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Medical Financial Hardship in Survivors of Adolescent and Young Adult Cancer in the United States.
- Source :
- JNCI: Journal of the National Cancer Institute; Aug2021, Vol. 113 Issue 8, p997-1004, 8p
- Publication Year :
- 2021
-
Abstract
- <bold>Background: </bold>Cancer and its treatment can result in lifelong medical financial hardship, which we aimed to describe among adult survivors of adolescent and young adult (AYA) cancers in the United States.<bold>Methods: </bold>We identified adult (aged ≥18 years) survivors of AYA cancers (diagnosed ages 15-39 years) and adults without a cancer history from the 2010-2018 National Health Interview Surveys. Proportions of respondents reporting measures in different hardship domains (material [eg, problems paying bills], psychological [eg, distress], and behavioral [eg, forgoing care due to cost]) were compared between groups using multivariable logistic regression models and hardship intensity (cooccurrence of hardship domains) using ordinal logistic regression. Cost-related changes in prescription medication use were assessed separately.<bold>Results: </bold>A total of 2588 AYA cancer survivors (median = 31 [interquartile range = 26-35] years at diagnosis; 75.0% more than 6 years and 50.0% more than 16 years since diagnosis) and 256 964 adults without a cancer history were identified. Survivors were more likely to report at least 1 hardship measure in material (36.7% vs 27.7%, P < .001) and behavioral (28.4% vs 21.2%, P < .001) domains, hardship in all 3 domains (13.1% vs 8.7%, P < .001), and at least 1 cost-related prescription medication nonadherence (13.7% vs 10.3%, P = .001) behavior.<bold>Conclusions: </bold>Adult survivors of AYA cancers are more likely to experience medical financial hardship across multiple domains compared with adults without a cancer history. Health-care providers must recognize this inequity and its impact on survivors' health, and multifaceted interventions are necessary to address underlying causes. [ABSTRACT FROM AUTHOR]
- Subjects :
- FINANCIAL stress
YOUNG adults
CANCER patients
ADULTS
CANCER survivors
Subjects
Details
- Language :
- English
- ISSN :
- 00278874
- Volume :
- 113
- Issue :
- 8
- Database :
- Complementary Index
- Journal :
- JNCI: Journal of the National Cancer Institute
- Publication Type :
- Academic Journal
- Accession number :
- 151759480
- Full Text :
- https://doi.org/10.1093/jnci/djab013