Medical financial hardship between young adult cancer survivors and matched individuals without cancer in the United States.
Medical financial hardship between young adult cancer survivors and matched individuals without cancer in the United States.
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美国年轻的癌症幸存者和匹配的未患癌症的人之间的医疗经济困难。
DOI：
10.1093/jncics/pkae007
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发表时间：
2024
影响因子：
4.4
通讯作者：
Pagán,JoséA
中科院分区：
文献类型：
--
作者：
Li,Lihua;Zhang,Donglan;Li,Yan;Jain,Mayuri;Lin,Xingyu;Hu,Rebecca;Liu,Junxiu;Thapa,Janani;Mu,Lan;Chen,Zhuo;Liu,Bian;Pagán,JoséA
年轻的成年癌症幸存者面临医疗财政困难，可能导致延迟或放弃医疗护理。这项研究描述了医疗财政困难的年轻成年癌症幸存者在美国的经验后患者保护和平价医疗法案periods.MethodWe确定了1009癌症幸存者年龄在18至39岁的国家健康访谈调查（2015年至2022年）和匹配963（95%）癌症幸存者2733控制个人使用最近的邻居匹配。我们使用条件Logistic回归来检验癌症史和医疗经济困难之间的关联，并评估这种关联是否因年龄、性别、种族和民族以及居住地区而异。结果与那些没有癌症史的人相比，年轻的成年癌症幸存者更有可能报告物质经济困难。（22.8% vs 15.2%;比值比= 1.65，95%置信区间= 1.50 - 1.81）和行为相关经济困难（34.3%对24.4%;比值比= 1.62，95%置信区间= 1.49至1.76），但没有心理经济困难（52.6% vs 50.9%;比值比= 1.07，95%置信区间= 0.99 - 1.16）。年轻的成年癌症幸存者谁是西班牙裔或生活在中西部和南部更有可能报告的心理经济困难比他们的countermeasurement.ConclusionsWe发现，年轻的成年癌症幸存者更有可能经历的材料和行为相关的经济困难比没有癌症史的年轻人。我们还确定了年轻成年癌症幸存者的特定亚组，这些亚组可能受益于有针对性的政策和干预措施，以减轻医疗经济困难。
BackgroundYoung adult cancer survivors face medical financial hardships that may lead to delaying or forgoing medical care. This study describes the medical financial difficulties young adult cancer survivors in the United States experience in the post–Patient Protection and Affordable Care Act period.MethodWe identified 1009 cancer survivors aged 18 to 39 years from the National Health Interview Survey (2015-2022) and matched 963 (95%) cancer survivors to 2733 control individuals using nearest-neighbor matching. We used conditional logistic regression to examine the association between cancer history and medical financial hardship and to assess whether this association varied by age, sex, race and ethnicity, and region of residence.ResultsCompared with those who did not have a history of cancer, young adult cancer survivors were more likely to report material financial hardship (22.8% vs 15.2%; odds ratio = 1.65, 95% confidence interval = 1.50 to 1.81) and behavior-related financial hardship (34.3% vs 24.4%; odds ratio = 1.62, 95% confidence interval = 1.49 to 1.76) but not psychological financial hardship (52.6% vs 50.9%; odds ratio = 1.07, 95% confidence interval = 0.99 to 1.16). Young adult cancer survivors who were Hispanic or lived in the Midwest and South were more likely to report psychological financial hardship than their counterparts.ConclusionsWe found that young adult cancer survivors were more likely to experience material and behavior-related financial hardship than young adults without a history of cancer. We also identified specific subgroups of young adult cancer survivors that may benefit from targeted policies and interventions to alleviate medical financial hardship.