The financial coping strategies of US cancer patients and survivors
| Autor: | Jackie Finik, Daniel S. Gardner, Meredith Doherty |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Coping (psychology) Psychological intervention Ethnic group Article Odds 03 medical and health sciences 0302 clinical medicine Quality of life Neoplasms Surveys and Questionnaires Adaptation Psychological Medicine Humans 030212 general & internal medicine Survivors Life Style Finance business.industry Nursing research Latent class model Health equity Oncology 030220 oncology & carcinogenesis Female business |
| Zdroj: | Support Care Cancer |
| Popis: | PURPOSE: Coping behaviors may play a mediating role in producing the negative health outcomes observed in financially burdened cancer patients and survivors. METHODS: Exploratory factor and latent class analysis of survey data. RESULTS: A total of 510 people completed the survey, ages ranged from 25 to over 75 [over half greater than 55 years old (57.8%)]. Most respondents identified as female (64.7%), white (70.8%), or African American (18.6%). A four-factor model of financial coping was revealed: care-altering, lifestyle-altering, self-advocacy, and financial help-seeking. Respondents grouped into three financial coping classes: low burden/low coping (n = 212), high self-advocacy (n = 143), and high burden/high coping (n = 155). African American respondents were at far greater odds than white respondents of being in the high burden/high coping class (OR = 5.82, 95% CI 3.01–6.64) or the self-advocacy class (OR = 1.99, 95% CI 1.19–2.80) than the low burden/low coping class. Compared to respondents aged 65 years and older, those 35–44 were more likely in the high burden/high coping class (OR = 12.27, 95% CI 7.03–19.87) and the high self-advocacy class (OR = 7.08, 95% CI 5.89–8.28) than the low burden/low coping class. CONCLUSION: One-third of respondents were in the high burden/high coping class. Age and race/ethnicity were significantly associated with class membership. Some coping strategies may compromise health and well-being. Program and policy interventions that reduce the odds that patients will use strategies that undermine treatment outcomes and increase patient use of protective strategies are needed. |
| Databáze: | OpenAIRE |
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