COVID-19-Related Employment Disruptions and Increased Financial Burden Among Survivors of Adolescent and Young Adult Cancer.
J Adolesc Young Adult Oncol
; 12(5): 744-751, 2023 10.
Article
em En
| MEDLINE
| ID: mdl-36951664
ABSTRACT
Background:
Financial burden is a major concern for survivors of adolescent and young adult (AYA) cancers. We identified if employment disruptions during the COVID-19 pandemic affected AYA survivors' financial burden.Methods:
AYAs who were enrolled in a cancer patient navigation program were e-mailed a survey in fall 2020. Survey items included sociodemographics, employment disruption, and two measures of financial burden COmprehensive Score for Financial Toxicity (COST) and material and behavioral financial hardship items (for any reason, COVID-19 induced, cancer induced). Financial burden outcomes were dichotomized at the median (COST = 21; financial hardship = 3). The association of employment disruptions and sociodemographics with financial burden was assessed using multivariable logistic regression models.Results:
Reduced hours/job loss was reported by 24.0% of 341 participants. Survivors with a high school education or less (odds ratio [OR] 2.70; 95% confidence interval [CI] 1.21-6.03) or who had decreased hours or job loss (OR 3.97; 95% CI 2.01-7.84) had greater odds for high financial toxicity. Reduced hours/job loss was the only factor associated with high material and behavioral financial hardship for both any reason (OR 2.75; 95% CI 1.41-5.33) and owing to COVID-19 (OR 4.98; 95% CI 2.28-10.92). Cancer treatment since March 2020 was associated with cancer-induced high material and behavioral financial hardship (OR 3.31; 95% CI 1.96-5.58).Conclusion:
Employment disruptions owing to the COVID-19 pandemic, lower education levels, and cancer treatment were associated with high financial burden among AYA cancer survivors. Our findings suggest the need for multilevel interventions to identify and address financial burden among vulnerable cancer survivors.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
COVID-19
/
Neoplasias
Tipo de estudo:
Health_economic_evaluation
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Prognostic_studies
Limite:
Adolescent
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Adult
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Humans
Idioma:
En
Revista:
J Adolesc Young Adult Oncol
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Estados Unidos