1. Financial toxicity impact on younger versus older adults with cancer in the setting of care delivery
- Author
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Corrigan, Kelsey L, Fu, Shuangshuang, Chen, Ying‐Shiuan, Kaiser, Kelsey, Roth, Michael, Peterson, Susan K, Shih, Ya‐Chen T, Jagsi, Reshma, Giordano, Sharon H, Volk, Robert J, Yabroff, K Robin, Banegas, Mathew P, Acquati, Chiara, Conti, Rena M, Y., Hilary, Ku, Kimberly, You, Y Nancy, and Smith, Grace L
- Subjects
Aging ,Cancer ,Clinical Research ,Good Health and Well Being ,Adaptation ,Psychological ,Adolescent ,Adult ,Aged ,Cost of Illness ,Financial Stress ,Health Expenditures ,Humans ,Middle Aged ,Neoplasms ,Surveys and Questionnaires ,Young Adult ,cancer survivors ,financial toxicity ,health care disparities ,neoplasms ,young adult ,Oncology and Carcinogenesis ,Public Health and Health Services ,Oncology & Carcinogenesis - Abstract
BackgroundYoung adults and other working-age adults with cancer are at risk for cancer-related financial toxicity (FT), including material hardships, depletion of coping resources, and psychological burden. This study compares FT domains in young adults (18-39 years old) (YAs), other working-age adults (40-64 years old), and older adults (≥65 years old) receiving cancer care.MethodsA total of 311 adults were surveyed using the multi-domain Economic Strain and Resilience in Cancer instrument measuring FT (0-10 score indicating least to greatest FT; score ≥5 severe FT). Participants were receiving ambulatory care from March-September 2019. Associations of age with overall FT and material hardship, coping resource depletion, and psychological burden FT domains were tested using Kruskal-Wallis and χ2 tests and multivariable generalized linear models with gamma distribution.ResultsYAs (median age, 31.5 years) comprised 9.6% of the sample; other working-age adults comprised 56.9%. Overall, material, coping, and psychological FT scores were worse in younger age adults versus older adults (P
- Published
- 2022