We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Financial hardship among cancer survivors in Southern New Jersey.
- Authors
Grafova, Irina B.; Manne, Sharon L.; Bandera, Elisa V.; Saraiya, Biren; Llanos, Adana A. M.; Devine, Katie A.; Hudson, Shawna V.; Paddock, Lisa E.; Tsui, Jennifer; Elliott, Jennifer; Stroup, Antoinette M.; Duberstein, Paul R.
- Abstract
Purpose: To identify predictors of financial hardship, operationalized as foregoing health care, making financial sacrifices, and being concerned about having inadequate financial and insurance information. Methods: Cancer survivors (n = 346) identified through the New Jersey State Cancer Registry were surveyed from August 2018 to September 2019. Multivariable logistic regression analyses were performed. Results: Cancer survivors with household incomes less than $50,000 annually were more likely than those earning $50,0000–$90,000 to report foregoing health care (15.8 percentage points, p < 0.05). Compared to retirees, survivors who were currently unemployed, disabled, or were homemakers were more likely to forego doctor's visits (11.4 percentage points, p < 0.05), more likely to report borrowing money (16.1 percentage points, p < 0.01), and more likely to report wanting health insurance information (25.7 percentage points, p < 0.01). Employed survivors were more likely than retirees to forego health care (16.8 percentage points, p < 0.05) and make financial sacrifices (20.0 percentage points, p < 0.01). Survivors who never went to college were 9.8 percentage points (p < 0.05) more likely to borrow money compared to college graduates. Black survivors were more likely to want information about dealing with financial and insurance issues (p < 0.01); men were more likely to forego health care (p < 0.05). Conclusion: Findings highlight the role of employment status and suggest that education, income, race, and gender also shape cancer survivors' experience of financial hardship. There is a need to refine and extend financial navigation programs. For employed survivors, strengthening family leave policies would be desirable.
- Subjects
NEW Jersey; FINANCIAL stress; CANCER survivors; CANCER patients; LOGISTIC regression analysis; HEALTH insurance; FAMILY leave
- Publication
Supportive Care in Cancer, 2021, Vol 29, Issue 11, p6613
- ISSN
0941-4355
- Publication type
Article
- DOI
10.1007/s00520-021-06232-7