Department of Population Health Sciences, Augusta University, 1120 15th Street, Augusta, GA 30912, United States; Institute of Public and Preventive Health, Augusta University, Augusta, GA, United States.
Department of Population Health Sciences, Augusta University, 1120 15th Street, Augusta, GA 30912, United States; Institute of Public and Preventive Health, Augusta University, Augusta, GA, United States.
J Cancer Policy. 2022 Mar;31:100320. doi: 10.1016/j.jcpo.2021.100320. Epub 2021 Dec 31.
Cancer patients and cancer survivors may struggle to pay for housing or fall behind on their monthly bills to pay for out-of-pocket medical costs. Housing insecurity increases the likelihood of poorer health and decreased access to health care. The financial burden of medical care as a cause of poorer health outcomes is worsened by the inability to afford housing.
We examined housing insecurity among cancer survivors, using data from the 2017 Behavioral Risk Factor Surveillance System (BRFSS). We compared intensity of housing insecurity across various socioeconomic status indicators and estimated the adjusted odds for housing insecurity for these characteristics.
We found that about 16.6 % of the cancer survivors had moderate to increased level of housing insecurity. The intensity of housing insecurity among cancer survivors was significantly associated with being Black, and having lower household income and lower educational attainment.
In order to ensure the quality and appropriateness of cancer survivorship care, effective interventions are needed to address housing insecurity in these populations. Policy Summary. A sizeable percentage of cancer survivors have housing insecurity which is likely to complicate their ability to self-manage their disease and navigate the health care system for optimal care.
癌症患者和癌症幸存者可能难以支付住房费用，或拖欠每月用于支付自付医疗费用的账单。住房无保障增加了健康状况恶化和获得医疗保健机会减少的可能性。由于无力支付住房费用，医疗保健费用的经济负担加重了健康结果恶化的可能性。
我们使用 2017 年行为风险因素监测系统（BRFSS）的数据，研究了癌症幸存者的住房无保障问题。我们比较了各种社会经济地位指标下住房无保障的强度，并对这些特征的住房无保障调整后的可能性进行了估计。
我们发现，约 16.6%的癌症幸存者存在中度至重度住房无保障。癌症幸存者的住房无保障强度与他们是黑人，家庭收入较低和教育程度较低显著相关。
为了确保癌症生存者护理的质量和适宜性，需要采取有效的干预措施来解决这些人群的住房无保障问题。政策摘要。相当大比例的癌症幸存者住房无保障，这可能会使他们更难以自我管理疾病，并在医疗保健系统中获得最佳护理。
