Supplemental security income and social security disability insurance coverage among long-term childhood cancer survivors

Journal of the National Cancer Institute
Anne C KirchhoffElyse R Park

Abstract

Supplemental security income (SSI) and social security disability insurance (DI) are federal programs that provide disability benefits. We report on SSI/DI enrollment in a random sample of adult, long-term survivors of childhood cancer (n = 698) vs a comparison group without cancer (n = 210) from the Childhood Cancer Survivor Study who completed a health insurance survey. A total of 13.5% and 10.0% of survivors had ever been enrolled on SSI or DI, respectively, compared with 2.6% and 5.4% of the comparison group. Cranial radiation doses of 25 Gy or more were associated with a higher risk of current SSI (relative risk [RR] = 3.93, 95% confidence interval [CI] = 2.05 to 7.56) and DI (RR = 3.65, 95% CI = 1.65 to 8.06) enrollment. Survivors with severe/life-threatening conditions were more often enrolled on SSI (RR = 3.77, 95% CI = 2.04 to 6.96) and DI (RR = 2.73, 95% CI = 1.45 to 5.14) compared with those with mild/moderate or no health conditions. Further research is needed on disability-related financial challenges after childhood cancer.

References

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Citations

Apr 27, 2016·Current Hematologic Malignancy Reports·Anna BarataHeather S L Jim
Jun 7, 2018·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Tara M BrinkmanJames L Klosky
Jun 7, 2018·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Paul C NathanK Robin Yabroff
Aug 12, 2018·International Journal of Cancer. Journal International Du Cancer·Line Elmerdahl FrederiksenFriederike Erdmann
Dec 13, 2017·Deutsches Ärzteblatt International·Luzius MaderKatharina Roser
Mar 22, 2020·Seminars in Oncology·Eric J ChowPaul C Nathan
May 27, 2021·BMC Health Services Research·Manya Jerina HendriksGisela Michel
Sep 26, 2021·Journal of Perinatology : Official Journal of the California Perinatal Association·Ashwini LakshmananCynthia L Gong

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