Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, 615 N Wolfe St, E6650, Baltimore, MD, 21205, USA.
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
J Cancer Surviv. 2018 Jun;12(3):306-315. doi: 10.1007/s11764-017-0669-1. Epub 2018 Jan 25.
Consumer credit may reflect financial hardship that patients face due to cancer treatment, which in turn may impact ability to manage health after cancer; however, credit's relationship to economic burden and health after cancer has not been evaluated.
From May to September 2015, 123 women with a history of breast cancer residing in Pennsylvania or New Jersey completed a cross-sectional survey of demographics, socioeconomic position, comorbidities, SF-12 self-rated health, economic burden since cancer diagnosis, psychosocial stress, and self-reported (poor to excellent) credit quality. Ordinal logistic regression evaluated credit's contribution to economic burden and self-rated health.
Mean respondent age was 64 years. Mean year from diagnosis was 11.5. Forty percent of respondents were Black or Other and 60% were White. Twenty-four percent self-reported poor credit, and 76% reported good to excellent credit quality. In adjusted models, changing income, using savings, borrowing money, and being unable to purchase a health need since cancer were associated with poorer credit. Better credit was associated with 7.72 ([1.22, 14.20], p = 0.02) higher physical health t-score, and a - 2.00 ([- 3.92, - 0.09], p = 0.04) point change in psychosocial stress.
This exploratory analysis establishes the premise for consumer credit as a marker of economic burden and health for breast cancer survivors. Future work should validate these findings in larger samples and for other health conditions.
Stabilizing and monitoring consumer credit may be a potential intervention point for mitigating economic burden after breast cancer.
消费者信贷可能反映了患者因癌症治疗而面临的经济困难，而这反过来又可能影响他们在癌症后的健康管理能力；然而，信贷与癌症后经济负担和健康的关系尚未得到评估。
2015 年 5 月至 9 月，宾夕法尼亚州或新泽西州的 123 名有乳腺癌病史的女性完成了一项横断面调查，内容包括人口统计学、社会经济地位、合并症、SF-12 自我报告健康状况、癌症诊断后的经济负担、心理社会压力以及自我报告（差到极好）的信用质量。有序逻辑回归评估了信用对经济负担和自我报告健康状况的贡献。
受访者的平均年龄为 64 岁。平均诊断后时间为 11.5 年。40%的受访者为黑人或其他种族，60%为白人。24%的人自我报告信用差，76%的人报告信用质量良好到极好。在调整后的模型中，收入变化、使用储蓄、借款以及因癌症而无法购买健康需求与较差的信用有关。较好的信用与生理健康 t 评分高 7.72（1.22，14.20）有关（p=0.02），与心理社会压力降低 2.00（-3.92，-0.09）有关（p=0.04）。
这项探索性分析为消费者信贷作为乳腺癌幸存者经济负担和健康的标志物奠定了基础。未来的工作应该在更大的样本中并针对其他健康状况验证这些发现。
稳定和监测消费者信贷可能是减轻乳腺癌后经济负担的潜在干预点。
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