Cancer survivors’ financial hardship and their caregivers’ employment: results from a statewide survey

Warner, Echo L.; Millar, Morgan M.; Orleans, Brian; Edwards, Sandra L.; Carter, Marjorie E.; Lopez, Perla L. Vaca; Sweeney, Carol; Kirchhoff, Anne C.

doi:10.1007/s11764-022-01203-1

Cited by 11 publications

(7 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The physical stress and potential psychological burden of long-term medication and treatment may also prevent them from jobs, compromising work capacity and productivity to some extent in the long run [ 3 ]. In the same way, the family caregiver had to spend considerable time and energy, resulting in reduced personal income [ 53 ]. All the above causes brought lower household income and more severe financial burdens.…”

Section: Discussionmentioning

confidence: 99%

Financial toxicity following surgical treatment for colorectal cancer: a cross-sectional study

Jia

Zhu

et al. 2023

Support Care Cancer

View full text Add to dashboard Cite

Purpose Financial toxicity has become a global public health issue. The purpose of the study is to investigate and analyze the influencing factors of financial toxicity in patients with non-metastatic colorectal cancer. Methods A convenient sample of 250 patients with stage I-III colorectal cancer was investigated in the study. They completed a set of questionnaires, including the Comprehensive Score for Financial Toxicity questionnaire, the Perceived Social Support Scale, and the Hospital Anxiety and Depression Scale. Univariate and multivariate linear regression were performed to investigate the influencing factors of financial toxicity. Results Over half (52.8%, n = 132) of the colorectal cancer survivors experienced financial toxicity. Multivariate regression analysis showed that the factors associated with financial toxicity were young age, unemployment, low annual household income, chemotherapy, and the lack of sufficient social support ( p < 0.05). Conclusions Financial toxicity is common among non-metastatic colorectal cancer survivors. Young age, lower annual household income, unemployment, chemotherapy, and insufficient social support were associated with financial toxicity.

show abstract

Section: Discussionmentioning

confidence: 99%

Financial toxicity following surgical treatment for colorectal cancer: a cross-sectional study

Jia

Zhu

et al. 2023

Support Care Cancer

View full text Add to dashboard Cite

show abstract

“…48 Policy-level interventions would likely require state or national legislation, and could include increasing support for workplace accommodations to maintain income during treatment and survivorship, offering more substantial extended sick leave for caregivers to promote the care of siblings and other children in the household, and providing resources to assist childhood cancer survivors with financial hardship and support whole-family wellbeing. 19,20 This study has important limitations. First, our comparison population was drawn from US national surveys that were intended to be representative of the adult general population, and thus incorporate purposeful oversampling and sample-weighting techniques to account for demographics and nonresponse characteristics.…”

Section: Discussionmentioning

confidence: 96%

“…For example, with intensive treatment, many parents take paid and unpaid leave from work, which reduces household income. [17][18][19][20] Families typically also experience increased out-ofpocket expenses. 21,22 Perhaps reflecting this, childhood cancer survivors as adults frequently experience various financial challenges, including incurring higher medical expenditures, obtaining lower paying employment, and experiencing greater productivity losses from missed work than their counterparts without a cancer history.…”

Section: Introductionmentioning

confidence: 99%

“…Childhood cancer diagnosis and treatment can also have substantial adverse economic and psychosocial consequences for households. For example, with intensive treatment, many parents take paid and unpaid leave from work, which reduces household income 17–20 . Families typically also experience increased out‐of‐pocket expenses 21,22 .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Financial hardship among siblings of long‐term survivors of childhood cancer: A Childhood Cancer Survivor Study report

Ohlsen,

Wang,

Buchbinder

et al. 2023

Cancer

View full text Add to dashboard Cite

BackgroundSiblings of children with cancer may experience adverse household economic consequences, but their financial outcomes in adulthood are unknown.MethodsA total of 880 siblings (aged 18–64 years) of adult‐aged childhood cancer survivors were surveyed to estimate the prevalence of financial hardship by three established domains (behavioral, material, and psychological). For individual financial hardship items matching the contemporaneous National Health Interview Survey or Behavioral Risk Factor Surveillance System, siblings were compared with the general population by calculating adjusted prevalence odds ratios (ORs) to sample‐weighted responses. Multivariable logistic regression models examined associations between sibling characteristics and each hardship domain and between sibling hardship and survivors’ cancer/treatment characteristics.ResultsBehavioral, material, and psychological hardship was reported by 24%, 35%, and 28%, respectively. Compared with national survey respondents, siblings were more likely to report worries about medical bills (OR, 1.14; 95% confidence interval [CI], 1.06–1.22), difficulty affording nutritious foods (OR, 1.79; 95% CI, 1.54–2.07), and forgoing needed medical care (OR, 1.38; 95% CI, 1.10–1.73), prescription medications (OR, 2.52; 95% CI, 1.99–3.20), and dental care (OR, 1.34; 95% CI, 1.15–1.57) because of cost. Sibling characteristics associated with reporting financial hardship in one or more domains included female sex, older age, chronic health conditions, lower income, not having health insurance, high out‐of‐pocket medical expenditures, and nonmedical/nonhome debt. No survivor cancer/treatment characteristics were associated with sibling financial hardship.ConclusionsAdult siblings of childhood cancer survivors were more likely to experience financial hardship compared with the general population. Childhood cancer may adversely affect entire households, with potentially lasting implications.

show abstract

“…These young adult caregivers must integrate their career with other care responsibilities and are at a much greater risk of financial toxicity than older adult caregivers. [17][18][19] In fact, a study by Engebretson et al 20 found that almost half of pancreatic cancer caregivers had to quit their job to care for their loved one. There were similar indications from the qualitative portion of Fong et al 8 such that caregivers struggled with understanding billing and preparing financially for the level of care required.…”

mentioning

confidence: 99%

Closing the Caregiving Gap: Considerations for Pancreatic and Periampullary Cancer Caregivers

Willis

Jacobs

2023

JCO Oncology Practice

View full text Add to dashboard Cite

show abstract

Cancer survivors’ financial hardship and their caregivers’ employment: results from a statewide survey

Cited by 11 publications

References 24 publications

Financial toxicity following surgical treatment for colorectal cancer: a cross-sectional study

Financial toxicity following surgical treatment for colorectal cancer: a cross-sectional study

Financial hardship among siblings of long‐term survivors of childhood cancer: A Childhood Cancer Survivor Study report

Closing the Caregiving Gap: Considerations for Pancreatic and Periampullary Cancer Caregivers

Contact Info

Product

Resources

About