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- Title
Supplemental Security Income and Social Security Disability Insurance Coverage Among Long-term Childhood Cancer Survivors.
- Authors
Kirchhoff, Anne C.; Parsons, Helen M.; Kuhlthau, Karen A.; Leisenring, Wendy; Donelan, Karen; Warner, Echo L.; Armstrong, Gregory T.; Robison, Leslie L.; Oeffinger, Kevin C.; Park, Elyse R.
- Abstract
Supplemental security income (SSI) and social security disability insurance (DI) are federal programs that provide disability benefits. We report on SSI/DI enrollment in a random sample of adult, long-term survivors of childhood cancer (n = 698) vs a comparison group without cancer (n = 210) from the Childhood Cancer Survivor Study who completed a health insurance survey. A total of 13.5% and 10.0% of survivors had ever been enrolled on SSI or DI, respectively, compared with 2.6% and 5.4% of the comparison group. Cranial radiation doses of 25 Gy or more were associated with a higher risk of current SSI (relative risk [RR] = 3.93, 95% confidence interval [CI] = 2.05 to 7.56) and DI (RR = 3.65, 95% CI = 1.65 to 8.06) enrollment. Survivors with severe/life-threatening conditions were more often enrolled on SSI (RR = 3.77, 95% CI = 2.04 to 6.96) and DI (RR = 2.73, 95% CI = 1.45 to 5.14) compared with those with mild/moderate or no health conditions. Further research is needed on disability-related financial challenges after childhood cancer.
- Subjects
SUPPLEMENTAL security income program; DISABILITY insurance; FEDERAL aid to services for people with disabilities; SERVICES for people with disabilities; CANCER patients; CHILDHOOD cancer; INSURANCE
- Publication
JNCI: Journal of the National Cancer Institute, 2015, Vol 107, Issue 6, p1
- ISSN
0027-8874
- Publication type
Article
- DOI
10.1093/jnci/djv057