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

Cancer - Tập 119 Số 20 - Trang 3710-3717 - 2013
Erin E. Kent1, Laura P. Forsythe2, K. Robin Yabroff3, Kathryn E. Weaver4, Janet S. de Moor5, Juan J. Llibre Rodríguez6, Julia H. Rowland5
1Outcomes Research Branch Applied Research Program Division of Cancer Control and Population Sciences National Cancer Institute Bethesda Maryland
2Patient‐Centered Outcomes Research Institute Washington DC
3Health Services and Economics Branch, Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland
4Department of Social Sciences and Health Policy Division of Public Health Sciences Wake Forest School of Medicine Winston‐Salem North Carolina
5Office of Cancer Survivorship, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland
6Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia

Tóm tắt

BACKGROUNDFinancial problems caused by cancer and its treatment can substantially affect survivors and their families and create barriers to seeking health care.METHODSThe 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.RESULTSCancer‐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).CONCLUSIONSCancer‐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.

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Cancer

Tập 119 Số 20

3710-3717

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