Financial Hardship Associated With Cancer in the United States: Findings From a Population-Based Sample of Adult Cancer Survivors
Financial Hardship Associated With Cancer in the United States: Findings From a Population-Based Sample of Adult Cancer Survivors
复制标题
DOI：
10.1200/jco.2015.62.0468
复制
发表时间：
2016-01-20
影响因子：
45.3
通讯作者：
Ekwueme, Donatus U.
中科院分区：
文献类型：
--
作者：
Yabroff, K. Robin;Dowling, Emily C.;Ekwueme, Donatus U.
PurposeTo估计在美国与癌症相关的经济困难的患病率，并确定与经济困难相关的癌症幸存者的特征。MethodsWe确定了1，202名成年癌症幸存者诊断或治疗年龄>= 18岁，从2011年医疗支出小组调查经验与癌症问卷。物质经济困难的衡量标准是：（1）借钱或负债，（2）申请破产，（3）无法支付自己的医疗费用份额，或（4）由于癌症、治疗和治疗的持久影响而做出其他经济牺牲。心理上的经济困难被衡量为以往任何时候都担心支付巨额医疗费用。我们使用按年龄组分层的独立多变量逻辑回归模型来检查与任何物质或心理经济困难相关的因素结果18 - 64岁癌症幸存者的物质经济困难比>= 65岁的癌症幸存者更常见（28.4%对13.8%; P < .001），心理经济困难（31.9%对14.7%，P < .001）。在调整后的分析中，年龄在18至64岁之间的癌症幸存者，年龄较小，女性，非白人，最近接受治疗，并且因癌症而改变工作，更有可能报告任何物质经济困难。没有保险、家庭收入较低、最近接受治疗的癌症幸存者更有可能报告心理经济困难。在癌症幸存者>= 65岁，那些谁是年轻人更有可能报告任何经济困难。ConclusionCancer幸存者，特别是工作年龄的人口，通常会遇到物质和心理上的经济困难。(C)2015年美国临床肿瘤学会
PurposeTo estimate the prevalence of financial hardship associated with cancer in the United States and identify characteristics of cancer survivors associated with financial hardship.MethodsWe identified 1,202 adult cancer survivors diagnosed or treated at >= 18 years of age from the 2011 Medical Expenditure Panel Survey Experiences With Cancer questionnaire. Material financial hardship was measured by ever (1) borrowing money or going into debt, (2) filing for bankruptcy, (3) being unable to cover one's share of medical care costs, or (4) making other financial sacrifices because of cancer, its treatment, and lasting effects of treatment. Psychological financial hardship was measured as ever worrying about paying large medical bills. We examined factors associated with any material or psychological financial hardship using separate multivariable logistic regression models stratified by age group (18 to 64 and >= 65 years).ResultsMaterial financial hardship was more common in cancer survivors age 18 to 64 years than in those >= 65 years of age (28.4% v 13.8%; P < .001), as was psychological financial hardship (31.9% v 14.7%, P < .001). In adjusted analyses, cancer survivors age 18 to 64 years who were younger, female, nonwhite, and treated more recently and who had changed employment because of cancer were significantly more likely to report any material financial hardship. Cancer survivors who were uninsured, had lower family income, and were treated more recently were more likely to report psychological financial hardship. Among cancer survivors >= 65 years of age, those who were younger were more likely to report any financial hardship.ConclusionCancer survivors, especially the working-age population, commonly experience material and psychological financial hardship. (C) 2015 by American Society of Clinical Oncology