The role of financial security in loneliness or sadness among Medicare-enrolled cancer survivors during the COVID-19 pandemic.
The role of financial security in loneliness or sadness among Medicare-enrolled cancer survivors during the COVID-19 pandemic.
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DOI：
10.1016/j.jgo.2023.101507
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发表时间：
2023-06
影响因子：
3
通讯作者：
Poghosyan, Hermine
中科院分区：
文献类型：
--
作者：
Sarkar, Sayantani;Arakelyan, Stella;Choa, Elizabeth;Poghosyan, Hermine
本研究旨在估计COVID-19大流行期间财务安全的相对下降率和孤独或悲伤的增加率，并调查有癌症史的医疗保险受益人的财务安全与孤独或悲伤之间的关系。我们检查了来自Medicare Current Beneficiary Survey COVID-19 Winter 2021调查的基于人群的横截面数据。研究队列包括1，632名自报癌症史的Medicare受益人（年龄≥65岁）。结果是孤独或悲伤的感觉，自变量是2020-2021年冬季COVID-19激增期间的财务安全。我们进行了加权描述性统计，交叉制表分析和多变量逻辑回归分析。整体而言，18. 8%的癌症幸存者表示在2020-2021年冬季COVID-19疫情激增期间感到孤独或悲伤，11. 2%的人表示财务安全感下降。与那些报告感到更多或相同经济安全的人相比，报告经济安全下降的癌症幸存者感到孤独或悲伤的几率高出93%（调整后的比值比[AOR] = 1.93; 95%置信区间[CI] 1.25-3.01; p <0.004）。在癌症幸存者中，经济安全感下降，孤独感或悲伤感增加。需要在目前可用的范围之外进行额外的筛查和干预，以缓解癌症幸存者所经历的社会经济脆弱性。
This study aims to estimate the relative decreased rate of financial security and increased rate of loneliness or sadness during the COVID-19 pandemic and investigate the association between financial security and loneliness or sadness among Medicare beneficiaries with a cancer history. We examined population-based, cross-sectional data from the Medicare Current Beneficiary Survey COVID-19 Winter 2021 survey. The study cohort included 1,632 Medicare beneficiaries (aged ≥65 years) with self-reported cancer history. The outcome was feelings of loneliness or sadness, and the independent variable was financial security during the 2020–2021 winter surge of COVID-19. We conducted weighted descriptive statistics, a cross-tabulation analysis, and multivariable logistic regression analyses. Overall, 18.8% of cancer survivors reported increased feelings of loneliness or sadness and 11.2% reported decreased financial security during the 2020–2021 winter surge of COVID-19. Cancer survivors who reported decreased financial security had 93% higher odds of increased feelings of loneliness or sadness compared to those who reported feeling more or about the same financial security (Adjusted odds ratio [AOR] = 1.93; 95% Confidence Interval [CI] 1.25–3.01; p <0.004). Decreased financial security and increased feelings of loneliness or sadness were prevalent among cancer survivors. Additional screenings and interventions beyond what are currently available are needed to ease the socioeconomic vulnerabilities experienced by cancer survivors.
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