Details:

Alternative Title:
Am J Prev Med
Personal Author:
Guy, Gery P. ; Yabroff, K. Robin ; Ekwueme, Donatus U. ; Virgo, Katherine S. ; Han, Xuesong ; ... More +
Guy, Gery P. ; Yabroff, K. Robin ; Ekwueme, Donatus U. ; Virgo, Katherine S. ; Han, Xuesong ; Banegas, Matthew P. ; Soni, Anita ; Zheng, Zhiyuan ; Chawla, Neetu ; Geiger, Ann M. Less -
Description:
Introduction:

There is increasing concern regarding the financial burden of cancer on patients and their families. This study presents nationally representative estimates of annual out-of-pocket (OOP) burden among non-elderly cancer survivors and assesses the association between high OOP burden and access to care and preventive service utilization.

Methods:

Using the 2008–2012 Medical Expenditure Panel Survey, 4,271 cancer survivors and 96,780 individuals without a history of cancer were identified, all aged 18–64 years. High annual OOP burden was defined as spending > 20% of annual family income on OOP healthcare costs. Associations between high OOP burden and access to care were evaluated with multivariable logistic regression. Analyses were conducted in 2015.

Results:

Compared with individuals without a cancer history, cancer survivors were more likely to report a high OOP burden (4.3% vs 3.4%, p=0.009) in adjusted analyses. High OOP burden was more common among cancer survivors who were poor (18.4%), with either public insurance (7.9%) or uninsured (5.7%), and not working (10.2%). Among cancer survivors, high OOP burden was associated with being unable to obtain necessary medical care (19.2% vs 12.5%, p=0.002), delaying necessary medical care (21.6% vs 13.8%, p=0.002), and lower breast cancer screening rates among age-appropriate women (63.2% vs 75.9%, p=0.02).

Conclusions:

High OOP burden is more common among adults with a cancer history than those without a cancer history. High OOP burden was associated with being unable to obtain necessary medical care, delaying necessary medical care, and lower breast cancer screening rates among women.


Subject:
[+]
Adolescent
Adult
Article
Cost Of Illness
Delivery Of Health Care
Female
Health Care Surveys
Health Expenditures
Humans
Insurance, Health
Male
Medically Uninsured
Middle Aged
Neoplasms
Survivors
Young Adult

Source:
Am J Prev Med. 49(6 Suppl 5):S489-S497.
Pubmed ID:
26590644
Pubmed Central ID:
PMC6051701
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States ; U54 CA153499/CA/NCI NIH HHS/United States
CC999999/Intramural CDC HHS/United States ; U54 CA153499/CA/NCI NIH HHS/United States Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:07b00073473c1b98d4213e8ed416c8d339e9a7774881d1430a800cfb8470b36b
File Type:

Supporting Files

• nihms-980394.nxml

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