Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Are survivors who report cancer‐related financial problems more likely to forgo or delay medical care?

Are survivors who report cancer‐related financial problems more likely to forgo or delay medical... BACKGROUND Financial problems caused by cancer and its treatment can substantially affect survivors and their families and create barriers to seeking health care. METHODS The authors identified cancer survivors diagnosed as adults (n = 1556) from the nationally representative 2010 National Health Interview Survey. Using multivariable logistic regression analyses, the authors report sociodemographic, clinical, and treatment‐related factors associated with perceived cancer‐related financial problems and the association between financial problems and forgoing or delaying health care because of cost. Adjusted percentages using the predictive marginals method are presented. RESULTS Cancer‐related financial problems were reported by 31.8% (95% confidence interval, 29.3%‐34.5%) of survivors. Factors found to be significantly associated with cancer‐related financial problems in survivors included younger age at diagnosis, minority race/ethnicity, history of chemotherapy or radiation treatment, recurrence or multiple cancers, and shorter time from diagnosis. After adjustment for covariates, respondents who reported financial problems were more likely to report delaying (18.3% vs 7.4%) or forgoing overall medical care (13.8% vs 5.0%), prescription medications (14.2% vs 7.6%), dental care (19.8% vs 8.3%), eyeglasses (13.9% vs 5.8%), and mental health care (3.9% vs 1.6%) than their counterparts without financial problems (all P < .05). CONCLUSIONS Cancer‐related financial problems are not only disproportionately represented in survivors who are younger, members of a minority group, and have a higher treatment burden, but may also contribute to survivors forgoing or delaying medical care after cancer. Cancer 2013;119:3710–3717. © 2013 American Cancer Society. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Cancer Wiley

Are survivors who report cancer‐related financial problems more likely to forgo or delay medical care?

Loading next page...
 
/lp/wiley/are-survivors-who-report-cancer-related-financial-problems-more-likely-b1fJIh87xv

References (64)

Publisher
Wiley
Copyright
"Copyright © 2013 American Cancer Society"
ISSN
0008-543X
eISSN
1097-0142
DOI
10.1002/cncr.28262
pmid
23907958
Publisher site
See Article on Publisher Site

Abstract

BACKGROUND Financial problems caused by cancer and its treatment can substantially affect survivors and their families and create barriers to seeking health care. METHODS The authors identified cancer survivors diagnosed as adults (n = 1556) from the nationally representative 2010 National Health Interview Survey. Using multivariable logistic regression analyses, the authors report sociodemographic, clinical, and treatment‐related factors associated with perceived cancer‐related financial problems and the association between financial problems and forgoing or delaying health care because of cost. Adjusted percentages using the predictive marginals method are presented. RESULTS Cancer‐related financial problems were reported by 31.8% (95% confidence interval, 29.3%‐34.5%) of survivors. Factors found to be significantly associated with cancer‐related financial problems in survivors included younger age at diagnosis, minority race/ethnicity, history of chemotherapy or radiation treatment, recurrence or multiple cancers, and shorter time from diagnosis. After adjustment for covariates, respondents who reported financial problems were more likely to report delaying (18.3% vs 7.4%) or forgoing overall medical care (13.8% vs 5.0%), prescription medications (14.2% vs 7.6%), dental care (19.8% vs 8.3%), eyeglasses (13.9% vs 5.8%), and mental health care (3.9% vs 1.6%) than their counterparts without financial problems (all P < .05). CONCLUSIONS Cancer‐related financial problems are not only disproportionately represented in survivors who are younger, members of a minority group, and have a higher treatment burden, but may also contribute to survivors forgoing or delaying medical care after cancer. Cancer 2013;119:3710–3717. © 2013 American Cancer Society.

Journal

CancerWiley

Published: Mar 15, 2014

Keywords: ; ; ; ;

There are no references for this article.