Public Health Sciences Division, Fred Hutchinson Cancer Center, 1100 Fairview Ave N, Seattle, WA, 98109, USA.
School of Public Health, University of Washington, Seattle, WA, USA.
J Cancer Surviv. 2023 Dec;17(6):1824-1833. doi: 10.1007/s11764-022-01319-4. Epub 2023 Jan 3.
Financial worry is an under-appreciated negative effect of cancer. The relationship of financial worry and health behaviors in cancer is poorly characterized and has important clinical implications. This study examined the association of financial worry with substance misuse, mood, and quality of life.
People with cancer (n = 1473; 6 to 20 months after diagnosis) were recruited from a SEER cancer registry in the Pacific Northwest. Participants completed an online survey assessing financial worry; misuse of cannabis, alcohol, and prescription drugs; tobacco smoking status; quality of life (physical and mental dimensions); anxiety; and depression. Multivariable regressions tested the association of financial worry to each health indicator and outcome.
In adjusted analyses, financial worry was associated with being a current vs. never smoker (odds ratio (OR) = 1.91, 95% confidence interval (CI): 1.01, 3.60), and a positive screen for an anxiety (OR = 3.01, 95% CI: 1.93, 4.68) and depressive (OR = 3.08, 95% CI: 1.89, 5.00) disorder. Financial worry was not associated with cannabis, alcohol, or prescription drug misuse (all ps > 0.05), but was associated with a decrease in physical (β = - 2.97, 95% CI: - 4.15, - 1.79) and mental (β = - 5.27, 95% CI: - 6.59, - 3.96) quality of life.
Financial worry among cancer survivors is associated with anxiety, depression, and worse quality of life. Of the evaluated substances, there was only an increased odds of current tobacco use with financial worry. Future longitudinal studies should inform the relationships between these factors.
Financial worry and material hardship may both need to be addressed in cancer survivorship.
财务担忧是癌症被低估的负面影响之一。财务担忧与癌症患者健康行为之间的关系尚未得到充分描述，具有重要的临床意义。本研究旨在探讨财务担忧与物质滥用、情绪和生活质量之间的关系。
从太平洋西北地区的 SEER 癌症登记处招募了 1473 名癌症患者（诊断后 6 至 20 个月）。参与者完成了一项在线调查，评估了财务担忧、大麻、酒精和处方药物滥用、吸烟状况、生活质量（身体和心理维度）、焦虑和抑郁。多变量回归分析检验了财务担忧与每个健康指标和结果之间的关系。
在调整后的分析中，财务担忧与当前吸烟者与从不吸烟者相比（比值比（OR）=1.91，95%置信区间（CI）：1.01，3.60），以及焦虑（OR=3.01，95%CI：1.93，4.68）和抑郁（OR=3.08，95%CI：1.89，5.00）障碍阳性筛查呈正相关。财务担忧与大麻、酒精或处方药物滥用无关（均 p>0.05），但与身体（β= -2.97，95%CI：-4.15，-1.79）和心理（β= -5.27，95%CI：-6.59，-3.96）生活质量下降相关。
癌症幸存者的财务担忧与焦虑、抑郁和较差的生活质量相关。在评估的物质中，只有财务担忧与当前吸烟的几率增加有关。未来的纵向研究应阐明这些因素之间的关系。
财务担忧和经济困难可能都需要在癌症生存中得到解决。
