Prevalence, trends, and demographic characteristics associated with self-reported financial stress among head and neck cancer patients in the United States of America.
Clinical Decision-Making
Cross-Sectional Studies
Female
Financial Stress
/ economics
Head and Neck Neoplasms
/ economics
Health Expenditures
Humans
Male
Middle Aged
Patient Compliance
Prevalence
Retrospective Studies
Self Report
Social Class
Stress, Psychological
/ economics
United States
/ epidemiology
Financial toxicity
Head and neck cancer
Health disparities
National Health Interview Survey
Public health
Journal
American journal of otolaryngology
ISSN: 1532-818X
Titre abrégé: Am J Otolaryngol
Pays: United States
ID NLM: 8000029
Informations de publication
Date de publication:
Historique:
received:
09
06
2021
accepted:
19
06
2021
pubmed:
3
7
2021
medline:
12
1
2022
entrez:
2
7
2021
Statut:
ppublish
Résumé
Understanding the economic burden imposed by head and neck cancer diagnoses essential to contextualize healthcare decision-making for these patients. A retrospective, cross-sectional analysis of the US National Health Interview Survey was performed between 2013 and 2018. Demographic and socioeconomic characteristics of adult head and neck cancer patients were analyzed in relation to survey responses related to financial stress factors. Among 710 head and neck cancer patients, 21.39% (95% Cl, 17.69%-25.09%) reported difficulty paying medical bills within the previous 12 months. Multivariable logistic regression revealed insurance status [aOR 2.17 (95% CI, 1.15-4.07), p < 0.001] and poverty status [aOR 2.55 (95% CI, 1.48-4.37), p = 0.017] to be significantly associated with difficulty paying medical bills. A large proportion of HNC patients may experience financial stress related not only to out-of-pocket health care costs, but also exogenous financial challenges. These findings suggest that a significant proportion of HNC patients may experience financial stress related not only to out-of-pocket health care costs, but also exogenous financial challenges. Such barriers may impede patients' ability to access and adhere to treatment or force detrimental tradeoffs between health care and other essential needs.
Sections du résumé
BACKGROUND
BACKGROUND
Understanding the economic burden imposed by head and neck cancer diagnoses essential to contextualize healthcare decision-making for these patients.
METHODS
METHODS
A retrospective, cross-sectional analysis of the US National Health Interview Survey was performed between 2013 and 2018. Demographic and socioeconomic characteristics of adult head and neck cancer patients were analyzed in relation to survey responses related to financial stress factors.
RESULTS
RESULTS
Among 710 head and neck cancer patients, 21.39% (95% Cl, 17.69%-25.09%) reported difficulty paying medical bills within the previous 12 months. Multivariable logistic regression revealed insurance status [aOR 2.17 (95% CI, 1.15-4.07), p < 0.001] and poverty status [aOR 2.55 (95% CI, 1.48-4.37), p = 0.017] to be significantly associated with difficulty paying medical bills.
CONCLUSION
CONCLUSIONS
A large proportion of HNC patients may experience financial stress related not only to out-of-pocket health care costs, but also exogenous financial challenges. These findings suggest that a significant proportion of HNC patients may experience financial stress related not only to out-of-pocket health care costs, but also exogenous financial challenges. Such barriers may impede patients' ability to access and adhere to treatment or force detrimental tradeoffs between health care and other essential needs.
Identifiants
pubmed: 34214715
pii: S0196-0709(21)00255-6
doi: 10.1016/j.amjoto.2021.103154
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
103154Informations de copyright
Copyright © 2021 Elsevier Inc. All rights reserved.