Edward J. Bloustein School of Planning and Public Policy, Rutgers University, 33 Livingston Avenue, New Brunswick, NJ, 08901, USA.
Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA.
Support Care Cancer. 2023 Oct 2;31(10):605. doi: 10.1007/s00520-023-08070-1.
To examine the associations of functional limitations with medical and credit card debt among cancer survivor families and explore sex differences in these associations.
This cross-sectional study used data from the 2019 wave of the Panel Study of Income Dynamics, a nationally representative, population-based survey of individuals and households in the US administered in both English and Spanish and includes all households where either the head of household or spouse/partner reported having been diagnosed with cancer. Participants reported on functional limitations in six instrumental activities of daily living (IADL) and seven activities of daily living (ADL). Functional impairment was categorized as 0, 1-2 and ≥ 3 limitations. Medical debt was defined as self-reported unpaid medical bills. Credit card debt was defined as revolving credit card debt. Multivariable logistic regression analyses were performed.
Credit card debt was more common than medical debt (39.8% vs. 7.6% of cancer survivor families). Families of male cancer survivors were 7.3 percentage points more likely to have medical debt and 16.0 percentage points less likely to have credit card debt compared to families of female cancer survivors. Whereas male cancer survivors with increasing levels of impairment were 24.7 percentage point (p-value = 0.006) more likely to have medical debt, female survivors with more functional impairment were 13.6 percentage points (p-value = 0.010) more likely to have credit card debt.
More research on medical and credit card debt burden among cancer survivors with functional limitations is needed.
探讨癌症幸存者家庭中功能障碍与医疗和信用卡债务之间的关联，并探讨这些关联在性别上的差异。
本横断面研究使用了来自 2019 年美国收入动态面板研究（Panel Study of Income Dynamics）的资料，这是一项针对美国个人和家庭的全国代表性、基于人口的调查，以英语和西班牙语进行管理，包括报告家中有户主或配偶/伴侣被诊断患有癌症的所有家庭。参与者报告了六项日常生活活动中的功能障碍（IADL）和七项日常生活活动（ADL）。功能障碍分为 0、1-2 和≥3 项障碍。医疗债务定义为未偿还的医疗账单。信用卡债务定义为循环信用卡债务。进行了多变量逻辑回归分析。
信用卡债务比医疗债务更为常见（39.8% vs. 7.6%的癌症幸存者家庭）。与女性癌症幸存者的家庭相比，男性癌症幸存者的家庭更有可能有医疗债务，其可能性高出 7.3 个百分点，而更有可能有信用卡债务，其可能性低 16.0 个百分点。随着功能障碍程度的增加，男性癌症幸存者更有可能有医疗债务，其可能性增加了 24.7 个百分点（p 值=0.006），而功能障碍程度较高的女性幸存者更有可能有信用卡债务，其可能性增加了 13.6 个百分点（p 值=0.010）。
需要进一步研究有功能障碍的癌症幸存者的医疗和信用卡债务负担。
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