Details:

Alternative Title:
Support Care Cancer
Personal Author:
Zahnd, Whitney E. ; Davis, Melinda M. ; Rotter, Jason S. ; Vanderpool, Robin C. ; Perry, Cynthia K. ; ... More +
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. Less -
Description:
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.


Subjects:
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Adolescent Adult Aged Cancer Survivors Female Humans Logistic Models Male Middle Aged Neoplasms Rural Population Self Report Urban Population Young Adult
Source:
Support Care Cancer. 27(12):4779-4786
Pubmed ID:
30972645
Pubmed Central ID:
PMC6786922
Document Type:
Journal Article
Funding:
U48 DP005006/DP/NCCDPHP CDC HHS/United States ; U48 DP005017/DP/NCCDPHP CDC HHS/United States ; U48 DP005013/DP/NCCDPHP CDC HHS/United States ; U48 DP005000/DP/NCCDPHP CDC HHS/United States ; N/A/CC/CDC HHS/United States ; ... More +
U48 DP005006/DP/NCCDPHP CDC HHS/United States ; U48 DP005017/DP/NCCDPHP CDC HHS/United States ; U48 DP005013/DP/NCCDPHP CDC HHS/United States ; U48 DP005000/DP/NCCDPHP CDC HHS/United States ; N/A/CC/CDC HHS/United States ; U48 DP001932/DP/NCCDPHP CDC HHS/United States ; K07 CA211971/CA/NCI NIH HHS/United States ; U48 DP005014/DP/NCCDPHP CDC HHS/United States ; N/A/CA/NCI NIH HHS/United States ; UL1 TR002319/TR/NCATS NIH HHS/United States Less -
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:07ae4302066145224b9f3dbe3b8302c802d1b3018647617bfdc75372ec4f89a0
Download URL:
https://stacks.cdc.gov/view/cdc/83028/cdc_83028_DS1.pdf
File Type:

Supporting Files

• 	nihms-1048123-f0001.gif	gif
  	nihms-1048123-f0001.jpg	jpeg
  	nihms-1048123.nxml	xml
  	NIHMS1048123-supplement-Supplemental_Tables_1_and_2.pdf	pdf

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