Rural-urban differences in financial burden among cancer survivors: an analysis of a nationally representative survey.
Purpose: Rural cancer survivors may disproportionately experience financial problems due to their cancer because of greater travel costs, higher uninsured/underinsured rates, and other factors compared to their urban counterparts. Our objective was to examine rural-urban differences in reported fina...
| Publicado en: | Supportive Care in Cancer Vol. 27; no. 12; pp. 4779 - 4787 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Dec2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=139458660&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 139458660 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09414355 O1J jtl: Supportive Care in Cancer issn: 09414355 maglogo: N pubinfo: dt: Dec2019 vid: 27 iid: 12 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 139458660 139458660 144113743 NLM30972645 139458660 10.1007/s00520-019-04742-z NLM30972645 139458660 ppf: 4779 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Rural-urban differences in financial burden among cancer survivors: an analysis of a nationally representative survey. aug: au: Zahnd, Whitney E. Davis, Melinda M. Rotter, Jason S. Vanderpool, Robin C. Perry, Cynthia K. Shannon, Jackilen Ko, Linda K. Wheeler, Stephanie B. Odahowski, Cassie L. Farris, Paige E. Eberth, Jan M. affil: Rural and Minority Health Research Center, Arnold School of Public Health, University of South Carolina, 220 Stoneridge Suite 204, 29210, Columbia, SC, USA sug: subj: Neoplasms Economics Urban Population Adolescence Aged United States Female Adult Young Adult Male Logistic Regression Self Report Middle Age Rural Population Neoplasms Epidemiology Neoplasms Therapy Funding Source Adolescent: 13-18 years Aged: 65+ years Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Purpose: Rural cancer survivors may disproportionately experience financial problems due to their cancer because of greater travel costs, higher uninsured/underinsured rates, and other factors compared to their urban counterparts. Our objective was to examine rural-urban differences in reported financial problems due to cancer using a nationally representative survey.Methods: We used data from three iterations of the National Cancer Institute's Health Information and National Trends Survey (2012, 2014, and 2017) to identify participants who had a previous or current cancer diagnosis. Our outcome of interest was self-reported financial problems associated with cancer diagnosis and treatment. Rural-urban status was defined using 2003 Rural-Urban Continuum Codes. We calculated weighted percentages and Wald chi-square statistics to assess rural-urban differences in demographic and cancer characteristics. In multivariable logistic regression models, we examined the association between rural-urban status and other factors and financial problems, reporting the corresponding adjusted predicted probabilities.Findings: Our sample included 1359 cancer survivors. Rural cancer survivors were more likely to be married, retired, and live in the Midwest or South. Over half (50.5%) of rural cancer survivors reported financial problems due to cancer compared to 38.8% of urban survivors (p = 0.02). This difference was attenuated in multivariable models, 49.3 and 38.7% in rural and urban survivors, respectively (p = 0.06).Conclusions: A higher proportion of rural survivors reported financial problems associated with their cancer diagnosis and treatment compared to urban survivors. Future research should aim to elucidate these disparities and interventions should be tested to address the cancer-related financial problems experienced by rural survivors. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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