Impact of employment and insurance status on distress in gynecologic oncology patients
| Autor: | Carolyn K. McCourt, David G. Mutch, Lindsay M. Kuroki, Megan Landon, Dineo Khabele, L. Stewart Massad, Andrea R. Hagemann, David H. Morris, Matthew A. Powell, Katherine Fuh, J.R. Vanderlan, M. Greenwade, Premal H. Thaker |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
Employment medicine.medical_specialty Genital Neoplasms Female Problem list Gynecologic oncology Logistic regression Psychological Distress Insurance Coverage Article 03 medical and health sciences 0302 clinical medicine medicine Humans Insurance Health business.industry Medicaid Obstetrics and Gynecology Odds ratio Middle Aged Confidence interval Underinsured United States Distress 030104 developmental biology Cross-Sectional Studies Logistic Models Oncology Socioeconomic Factors Unemployment 030220 oncology & carcinogenesis Family medicine Female business |
| Zdroj: | Gynecol Oncol |
| ISSN: | 1095-6859 |
| Popis: | OBJECTIVES: To study associations among employment, insurance status, and distress in gynecologic oncology patients; and to evaluate the impact of being unemployed or having no/Medicaid insurance on different distress problem areas. METHODS: In this single institution, cross-sectional analysis of gynecologic oncology patients, we screened for distress and problem areas using the National Comprehensive Cancer Network distress thermometer and problem list at outpatient appointments between 6/2017-9/2017. Primary outcome was self-reported high distress (score ≥5). The distress problem list included 5 categories—practical, family, emotional, physical, and other. Employment status included employed, unemployed, homemaker, and retired. Logistic regression was used to predict high distress from employment and insurance statuses, adjusting for relevant covariates. RESULTS: Of 885 women, 101 (11.4%) were unemployed, and 53 (6.0%) uninsured or had Medicaid coverage. One in five patients (n = 191, 21.6%) indicated high distress. Unemployed patients were more likely than employed to endorse high distress [adjusted odds ratio (aOR) = 3.5, 95% confidence interval (CI) 2.2 – 5.7, p |
| Databáze: | OpenAIRE |
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