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

Psycho-oncology
Paul HanlyLinda Sharp

Abstract

To estimate the prevalence of financial objective stress and subjective strain among colorectal cancer survivors and assess associated financial coping factors in Ireland, which has a mixed public-private health care system. Colorectal cancer survivors were identified from the National Cancer Registry, and a sample of 496 respondents were included in the analysis. A postal survey collected information on survivor demographics, socio-economic background, medical characteristics, cancer-related financial hardship, debt accumulation, and asset depletion. Cancer-related financial objective stress and subjective strain were used as dependent variables in logistic regression analysis. Approximately 2 in 5 survivors experienced objective stress (40.9%) or subjective strain (39.4%). Depletion of savings (49.1%) was the most prevalent form of financial coping strategy. Factors significantly associated with increased objective stress were having a stoma (OR = 2.1; 95% CI, 1.1-3.9), using savings (OR = 9.4; 95% CI, 4.9-18.0), formally borrowing money (OR = 3.1; 95% CI, 1.0-9.6), and loans from family members/friends (OR = 3.8; 95% CI, 1.9-7.8). Not working (excluding retirees) (OR = 0.44; 95% CI, 0.20-0.96) was associated with decreased o...Continue Reading

References

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Citations

May 3, 2019·Journal of General Internal Medicine·K Robin YabroffZhiyuan Zheng
Jul 13, 2020·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Christopher J LongoLinda Sharp
Sep 26, 2020·Future Oncology·Salene Mw JonesVeena Shankaran
Jul 17, 2021·Seminars in Oncology Nursing·Margaret I Fitch, Christopher J Longo
Oct 31, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Sara L LueckmannMatthias Richter

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