Economic stress among low-income women with cancer - Effects on quality of life
Economic stress among low-income women with cancer - Effects on quality of life
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DOI：
10.1002/cncr.23203
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发表时间：
2008-02-01
期刊：
影响因子：
6.2
通讯作者：
Vourlekis, Betsy
中科院分区：
文献类型：
--
作者：
Ell, Kathleen;Xie, Bin;Vourlekis, Betsy
背景。随着癌症幸存者人数的增加，对癌症经济后果的关注也在增加。尽管在低收入少数族裔幸存者中普遍存在，但经济压力对生活质量（QOL）的影响在很大程度上仍未被探索。报告了487名主要是西班牙裔低收入妇女的数据，她们最初诊断为乳腺癌或妇科癌症，并正在接受积极治疗或随访。横断面和纵向分析检验了经济问题对生活质量、抑郁和焦虑的影响。在本研究人群中，失业率、医疗费用和工资问题以及财务压力在基线时分别为70%、68%、47%和49%。报告失业状况和医疗费用问题的比例从基线到6个月保持不变，然后在12个月时明显下降。患者报告的工资损失担忧率从基线到6个月增加，随后适度下降。从基线到12个月，功能、情感、身体和社会-家庭幸福感以及抑郁和焦虑得分表现出一致的线性改善。在12个月的时间里，报告经济问题的患者的功能、情绪和情感幸福感明显较差。经济压力与生活质量呈负相关，强调了解决低收入癌症妇女经济压力的重要性。
BACKGROUND. Attention to the economic consequences of cancer has grown as the number of cancer survivors is increasing. Although prevalent among low-income minority survivors, the impact of economic stress on quality of life (QOL) remains largely unexplored.METHODS. Data are reported for 487 predominantly Hispanic low-income women with a primary diagnosis of breast or gynecological cancer and undergoing active treatment or follow-up. Cross-sectional and longitudinal analyses examined the effects of economic concerns on QOL, depression, and anxiety.RESULTS. Rates of unemployment, medical cost and wage concerns, and financial stress were high in this study population, at baseline, respectively, 70%, 68%, 47%, and 49%. The proportions reporting unemployed status and medical cost concerns stayed flat from baseline to 6 months, followed by a pronounced drop at 12 months. Patient reported rates of lost wage worries increased from baseline to 6 months, followed by a moderate decrease. Functional, emotional, physical, and social-family well-being and depression and anxiety scores exhibited consistent linear improvement from baseline to 12 months. Over 12 months, patients reporting economic concerns had significantly poorer functional, emotional, and affective well-being.CONCLUSIONS. Economic stress is negatively associated with QOL, highlighting the importance of addressing economic stress in low-income women with cancer.