Job lock among survivors of childhood cancer and their spouses post Affordable Care Act implementation: A Childhood Cancer Survivor Study brief report

Author:

Waters Austin R.12ORCID,Liu Qi3,Ji Xu4,Yasui Yutaka35,Yabroff K. Robin6,Conti Rena M.7,Henderson Tara8,Huang I‐Chan5ORCID,Leisenring Wendy9,Armstrong Gregory T.5ORCID,Nathan Paul C.10ORCID,Park Elyse11,Kirchhoff Anne C.112ORCID

Affiliation:

1. Cancer Control and Population Sciences Huntsman Cancer Institute Salt Lake City Utah USA

2. Department of Health Policy and Management University of North Carolina Chapel Hill North Carolina USA

3. University of Alberta Edmonton Alberta Canada

4. Department of Pediatrics Emory University School of Medicine/Aflac Cancer & Blood Disorders Center, Children's Healthcare of Atlanta Atlanta Georgia USA

5. Department of Epidemiology and Cancer Control St. Jude Children's Research Hospital Memphis Tennessee USA

6. Department of Surveillance and Health Equity Science American Cancer Society Atlanta Georgia USA

7. Department of Markets, Public Policy and Law Questrom School of Business Boston University Boston Massachusetts USA

8. Department of Pediatrics University of Chicago Chicago Illinois USA

9. Fred Hutchinson Cancer Center Seattle Washington USA

10. The Hospital for Sick Children The University of Toronto Toronto Ontario Canada

11. Massachusetts General Hospital Boston Massachusetts USA

12. Department of Pediatrics University of Utah Salt Lake City Utah USA

Abstract

AbstractIt is unknown how common job lock (i.e., staying at job to maintain health insurance) remains among childhood cancer survivors after Affordable Care Act (ACA) implementation in 2010. We examined prevalence of and factors associated with job lock using a cross‐sectional survey from the Childhood Cancer Survivor Study (3503 survivors; 942 siblings). Survivor, spousal, and any survivor/spouse job lock were more frequently reported by survivors than siblings. Survivor job lock/any job lock was associated with older age, low income, severe chronic conditions, and debt/inability to pay debt. Job lock remains more common among survivors than siblings after ACA implementation.

Funder

National Cancer Institute

American Cancer Society

Publisher

Wiley

Subject

Oncology,Hematology,Pediatrics, Perinatology and Child Health

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