USA.; Primary Children's Hospital, Salt Lake City, Utah, USA., Gill D; Intermountain Health, Salt Lake City, Utah, USA., Kirchhoff AC; Cancer Control and Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA.; Department of Pediatrics, University of Utah, Salt Lake City, Utah, USA.
Jazyk: angličtina
Zdroj: Journal of adolescent and young adult oncology [J Adolesc Young Adult Oncol] 2023 Oct; Vol. 12 (5), pp. 744-751. Date of Electronic Publication: 2023 Mar 23.
DOI: 10.1089/jayao.2022.0099
Abstrakt: Background: Financial burden is a major concern for survivors of adolescent and young adult (AYA) cancers. We identified if employment disruptions during the COVID-19 pandemic affected AYA survivors' financial burden. Methods: AYAs who were enrolled in a cancer patient navigation program were e-mailed a survey in fall 2020. Survey items included sociodemographics, employment disruption, and two measures of financial burden: COmprehensive Score for Financial Toxicity (COST) and material and behavioral financial hardship items (for any reason, COVID-19 induced, cancer induced). Financial burden outcomes were dichotomized at the median (COST = 21; financial hardship = 3). The association of employment disruptions and sociodemographics with financial burden was assessed using multivariable logistic regression models. Results: Reduced hours/job loss was reported by 24.0% of 341 participants. Survivors with a high school education or less (odds ratio [OR]: 2.70; 95% confidence interval [CI]: 1.21-6.03) or who had decreased hours or job loss (OR: 3.97; 95% CI: 2.01-7.84) had greater odds for high financial toxicity. Reduced hours/job loss was the only factor associated with high material and behavioral financial hardship for both any reason (OR: 2.75; 95% CI: 1.41-5.33) and owing to COVID-19 (OR: 4.98; 95% CI: 2.28-10.92). Cancer treatment since March 2020 was associated with cancer-induced high material and behavioral financial hardship (OR: 3.31; 95% CI: 1.96-5.58). Conclusion: Employment disruptions owing to the COVID-19 pandemic, lower education levels, and cancer treatment were associated with high financial burden among AYA cancer survivors. Our findings suggest the need for multilevel interventions to identify and address financial burden among vulnerable cancer survivors.
Databáze: MEDLINE