Financial toxicity in Indonesian cancer patients &amp; survivors: How it affects risk attitude

Besral²,

Haryani³

et al. 2021

CONJ

Gynecologic cancer survivors’ complex needs are too often overlooked. This study aimed to identify the associations between unmet needs and quality of life, and selected characteristics of Indonesian gynecologic cancer survivors. This study was a cross-sectional, correlation study. A total of 298 participants completed the Cancer Survivor Unmet Needs (CaSUN), EORTC QLQ-C30, and demographic and clinical-related questionnaires. A higher level of unmet needs was linked to lower perceived quality of life. Higher levels of unmet needs were associated with younger age, lower income, higher educational background, shorter time since diagnosis, more advanced cancer stage, and having combination therapies (p < 0.05). The most frequently reported unmet need of the Indonesian gynecologic cancer survivors was financial support (70.5%). The gynecologic cancer survivors who had completed primary treatment need continuous comprehensive cancer care to help them cope with the lingering or emerging problems related to cancer and its treatment.

Section: Discussionmentioning

confidence: 99%

The relationships of unmet needs with quality of life and characteristics of Indonesian gynecologic cancer survivors

Besral²,

Haryani³

et al. 2021

CONJ

“…10 Financial toxicity was also found to cause a higher risk-taking attitude in patients with cancer in Indonesia. 11 Previous studies have identified several factors to have a varying degree of influence in financial toxicity experienced by patients. Factors of the socio-demographic nature, such as level of income, education level, race, and employment, have positively affected financial toxicity in patients with cancer.…”

Section: Significance For Public Healthmentioning

confidence: 99%

The Socio-Demographic Factors Correlated with Financial Toxicity among Patients with Breast Cancer in Indonesia

Susilowati

Journal of Public Health Research

2021

Background: Breast cancer is one of the major cancer types found among Indonesian women. This cancer diagnosis and its treatment causes perpetual financial burden for the women and their family. This study aims to identify the correlation between socio-demographics with financial toxicity among women with breast cancer in Indonesia.Design and methods: This study design was cross-sectional with 109 respondents of Indonesian breast cancer survivors who were recruited using consecutive sampling. Quantitative data were collected with a demographic and a Comprehensive Score for Financial Toxicity (COST) questionnaires, then analyzed using Chi-Square test and linear regression method.Results: The majority of the women were 18 to 55-years-old (75.2%), married (91.7%), employed (80.7%), and having moderate income (58.7%). Logistic regression analysis indicates that survivor’s family as a primary wage earner (p=0.042), low-high income (p=0.043), and dependents number (p=0.012) are significantly associated with financial toxicity.Conclusions: The financial toxicity among women with breast cancer was mainly correlated with the number of survivor’s dependent and the household income. This study encourage related parties to establish socio-economic safety net for women with breast cancer, including their families.

“…Cancer treatment creates a harmful financial burden for cancer survivors in Indonesia as the national health coverage only pays the cancer treatment inside health-care facilities and no caregiving funds can be accessed by cancer survivors or their caregivers. [ 31 ] Developing a comprehensive cancer care program in Indonesia will require multidisciplinary approaches, including legal and funding bodies, to optimally provide for the survivors' health rights and the husbands' needs in caregiving for their wives.…”

Section: Discussionmentioning

confidence: 99%

Unmet Supportive Care Needs Survey among Male Partners of Gynecological Cancer Survivors in Indonesia

Asia-Pacific Journal of Oncology Nursing

Gayatri

Besral

et al. 2021

Objective: The number of gynecological cancer survivors is increasing in Indonesia, and these women often require physical and emotional support from their male partners as primary caregivers. However, the male caregiver's need for biological, psychological, and social support is often neglected. This study aims to assess the demographic and clinical determinants affecting the unmet supportive care needs of the gynecological cancer survivors' husbands in Indonesia. Methods: This cross-sectional survey involved 152 husbands of survivors who were recruited by a consecutive sampling method in two national referral hospitals. A self-administered Cancer Survivors' Partners Unmet Needs Questionnaire was used for data collection. Multiple linear regression was performed to analyze the data. Results: The majority of participants (97.4%) reported at least one unmet need. The primary unmet needs were legal services (71.1%), financial support (70.4%), cancer recurrence concerns (69.7%), and ongoing health support (66.4%). These needs were significantly associated with the wife's radio-chemotherapy and lower household income ( P < 0.01) and also related to the husband's education level, duration of caregiving, and wife's cancer stage. Conclusions: Husbands of gynecological cancer survivors in Indonesia reported a need for legal, financial, and health-care information and assistance. Multidisciplinary professionals should be involved in developing policy and interventions which facilitate the social-economic protection of survivors and their husbands, as well as comprehensive care needs to enhance the women's survival rate.