|Title||Financial status, employment, and insurance among older cancer survivors.|
|Publication Type||Journal Article|
|Year of Publication||2009|
|Authors||Norredam, M, Meara, E, Landrum, MBeth, Huskamp, HA, Keating, NL|
|Journal||Journal of General Internal Medicine|
|Volume||24 Suppl 2|
|Keywords||Aged, Aged, 80 and over, Cohort Studies, Data collection, Employment, Female, Financing, Personal, Humans, Income, Insurance Coverage, Insurance, Health, Longitudinal Studies, Male, Middle Aged, Neoplasms, Socioeconomic factors, Survivors|
BACKGROUND: Few data are available about the socioeconomic impact of cancer for long-term cancer survivors.
OBJECTIVES: To investigate socioeconomic outcomes among older cancer survivors compared to non-cancer patients.
DATA SOURCE: 2002 Health and Retirement Study.
STUDY DESIGN: We studied 964 cancer survivors of > 4 years and 14,333 control patients who had never had cancer from a population-based sample of Americans ages >or= 55 years responding to the 2002 Health and Retirement Study.
MEASURES: We compared household income, housing assets, net worth, insurance, employment, and future work expectations.
ANALYSES: Propensity score methods were used to control for baseline differences between cancer survivors and controls.
RESULTS: Female cancer survivors did not differ from non-cancer patients in terms of income, housing assets, net worth, or likelihood of current employment (all P > 0.20); but more were self-employed (25.0% vs. 17.7%; P = 0.03), and fewer were confident that if they lost their job they would find an equally good job in the next few months (38.4% vs. 45.9%; P = 0.03). Among men, cancer survivors and noncancer patients had similar income and housing assets (both P >or= 0.10) but differed somewhat in net worth (P = 0.04). Male cancer survivors were less likely than other men to be currently employed (25.2% vs. 29.7%) and more likely to be retired (66.9% vs. 62.2%), although the P value did not reach statistical significance (P = 0.06). Men were also less optimistic about finding an equally good job in the next few months if they lost their current job (33.5% vs. 46.9%), although this result was not significant (P = 0.11).
CONCLUSIONS: Despite generally similar socioeconomic outcomes for cancer survivors and noncancer patients ages >or=55 years, a better understanding of employment experience and pessimism regarding work prospects may help to shape policies to benefit cancer survivors.
|Endnote Keywords|| |
CANCER/financial resources/insurance/socioeconomic status
|Endnote ID|| |
|PubMed Central ID||PMC2763157|