Age-related differences in employment, insurance, and financial hardship among colorectal cancer patients: a report from the ColoCare Study.
Age-related differences in employment, insurance, and financial hardship among colorectal cancer patients: a report from the ColoCare Study.
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结直肠癌患者在就业、保险和经济困难方面与年龄相关的差异：来自 ColoCare 研究的报告。
DOI：
10.1007/s11764-023-01362-9
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Gigic,Bil
中科院分区：
文献类型：
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作者：
Berghuijs,KarelyMvanThiel;Kaddas,HeydonK;Trujillo,Gillian;Rouhani,Gazelle;Chevrier,Amy;Ose,Jennifer;Shibata,David;Toriola,AdetunjiT;Figueiredo,JaneC;Peoples,AnitaR;Li,ChristopherI;Hardikar,Sheetal;Siegel,ErinM;Gigic,Bil
就业和经济困难是工作年龄结直肠癌患者的常见问题。我们调查结直肠癌幸存者调查就业，保险和财务结果的年龄在diagnosis.MethodsCross-sectional调查的6个ColoCare研究网站就业，保险和经济困难的结果。符合条件的参与者为结直肠癌诊断后1至5年。使用卡方检验和t检验比较诊断年龄（18-49岁、50-64岁、65岁以上）与关注结局。多变量Logistic和Poisson回归分析适合于研究人口统计学因素与任何物质/心理困难（是/否）和计数的hardwares.ResultsN= 202参与者完成了调查（年龄：18-49（n= 42，20.8%），50-64（n= 79，39.1%），65+（n= 81，40.1%））。大多数确诊年龄< 65岁的人在诊断时工作（18-49：83%; 50-64：64%; 65+：14%，p < 0.001），并在诊断后继续工作（18-49：76%; 50-64：59%; 65+：13%;p< 0.001）。年龄在18-49岁的参与者报告了与癌症相关的困难，工作中的精神（81.3%）和身体（89%）任务比年龄较大的工作组（45%-61%）更多。在回归模型中，在那些报告任何困难的人中，18-64岁年龄组的物质和心理困难发生率较高（发病率比（IRR）范围1.5-2.3与年龄65岁以上）和那些<大学（IRR范围1.3-1.6与大学+）。结论年轻的结直肠癌患者更有可能在癌症诊断后和癌症治疗期间工作，但报告的经济困难水平高于老年患者。对癌症幸存者的影响年轻的结直肠癌患者可能会遇到经济困难，因此可能会觉得需要在治疗期间和治疗后工作。
PurposeEmployment and financial hardships are common issues for working-age colorectal cancer patients. We surveyed colorectal cancer survivors to investigate employment, insurance, and financial outcomes by age at diagnosis.MethodsCross-sectional survey of six ColoCare Study sites regarding employment, insurance, and financial hardship outcomes. Eligible participants were 1 to 5 years from colorectal cancer diagnosis. Diagnosis age (18–49, 50–64, 65+ years) with outcomes of interest were compared using chi-square and t-tests. Multivariable logistic and Poisson regressions were fit to examine association of demographic factors with any material/psychological hardship (yes/no) and the count of hardships.ResultsN= 202 participants completed the survey (age: 18–49 (n= 42, 20.8%), 50–64 (n= 79, 39.1%), 65+ (n= 81, 40.1%)). Most diagnosed age < 65 worked at diagnosis (18–49: 83%; 50–64: 64%; 65+ : 14%,p< 0.001) and continued working after diagnosis (18–49: 76%; 50–64: 59%; 65+ : 13%;p< 0.001). Participants age 18–49 reported cancer-related difficulties with mental (81.3%) and physical (89%) tasks at work more than those working in the older age groups (45%-61%). In regression models, among those reporting any hardship, the rates of material and psychological hardships were higher among those age 18–64 (Incidence Rate Ratios (IRR) range 1.5–2.3 vs. age 65+) and for those with < college (IRR range 1.3–1.6 vs. college +).ConclusionsYounger colorectal cancer patients are more likely to work after a cancer diagnosis and during cancer treatment, but report higher levels of financial hardship than older patients.Implications for Cancer SurvivorsYounger colorectal cancer patients may encounter financial hardship, thus may feel a need to work during and after treatment.