Race, financial hardship, and limiting care due to cost in a diverse cohort of cancer survivors
Race, financial hardship, and limiting care due to cost in a diverse cohort of cancer survivors
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DOI：
10.1007/s11764-019-00764-y
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发表时间：
2019-06-01
影响因子：
3.7
通讯作者：
Schwartz, Ann G.
中科院分区：
文献类型：
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作者：
Hastert, Theresa A.;Banegas, Matthew P.;Schwartz, Ann G.
目的按种族估计与癌症相关的经济困难类型的患病率，并测试它们是否与因费用而限制护理有关。方法我们使用了 994 名参与者（411 名白人，583 名非洲裔美国人）的数据，这些数据来自 2013 年 1 月 1 日以来被诊断患有乳腺癌、结直肠癌、肺癌或前列腺癌的幸存者的医院队列研究。经济困难包括收入减少、借款、癌症相关债务以及获取资产来支付癌症护理费用。限制性护理包括不服用处方药、拒绝治疗或因费用原因在需要时不去看医生。 Logistic 回归模型控制了社会人口因素。 结果 与白人幸存者相比，更多的非洲裔美国人报告经济困难（50.3% vs. 41.0%，p=0.005）和有限护理（20.0% vs. 14.2%，p=0.019）。报告利用资产的白人多于非裔美国幸存者（9.3% vs. 4.8%，p=0.006），而更多非裔美国幸存者报告与癌症相关的债务（30.5% vs. 18.5%，p=0.006）
PurposeEstimate prevalence of types of cancer-related financial hardship by race and test whether they are associated with limiting care due to cost.MethodsWe used data from 994 participants (411 white, 583 African American) in a hospital-based cohort study of survivors diagnosed with breast, colorectal, lung, or prostate cancer since January 1, 2013. Financial hardship included decreased income, borrowing money, cancer-related debt, and accessing assets to pay for cancer care. Limiting care included skipping doses of prescribed medication, refusing treatment, or not seeing a doctor when needed due to cost. Logistic regression models controlled for sociodemographic factors.ResultsMore African American than white survivors reported financial hardship (50.3% vs. 41.0%, p=0.005) and limiting care (20.0% vs. 14.2%, p=0.019). More white than African American survivors reported utilizing assets (9.3% vs. 4.8%, p=0.006), while more African American survivors reported cancer-related debt (30.5% vs. 18.5%, p