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Material financial hardship and insurance-related experiences among Utah's rural and urban cancer survivors.
Kaddas, Heydon K; Millar, Morgan M; Herget, Kimberly A; Carter, Marjorie E; Ofori-Atta, Blessing S; Edwards, Sandra L; Codden, Rachel R; Sweeney, Carol; Kirchhoff, Anne C.
Afiliación
  • Kaddas HK; Cancer Control and Population Sciences, Huntsman Cancer Institute, 2000 Circle of Hope, Salt Lake City, Utah, 84112, USA. Heydon.kaddas@hci.utah.edu.
  • Millar MM; Cancer Control and Population Sciences, Huntsman Cancer Institute, 2000 Circle of Hope, Salt Lake City, Utah, 84112, USA.
  • Herget KA; Department of Internal Medicine, University of Utah, Salt Lake City, Utah, USA.
  • Carter ME; Utah Cancer Registry, University of Utah, Salt Lake City, Utah, USA.
  • Ofori-Atta BS; Utah Cancer Registry, University of Utah, Salt Lake City, Utah, USA.
  • Edwards SL; Utah Cancer Registry, University of Utah, Salt Lake City, Utah, USA.
  • Codden RR; Department of Internal Medicine, University of Utah, Salt Lake City, Utah, USA.
  • Sweeney C; Department of Pediatrics, University of Utah, Salt Lake City, Utah, USA.
  • Kirchhoff AC; Department of Internal Medicine, University of Utah, Salt Lake City, Utah, USA.
J Cancer Surviv ; 2024 Feb 10.
Article en En | MEDLINE | ID: mdl-38340250
ABSTRACT

PURPOSE:

Describe material financial hardship (e.g., using savings, credit card debt), insurance, and access to care experienced by Utah cancer survivors; investigate urban-rural differences in financial hardship.

METHODS:

Cancer survivors were surveyed from 2018 to 2021 about their experiences with financial hardship, access to healthcare, and job lock (insurance preventing employment changes). Weighed percentage responses, univariable and multivariable logistic regression models for these outcomes compared differences in survivors living in rural and urban areas based on Rural-Urban Commuting Area Codes.

RESULTS:

The N = 1793 participants were predominantly Non-Hispanic White, female, and 65 or older at time of survey. More urban than rural survivors had a college degree (39.8% vs. 31.0%, p = 0.04). Overall, 35% of survivors experienced ≥ 1 financial hardship. In adjusted analyses, no differences were observed between urban and rural survivors for material financial hardship, the overall amount of hardship reported, insurance status at survey, access to healthcare, or job lock. Hispanic rural survivors were less likely to report financial hardship than Hispanic urban survivors (odds ratio (OR) = 0.24, 95%CI = 0.08-0.73)). Rural survivors who received chemo/immune therapy as their only treatment were more likely to report at least one instance of financial hardship than urban survivors (OR = 2.72, 95%CI = 1.08-6.86).

CONCLUSIONS:

The relationship between rurality and financial hardship among survivors may be most burdensome for patients whose treatments require travel or specialty medication access. IMPLICATIONS FOR CANCER SURVIVORS The impact of living rurally on financial difficulties after cancer diagnoses is complex. Features of rurality that may alter financial difficulty after a cancer diagnosis may vary geographically and instead of considering rurality as a stand-alone factor, these features should be investigated independently.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Health_economic_evaluation / Prognostic_studies Idioma: En Revista: J Cancer Surviv Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Health_economic_evaluation / Prognostic_studies Idioma: En Revista: J Cancer Surviv Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos