The financial coping strategies of US cancer patients and survivors Journal Article
| Authors: | Doherty, M.; Gardner, D.; Finik, J. |
| Article Title: | The financial coping strategies of US cancer patients and survivors |
| Abstract: | Purpose: Coping behaviors may play a mediating role in producing the negative health outcomes observed in financially burdened cancer patients and survivors. Methods: Exploratory factor and latent class analysis of survey data. Results: A total of 510 people completed the survey, ages ranged from 25 to over 75 [over half greater than 55 years old (57.8%)]. Most respondents identified as female (64.7%), white (70.8%), or African American (18.6%). A four-factor model of financial coping was revealed: care-altering, lifestyle-altering, self-advocacy, and financial help-seeking. Respondents grouped into three financial coping classes: low burden/low coping (n = 212), high self-advocacy (n = 143), and high burden/high coping (n = 155). African American respondents were at far greater odds than white respondents of being in the high burden/high coping class (OR = 5.82, 95% CI 3.01–6.64) or the self-advocacy class (OR = 1.99, 95% CI 1.19–2.80) than the low burden/low coping class. Compared to respondents aged 65 years and older, those 35–44 were more likely in the high burden/high coping class (OR = 12.27, 95% CI 7.03–19.87) and the high self-advocacy class (OR = 7.08, 95% CI 5.89–8.28) than the low burden/low coping class. Conclusion: One-third of respondents were in the high burden/high coping class. Age and race/ethnicity were significantly associated with class membership. Some coping strategies may compromise health and well-being. Program and policy interventions that reduce the odds that patients will use strategies that undermine treatment outcomes and increase patient use of protective strategies are needed. © 2021, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. |
| Keywords: | cancer survival; controlled study; aged; major clinical study; cancer patient; quality of life; survivor; coping behavior; ethnicity; african american; health disparity; wellbeing; race; lifestyle; supportive care; health disparities; cancer; human; female; article; latent class analysis; financial hardship; financial stress; financial coping |
| Journal Title: | Supportive Care in Cancer |
| Volume: | 29 |
| Issue: | 10 |
| ISSN: | 0941-4355 |
| Publisher: | Springer Verlag |
| Date Published: | 2021-10-01 |
| Start Page: | 5753 |
| End Page: | 5762 |
| Language: | English |
| DOI: | 10.1007/s00520-021-06113-z |
| PUBMED: | 33738592 |
| PROVIDER: | scopus |
| PMCID: | PMC10135417 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 1 October 2021 -- Source: Scopus |
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