Cancer diagnosis and treatment in working‐age adults: Implications for employment, health insurance coverage, and financial hardship in the United States

CA A Cancer Journal for Clinicians, Journal Year: 2024, Volume and Issue: 74(4), P. 341 - 358

Published: April 23, 2024

The rising costs of cancer care and subsequent medical financial hardship for survivors families are well documented in the United States. Less attention has been paid to employment disruptions loss household income after a diagnosis during treatment, potentially resulting lasting hardship, particularly working-age adults not yet age-eligible Medicare coverage their families. In this article, authors use composite patient case illustrate adverse consequences treatment employment, health insurance coverage, income, other aspects hardship. They summarize existing research provide nationally representative estimates multiple benefit design, employee benefits, such as sick leave, among with history compare them without from most recently available years National Health Interview Survey (2019-2021). Then, identify opportunities addressing challenges at levels, including federal, state, local policies; employers; delivery organizations; nonprofit organizations. These efforts, when informed by best practices, can help mitigate associated cancer.

Language: Английский

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Parental Cancer History and Its Association With Minor Children’s Unmet Food, Housing, and Transportation Economic Needs

JAMA Network Open, Journal Year: 2023, Volume and Issue: 6(6), P. e2319359 - e2319359

Published: June 22, 2023

Importance A cancer diagnosis is associated with substantial economic burden for patients and their families. Young adult survivors dependent children may be particularly vulnerable to financial hardship. Objective To examine associations of parental children’s unmet needs. Design, Setting, Participants This cross-sectional study used data from the nationally representative 2013 2018 US National Health Interview Survey. Children aged 5 17 years living in families without history were queried about recent 1-year experiences. Statistical analyses conducted January 2022 April 2023. Exposure Parental history. Main Outcomes Measures The main outcomes needs, including family-level food insecurity, parent’s worry paying monthly bills housing costs, delayed child medical care owing lack transportation. Multivariable logistic regressions adjusted (1) child’s characteristics (ie, age group, sex, race ethnicity), (2) health insurance coverage, comorbid conditions, obesity status), (3) family’s family structure [married or cohabiting parents vs single parent families], highest educational attainment family, income). Additional focused on a identify potentially modifiable Results In this 22 941 (812 children; weighted number, 860 488 children) (22 129 24 545 463 history, majority 11 (12 022 [52.4%]), male (11 920 [52.0%]), non-Hispanic White 863 [51.7%]). analyses, was more severe worrying running out (odds ratio [OR], 1.97; 95% CI, 1.56-2.49; P < .001), not lasting (OR, 2.01; 1.56-2.58; inability afford balanced meals 1.38; 1.06-1.79; = .02). Moreover, 1.41; 1.15-1.74; .001) housing-related costs 1.31; 1.07-1.60; .009) delays because transportation 2.31; 1.49-3.59; .001). Among female children, Black whose had multiple comorbidities, low-income especially Conclusions Relevance greater likelihood unaffordability other necessities, barriers minor children. Strategies such address needs are warranted.

Language: Английский

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Health‐related social needs, medical financial hardship, and mortality risk among cancer survivors

Cancer, Journal Year: 2024, Volume and Issue: 130(17), P. 2938 - 2947

Published: May 2, 2024

Abstract Background Cancer survivors may face challenges affording food, housing, and other living necessities, which are known as health‐related social needs (HRSNs). However, little is about the associations of HRSNs mortality risk among adult cancer survivors. Methods Adult were identified from 2013–2018 National Health Interview Survey (NHIS) linked with NHIS Mortality File vital status through December 31, 2019. HRSNs, measured by food insecurity, nonmedical financial worries (e.g., housing costs), was categorized severe, moderate, minor/none. Medical hardship, including material, psychological, behavioral domains, 2‐3, 1, or 0 domains. Using age time scale, medical hardship assessed weighted adjusted Cox proportional hazards models. Results Among 18–64 years old ( n = 5855), 25.5% 18.3% reported moderate severe levels respectively; 65–79 5918), 15.6% 6.6% respectively. old, associated increased (hazards ratio [HR], 2.00; 95% confidence interval [CI], 1.36–2.93, p < .001; reference minor/none) in analyses. 2‐3 domains (HR, 1.58; CI, 1.13–2.20, .007; domain). Conclusions HSRNs survivors; comprehensive assessment HRSN connecting patients relevant services can inform efforts to mitigate adverse consequences cancer.

Language: Английский

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Supportive and psychosocial peer-group interventions for children and adolescents of parents with cancer: A systematic review

Patient Education and Counseling, Journal Year: 2023, Volume and Issue: 114, P. 107844 - 107844

Published: June 8, 2023

Language: Английский

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Illness in the Family and Shared Stress, Work, and Struggle

JAMA Pediatrics, Journal Year: 2022, Volume and Issue: 176(6), P. 549 - 549

Published: April 11, 2022

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Language: Английский

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Reduced Psychosocial Well-Being among the Children of Women with Early-Onset Breast Cancer

Current Oncology, Journal Year: 2023, Volume and Issue: 30(12), P. 10057 - 10074

Published: Nov. 21, 2023

Background: Approximately 27% of female breast cancer patients are diagnosed before the age 55, a group often comprising mothers with young children. Maternal psychosocial well-being significantly impacts these children’s well-being. This study assesses children who have early-onset cancer. Methods: We examined eldest child (up to 15 years old) women nonmetastatic (<55 old, mean age: 40) enrolled in mother–child rehab program ‘get well together’. Using maternal reports on (the Strengths and Difficulties Questionnaire; SDQ), we describe prevalence abnormally high SDQ scores identify protective risk factors via linear regression. Results: The 496 (4–15 8) fell below thresholds, indicating deficits. However, most deviated negatively from general population, especially for emotional problems, one ten displaying five very Female sex, more siblings, positive family environment were Conclusions: Children may benefit improved support. Further research is needed appropriate interventions.

Language: Английский

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Adult-onset asthma morbidity and related economic costs in middle age due to intentional chronic absenteeism in high school: An epidemiologic study using the national longitudinal survey of youth 1979 data

PLoS ONE, Journal Year: 2024, Volume and Issue: 19(8), P. e0306451 - e0306451

Published: Aug. 2, 2024

Objective Many authors examined the individual and societal impact of school absenteeism. Nevertheless, no empirical study has looked at potential direct correlation between deliberate absences chronic illnesses in mid-adulthood. Our goal is to investigate any links purposeful adult-onset asthma middle age, as well measure associated costs asthma. Methods Data were sourced from National Longitudinal Survey Youth 1979, a nationally representative survey. The outcome was self-reported School records absenteeism grades nine through twelve key explanatory variables. Logistic regressions performed with controls for demographic, economic health Predicted probabilities used quantify age due intentional high Results More years higher risk age. Four during late 1970s early 1980s could potentially have incurred $817 million $1 billion related 2002, when these students their These are sizeable considering that this cohort only accounted six percent U.S. population. Conclusions Reducing lower incidence its future burden.

Language: Английский

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Children’s participation in the development, use and evaluation of support interventions for children of a parent diagnosed with cancer: a scoping review protocol

BMJ Open, Journal Year: 2024, Volume and Issue: 14(8), P. e084240 - e084240

Published: Aug. 1, 2024

At times of parental cancer, children's health and well-being are at risk, which is why interventions to support these children have been developed. When developing such interventions, engagement the population under study in research endorsed enhance relevance questions uptake dissemination findings. Since no previous review has mapped ways participate development, use evaluation focus upcoming scoping identify gaps literature for guidance future research.

Language: Английский

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The long economic shadow of a cancer diagnosis during adolescence or young adulthood

JNCI Journal of the National Cancer Institute, Journal Year: 2023, Volume and Issue: 115(11), P. 1237 - 1239

Published: July 17, 2023

Language: Английский

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Comunicação entre pais diagnosticados com câncer e seus filhos: estudo com triangulação de dados

Revista da Escola de Enfermagem da USP, Journal Year: 2023, Volume and Issue: 57

Published: Jan. 1, 2023

RESUMO Objetivo: Caracterizar as percepções e os sentimentos dos pais diagnosticados pelo câncer em relação à comunicação com seus filhos entre 3 12 anos. Método: Transversal, multicêntrico, triangulação de dados, por meio entrevistas estruturadas semiestruturadas, uma pergunta Escala Diferencial Semântico, realizadas o pai ou a mãe tratamento ambulatorial duas instituições hospitalares da cidade São Paulo, Brasil. Os dados foram analisados estatística descritiva, análise conteúdo, utilizando software ATLAS.ti 8.0R Teoria das Representações Sociais. Resultados: Participaram 43 respondentes, sendo 37 (86,0%) do sexo feminino, 23 (53,5%) idades 31 50 anos, 29 (67,5%) filho único 7 A experiência foi considerada dolorosa (73,1%), estressante (53,6%), clara (53,7%) segura (51,2%). vivenciados geraram categorias: Prova fogo; Grata recompensa. As reações filhos, na perspectiva pais, Tristeza sofrimento; Confiança apoio; Mudança comportamento; Negação insensibilidade. Conclusão: avaliada como negativa conflituosa, positiva acolhedora, causadora mudanças nos comportamentos filhos.

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