Gupta Sugandha K, Mazza Mary Carol, Hoyt Michael A, Revenson Tracey A
The Graduate Center, City University of New York, New York, NY, USA.
Hunter College, City University of New York, New York, NY, USA.
J Psychosoc Oncol. 2020 Jul-Aug;38(4):435-448. doi: 10.1080/07347332.2019.1707928. Epub 2020 Jan 25.
The experience of cancer-related financial stress was examined within the developmental context of emerging adulthood. This study is a secondary analysis of data drawn from two samples of testicular or hematologic cancer survivors. In-depth interviews from 52 emerging adult (EA) cancer survivors, ages 18-29, were coded by combining thematic analysis with an abductive approach. Emergent themes included some common to most age groups, including worries about medical costs and availability of health insurance, as well as specific age-related concerns, such as fertility preservation. Financial stress appeared to interrupt developmental tasks of emerging adulthood, including completing an education, establishing independence, and managing relationships. Surprisingly, financial stress was experienced as a benefit for some participants. Financial stress affects EA cancer survivors in unique ways. To provide support, health professionals should consider survivors' developmental life stage to understand their financial stress, and ultimately, to improve quality of life.
在成年初期的发展背景下，对与癌症相关的经济压力经历进行了研究。本研究是对来自睾丸癌或血癌幸存者两个样本的数据进行的二次分析。对52名年龄在18至29岁之间的成年初期（EA）癌症幸存者进行了深入访谈，采用主题分析与归纳法相结合的方式进行编码。浮现出的主题包括大多数年龄组共有的一些主题，如对医疗费用和医疗保险可及性的担忧，以及与年龄相关的特定担忧，如生育力保存。经济压力似乎干扰了成年初期的发展任务，包括完成学业、实现独立和管理人际关系。令人惊讶的是，一些参与者将经济压力视为一种益处。经济压力以独特的方式影响着成年初期癌症幸存者。为了提供支持，健康专业人员应考虑幸存者的发展生活阶段，以了解他们的经济压力，并最终改善生活质量。
