The financial coping strategies of US cancer patients and survivors

Doherty, Meredith; Gardner, Daniel S.; Finik, Jackie

doi:10.1007/s00520-021-06113-z

Cited by 10 publications

(6 citation statements)

References 45 publications

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“…Participants selected “yes” if, in the past year,they had engaged in any 1 of 5 cost‐coping behaviors because they were worried about the cost: “taking a smaller dose/fewer pill of a medication than prescribed”, “not filling a prescription”, “refuse recommended medical test or treatment”, “decreasing the number of treatments”, and “delaying or abandoning treatment”. These questions have been widely employed in numerous research studies to assess MCCB 12,18–23 …”

Section: Methodsmentioning

confidence: 99%

“…These questions have been widely employed in numerous research studies to assess MCCB. 12,[18][19][20][21][22][23] We also collected patients' sociodemographic information including insurance (URRBMI and UEBMI), residence type (urban and rural), monthly family income, education level (those with junior school education or less and those with a high school education or above), and household savings (the total sum of savings within patients' households, which encompasses not only traditional savings accounts but also electronic currency, such as WeChat and Alipay, as well as cash flow). Disease information was extracted from the hospital's electronic medical records which included details on the patients' cancer stage, pathological diagnosis, and the number of chemotherapy cycles.…”

Section: Variables and Measuresmentioning

confidence: 99%

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Health insurance as a moderator in the relationship between financial toxicity and medical cost‐coping behaviors: Evidence from patients with lung cancer in China

Cui,

Lv,

et al. 2024

Cancer Medicine

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ObjectiveThis study investigates the relationship between financial toxicity and medical cost‐coping behaviors (MCCB) in Chinese patients with lung cancer, with a particular focus on the moderating role of health insurance.MethodsWe surveyed 218 patients with lung cancer and assessed their Comprehensive Score for Financial Toxicity (COST) and self‐reported MCCB. Patients were categorized into Urban Employee's Basic Medical Insurance (UEBMI) group and Urban–Rural Resident Basic Medical Insurance Scheme (URRBMI) groups by their medical insurance, and matched for socioeconomic, demographic, and disease characteristics via propensity score.ResultsSignificant different characteristics were noted between UEBMI patients and URRBMI patients. Patients with UEBMI had higher COST scores but lower levels of MCCB compared to URRBMI patients in the original dataset. After data matching, multivariate logit regression analysis showed that better financial toxicity was associated with lower levels of MCCB (OR = 0.95, 95% CI: 0.92–0.99). Health insurance type did not have a direct association with cost‐coping behaviors, but an interaction was observed between health insurance type and financial toxicity. Among patients with URRBMI, better financial toxicity was associated with lower levels of cost‐coping behaviors (OR = 0.89, 95% CI: 0.83–0.95). Patients with UEBMI had a lower probability of engaging in any cost‐coping behaviors in situations of worse financial toxicity compared to patients with URRBMI.ConclusionThe findings suggest that financial toxicity is correlated with MCCB in Chinese patients with lung cancer. The type of health insurance, specifically UEBMI and URRBMI, plays a moderating role in this relationship. Understanding these dynamics is essential for developing targeted interventions and policies to mitigate financial toxicity and improve patients' management of medical costs.

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Section: Methodsmentioning

confidence: 99%

Section: Variables and Measuresmentioning

confidence: 99%

Health insurance as a moderator in the relationship between financial toxicity and medical cost‐coping behaviors: Evidence from patients with lung cancer in China

Cui,

Lv,

et al. 2024

Cancer Medicine

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“… 85 Some of the strategies to cope with financial burden may compromise patient health and well-being. 86 The other reason is ethical. Justice is one of the fundamental principles of biomedical ethics.…”

Section: Wp2: Management Of Financial Toxicity During the Initial Pha...mentioning

confidence: 99%

ESMO expert consensus statements on the screening and management of financial toxicity in patients with cancer

Carrera,

Curigliano,

Santini

et al. 2024

ESMO Open

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“…While adaptive coping strategies in cancer patients enhance QOL, the use of maladaptive coping strategies reduces QOL [21,22]. However, studies have shown that coping strategies and psychological adaptation vary by race and socioeconomic status, and relationships between coping resources and adaptation vary by sociocultural group [23][24][25]. In this regard, little is known about coping strategies employed by cervical cancer patients in Tanzania.…”

Section: Introductionmentioning

confidence: 99%

Coping strategies used by patients with cervical cancer: An explorative qualitative study at Ocean Road Cancer Institute in Dar es Salaam, Tanzania

Ambikile,

Msengi,

Chona

et al. 2023

Preprint

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Background Worldwide, cervical cancer is the fourth most common cancer among women, especially in socioeconomically disadvantaged settings, including Tanzania. Being informed about a cervical cancer diagnosis is very stressful and triggers negative reactions in an individual. Various coping mechanisms may be employed to adapt to this condition, which may be adaptive or maladaptive and vary by race, socioeconomic status, and sociocultural group. Little is known about coping strategies employed by cervical cancer patients in Tanzania. Methods Using a purposeful sampling technique, a qualitative descriptive study was conducted at the Ocean Road Cancer Institute in Dar es Salaam to explore coping strategies used by cervical cancer patients between December 2022 and January 2023. The thematic analysis method was used to analyse data. Findings: The major themes that emerged included problem-focused coping, emotion-focused coping, social support, religious coping, and escapism. Conclusions Patients with cervical cancer used various coping strategies to live with the disease. Although most of the coping strategies used were adaptive, some were maladaptive, implying the need for continued assessment to enhance adaptive coping.

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The financial coping strategies of US cancer patients and survivors

Cited by 10 publications

References 45 publications

Health insurance as a moderator in the relationship between financial toxicity and medical cost‐coping behaviors: Evidence from patients with lung cancer in China

Health insurance as a moderator in the relationship between financial toxicity and medical cost‐coping behaviors: Evidence from patients with lung cancer in China

ESMO expert consensus statements on the screening and management of financial toxicity in patients with cancer

Coping strategies used by patients with cervical cancer: An explorative qualitative study at Ocean Road Cancer Institute in Dar es Salaam, Tanzania

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