Financial distress and medical financial hardship among young adult survivors of blood cancer

Author:

Parsons Susan K1ORCID,Murphy-Banks Rachel1,Rodday Angie Mae2,Roth Michael E3ORCID,Miller Kimberly4ORCID,Linendoll Nadine1ORCID,Chan Randall5ORCID,Crosswell Howland E6ORCID,Xiang Qingyan2ORCID,Freyer David R7ORCID

Affiliation:

1. Division of Hematology and Oncology and Institute for Clinical Research and Health Policy Studies, Tufts Medical Center , Boston, MA, USA

2. Institute for Clinical Research and Health Policy Studies, Tufts Medical Center , Boston, MA, USA

3. Department of Pediatrics Patient Care, Division of Pediatrics, The University of Texas MD Anderson Cancer Center , Houston, TX, USA

4. Department of Population and Public Health Sciences, Keck School of Medicine of the University of Southern California , Los Angeles, CA, USA

5. Department of Pediatrics, Los Angeles General Medical Center , Los Angeles, CA, USA

6. AYA Cancer Care Program, Bon Secours Mercy, St Francis Cancer Center , Greenville, SC, USA

7. Departments of Pediatrics, Medicine, and Population and Public Health Sciences, Cancer and Blood Disease Institute, Children’s Hospital Los Angeles & University of Southern California Norris Comprehensive Cancer Center , Los Angeles, CA, USA

Abstract

Abstract Background The long-term financial impact of cancer care has not been adequately addressed in young adults. As part of a remote intervention study, we describe medical financial distress and hardship among young adult survivors of blood cancer at study entry. Methods Young adults were recruited from 6 US hospitals. Using a Research Electronic Data Capture link, young adults confirmed their eligibility—namely, currently 18 to 39 years of age, blood cancer diagnosis 3 or more years ago, off active treatment, and not on parent’s insurance. Following consent, the baseline assessment was sent. The primary outcome measure, the Personal Financial Wellness Scale, measured financial distress (scored as severe, 1-2; high, 3-4; average, 5-6; and low to no, 7-10). Medical financial hardship encompassed material hardship, psychological impact, and coping behaviors. Descriptive summary statistics and linear regression were used. Results Among the 126 participants, 54.5% came from minority racial or ethnic groups. Median time since diagnosis was 10 years (interquartile range = 6-16 years), with 56% having received a diagnosis when they were between 18 and 39 years of age. The overall mean (standard deviation) Personal Financial Wellness Scale score was 5.1 (2.4), but 49% reported severe or high distress. In multivariable analysis, female sex, Hispanic ethnicity, and lower income were strongly associated with worse Personal Financial Wellness Scale scores. Among participants with severe financial distress (n = 26), 72% reported 2 or more household material hardships, had worse scores across all psychological domains, and altered survivorship care because of cost (68%). Conclusions Nearly half of long-term young adult cancer survivors reported severe or high levels of financial distress. Individuals with severe or high distress also reported more medical financial hardship than other participants. This finding highlights the need for ongoing financial intervention in this vulnerable population. ClinicalTrials.gov NCT05620979

Publisher

Oxford University Press (OUP)

Reference37 articles.

1. The financial toxicity of cancer treatment: a pilot study assessing out-of-pocket expenses and the insured cancer patient's experience;Zafar;Oncologist,2013

2. Financial toxicity in cancer care: prevalence, causes, consequences, and reduction strategies;Lentz;J Surg Oncol,2019

3. Financial toxicity in cancer care;O'Connor;J Community Support Oncol,2016

4. Financial toxicity, Part I: a new name for a growing problem;Zafar;Oncology (Williston Park),2013

5. Financial hardships experienced by cancer survivors: a systematic review;Altice;J Natl Cancer Inst,2017

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3