Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Wake Forest Baptist Comprehensive Cancer Center, Winston-Salem, North Carolina.
Pediatr Blood Cancer. 2019 Jul;66(7):e27660. doi: 10.1002/pbc.27660. Epub 2019 Feb 12.
The financial impact of cancer treatment among adolescents and young adults (AYAs, 15-39 years) is deep and long lasting. Compared with other age groups, because of their life stage, AYAs are particularly vulnerable to the adverse economic effects of cancer treatment, also known as financial toxicity. Clinical manifestations of cancer-related financial toxicity include interrupted work and income loss, accumulated debt, treatment nonadherence, avoidance of medical care, and social isolation. Effective clinical interventions should include efforts to increase financial self-efficacy as well as direct support. Measures that are valid, reliable, multidimensional, and age-appropriate are needed to study and address financial toxicity in the AYA population.
癌症治疗对青少年和年轻成人(AYAs,15-39 岁)的经济影响是深远且持久的。与其他年龄组相比,由于他们所处的生命阶段,AYAs 特别容易受到癌症治疗的不良经济影响,也称为财务毒性。癌症相关财务毒性的临床表现包括工作中断和收入损失、累积债务、治疗不依从、回避医疗保健和社会隔离。有效的临床干预措施应包括努力提高财务自我效能感以及直接支持。需要采用有效、可靠、多维和适合年龄的措施来研究和解决 AYA 人群中的财务毒性问题。