Cumulative financial stress and strain in palliative radiation outpatients: The role of age and disability

Francoeur, Richard B.

doi:10.1080/02841860510029761

Cited by 28 publications

(45 citation statements)

References 24 publications

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“…Pre‐diagnosis. Prediagnosis financial situation may be an important determinant of post‐diagnosis financial hardship; participants were considered to have “pre‐diagnosis financial stress” if they responded “Very difficult/Difficult/Somewhat difficult” to a question on ability to make ends meet pre‐diagnosis.…”

Section: Methodsmentioning

confidence: 99%

Cancer‐related financial hardship among head and neck cancer survivors: Risk factors and associations with health‐related quality of life

O’Sullivan

Sharp

2019

Psycho-Oncology

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Objective Cancer survivors are susceptible to financial hardship. In head and neck cancer (HNC) survivors, we investigated (a) predictors for cancer‐related financial hardship and (b) associations between financial hardship and health‐related quality of life (HRQoL). Methods We conducted a cross‐sectional study in HNC survivors identified from the National Cancer Registry Ireland. HRQoL was based on the Functional Assessment for Cancer Therapy General (FACT‐G) plus Head and Neck Module (FACT‐HN). Objective cancer‐related financial hardship (financial stress) was assessed as household ability to make ends meet due to cancer and subjective financial hardship (financial strain) as feelings about household financial situation due to cancer. Modified Poisson regression was used to identify predictors for financial hardship. Bootstrap linear regression was used to estimate associations between hardship and FACT domain scores. Results Pre‐diagnosis retirement (relative risk [RR] 0.50, 95% confidence interval [CI] 0.37‐0.67), pre‐diagnosis financial stress (RR 1.85, 95% CI 1.58‐2.15), and treatment were significantly associated with objective financial hardship. Predictors of subjective financial hardship were similar: aged greater than or equal to 65 years, pre‐diagnosis financial stress, and treatment. Participants with objective financial hardship reported significantly lower physical (coefficient −3.45, 95% CI −4.39 to −2.44), emotional (−2.01, 95% CI −2.83 to −1.24), functional (−2.56, 95% CI −3.77 to −1.33) and HN‐specific HRQoL (−3.55, 95% CI −5.04 to −2.23). Physical, emotional, and functional HN‐specific HRQoL were also significantly lower in participants with subjective financial hardship. Conclusion Cancer‐related financial hardship is common and associated with worse HRQoL among HNC survivors. This supports the need for services and supports to address financial concerns among HNC survivors.

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Section: Methodsmentioning

confidence: 99%

Cancer‐related financial hardship among head and neck cancer survivors: Risk factors and associations with health‐related quality of life

O’Sullivan

Sharp

2019

Psycho-Oncology

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“…We followed previous research to assess cancer‐related financial objective stress and subjective strain. Objective stress was assessed by asking respondents “has your cancer diagnosis made your household's ability to make ends meet?” and providing 7 potential responses ranging from “much more difficult” to “much less difficult.” Subjective strain was assessed by asking “since your cancer diagnosis, how have you felt about your household's financial situation?” and providing 7 potential responses ranging from “much more concerned” to “much less concerned.” Both sets of responses were transformed for analysis into dichotomous variables.…”

Section: Methodsmentioning

confidence: 99%

“…The distinction is important. Objective stress related to cancer can hinder health care access and the quality and intensity of care, while subjective strain is more associated with emotional strain and the engagement of patients with existing medical care supports . Consequently, both measures should be considered in providing a broader perspective of the financial burden of cancer …”

Section: Introductionmentioning

confidence: 99%

Financial hardship associated with colorectal cancer survivorship: The role of asset depletion and debt accumulation

et al. 2018

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Cancer-related financial objective stress and subjective strain are common in colorectal cancer survivors, even where all citizens are entitled to publicly funded care, but the financial coping strategies significantly associated with these 2 measures differed. These findings will help inform targeted measures across disparate health care systems and survivor groups to alleviate financial hardship.

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“…Financial burden was measured by including questions on household financial situation derived from previous work [16], [21]. Participants were asked about their household's ability to make ends meet immediately prior to their cancer diagnosis; henceforth financial stress at diagnosis (response options: 6-point Likert scale ranging from "very difficult" to "very easy").…”

Section: Methodsmentioning

confidence: 99%

Associations between neighbourhood support and financial burden with unmet needs of head and neck cancer survivors

et al. 2017

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General rightsThis document is made available in accordance with publisher policies. Please cite only the published version using the reference above. Full terms of use are available: http://www.bristol.ac.uk/pure/about/ebr-terms Associations between neighbourhood support and financial burden with unmet needs in survivors of head and neck cancer. Abstract: PurposeTo assess the unmet needs of head and neck cancer survivors and investigate associated factors. In particular, to explore whether social support (family/friends and neighbours) and financial burden are associated with unmet needs of head and neck cancer (HNC) survivors. MethodsThis was a cross-sectional study of HNC survivors, with 583 respondents included in the analysis. Information was collected on unmet supportive care needs as measured by the Supportive Care Needs Survey (SCNS-SF34).Poisson regression with robust standard errors was used to examine factors associated with having one or more needs in each of the five domains (physical; psychological; sexuality; patient care and support; and health system and information). ResultsThe mean age of respondents was 62.9 years (standard deviation 11.3 years) and one third of respondents were female. The top ten unmet needs was composed exclusively of items from the physical and psychological domains. Financial strain due to cancer and finding it difficult to obtain practical help from a neighbour were both associated with unmet needs in each of the five domains, in the adjusted analyses. ConclusionWhilst in each domain, a minority of respondents have unmet needs, approximately half of respondents reported at least one unmet need, with the commonest unmet needs in the psychological domain. Providing services to people with these needs should be a priority for healthcare providers. We suggest that studies, which identify risk factors for unmet needs, could be used to develop screening tools or aid in the targeting of support.

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Cumulative financial stress and strain in palliative radiation outpatients: The role of age and disability

Cited by 28 publications

References 24 publications

Cancer‐related financial hardship among head and neck cancer survivors: Risk factors and associations with health‐related quality of life

Cancer‐related financial hardship among head and neck cancer survivors: Risk factors and associations with health‐related quality of life

Financial hardship associated with colorectal cancer survivorship: The role of asset depletion and debt accumulation

Associations between neighbourhood support and financial burden with unmet needs of head and neck cancer survivors

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