Files and links (1)
Accepted (AM)Open Access (License Unspecified), Open
Journal article
Rural-urban differences in financial burden among cancer survivors: an analysis of a nationally representative survey
Supportive care in cancer, v 27(12), pp 4779-4786
01 Dec 2019
PMID: 30972645
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Rural cancer survivors may disproportionately experience financial problems due to their cancer because of greater travel costs, higher uninsured/underinsured rates, and other factors compared to their urban counterparts. Our objective was to examine rural-urban differences in reported financial problems due to cancer using a nationally representative survey.
We used data from three iterations of the National Cancer Institute's Health Information and National Trends Survey (2012, 2014, and 2017) to identify participants who had a previous or current cancer diagnosis. Our outcome of interest was self-reported financial problems associated with cancer diagnosis and treatment. Rural-urban status was defined using 2003 Rural-Urban Continuum Codes. We calculated weighted percentages and Wald chi-square statistics to assess rural-urban differences in demographic and cancer characteristics. In multivariable logistic regression models, we examined the association between rural-urban status and other factors and financial problems, reporting the corresponding adjusted predicted probabilities.
Our sample included 1359 cancer survivors. Rural cancer survivors were more likely to be married, retired, and live in the Midwest or South. Over half (50.5%) of rural cancer survivors reported financial problems due to cancer compared to 38.8% of urban survivors (p = 0.02). This difference was attenuated in multivariable models, 49.3 and 38.7% in rural and urban survivors, respectively (p = 0.06).
A higher proportion of rural survivors reported financial problems associated with their cancer diagnosis and treatment compared to urban survivors. Future research should aim to elucidate these disparities and interventions should be tested to address the cancer-related financial problems experienced by rural survivors.
Metrics
Details
- Title
- Rural-urban differences in financial burden among cancer survivors: an analysis of a nationally representative survey
- Creators
- Whitney E Zahnd - University of South CarolinaMelinda M Davis - Oregon Health & Science UniversityJason S Rotter - University of North Carolina at Chapel HillRobin C Vanderpool - University of KentuckyCynthia K Perry - Oregon Health & Science UniversityJackilen Shannon - Oregon Health & Science UniversityLinda K Ko - University of WashingtonStephanie B Wheeler - University of North Carolina at Chapel HillCassie L Odahowski - University of South CarolinaPaige E Farris - Oregon Health & Science UniversityJan M Eberth - University of South Carolina
- Publication Details
- Supportive care in cancer, v 27(12), pp 4779-4786
- Publisher
- Springer Nature
- Grant note
- N/A / CDC HHS U48 DP005014 / NCCDPHP CDC HHS U48 DP005017 / NCCDPHP CDC HHS U48 DP001932 / NCCDPHP CDC HHS U48 DP005013 / NCCDPHP CDC HHS U48 DP005000 / NCCDPHP CDC HHS K07 CA211971 / NCI NIH HHS N/A / NCI NIH HHS UL1 TR002319 / NCATS NIH HHS U48 DP005006 / NCCDPHP CDC HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000493657200041
- Scopus ID
- 2-s2.0-85071878954
- Other Identifier
- 991021855277804721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Oncology
- Rehabilitation