Insurance Coverage, Employment Status, and Financial Well-Being of Young Women Diagnosed with Breast Cancer

@article{Tangka2020InsuranceCE,
  title={Insurance Coverage, Employment Status, and Financial Well-Being of Young Women Diagnosed with Breast Cancer},
  author={Florence K L Tangka and Sujha Subramanian and Madeleine Jones and Patrick Edwards and Tim Flanigan and Yevgeniya Kaganova and Kevin W. Smith and Cheryll C. Thomas and Nikki A. Hawkins and Juan L. Rodriguez and Temeika L. Fairley and Gery P. Guy},
  journal={Cancer Epidemiology, Biomarkers \& Prevention},
  year={2020},
  volume={29},
  pages={616 - 624}
}
Background: The economic cost of breast cancer is a major personal and public health problem in the United States. This study aims to evaluate the insurance, employment, and financial experiences of young female breast cancer survivors and to assess factors associated with financial decline. Methods: We recruited 830 women under 40 years of age diagnosed with breast cancer between January 2013 and December 2014. The study population was identified through California, Florida, Georgia, and North… 

Figures and Tables from this paper

Are there employment and income gains of a national breast cancer screening program?

TLDR
The findings of this study suggest that the Dutch national breast cancer screening program yields no discernible short or medium-term employment and income gains for women diagnosed with breast cancer.

Financial hardship among cancer survivors in Southern New Jersey

TLDR
It is suggested that education, income, race, and gender also shape cancer survivors’ experience of financial hardship and there is a need to refine and extend financial navigation programs.

Health and life insurance-related problems in very long-term cancer survivors in Germany: a population-based study

TLDR
Most cancer survivors did not change their HI nor tried to buy LI after cancer diagnosis, and problems with changing statutory HI were generally resolved with additional contribution while the main problem encountered when buying LI was rejection of request.

A sequential explanatory study of the employment experiences of population-based breast, colorectal, and prostate cancer survivors.

TLDR
Employment changes among a diverse group of cancer survivors were characterized and work accommodations were identified as a specific unmet need, particularly among low-income cancer survivors.

Understanding the Relationship between Breast Reconstruction Subtype and Risk of Financial Toxicity: A Single-Institution Pilot Study

TLDR
Breast reconstruction subtype does not differentially impact the risk of financial toxicity, whereas receipt of radiation therapy was positively associated with financial toxicity.

Social risk factors among individuals with a history of cancer during the COVID-19 pandemic

TLDR
While cancer survivors overall did not report greater financial strain or food insecurity than individuals without a history of cancer, subsets of cancer survivors are experiencing greater social risks during the pandemic and should be priority for screening for social risk factors.

Breast Cancer Disparities Related to Young Age at Diagnosis

TLDR
There is still need for further research, including around interventions, to address clinical and social concerns specific to young patients, as well as to provide insight on the optimal treatment for young patients.

Economic Perspective of Cancer Care and Its Consequences for Vulnerable Groups

TLDR
Overall, besides direct costs such as for treatment, many facets of indirect costs including survivorship costs for the cancer patients and their social environment need to be considered regarding the impact on vulnerability, treatment compliance and abundance.

An equity‐based narrative review of barriers to timely postoperative radiation therapy for patients with head and neck squamous cell carcinoma

TLDR
Delays in PORT may be reduced by interventions that identify patients who are most likely to experience delayed PORT, support patients according to their specific needs and barriers to care, and streamline care and referral processes.

References

SHOWING 1-10 OF 67 REFERENCES

Long-term financial burden of breast cancer: experiences of a diverse cohort of survivors identified through population-based registries.

TLDR
Racial and ethnic minority patients appear most vulnerable to privations and financial decline attributable to breast cancer, even after adjustment for income, education, and employment.

Cancer survivors’ experiences with insurance, finances, and employment: results from a multisite study

TLDR
This study findings emphasize a need to identify ways of supporting survivors and provide tailored resources to reduce the untoward financial and work-related implications of cancer.

Health Insurance Status and Clinical Cancer Screenings Among U.S. Adults.

Consumer credit as a novel marker for economic burden and health after cancer in a diverse population of breast cancer survivors in the USA

TLDR
This exploratory analysis establishes the premise for consumer credit as a marker of economic burden and health for breast cancer survivors and suggests it may be a potential intervention point for mitigating economic burden after breast cancer.

Health Insurance and Other Factors Associated With Mammography Surveillance Among Breast Cancer Survivors: Results From a National Survey

TLDR
One in 4 breast cancer survivors did not report guideline-concordant mammography surveillance, and women with only public insurance were less likely than those with Medicare+private coverage to report a mammogram.

Economic burden of cancer survivorship among adults in the United States.

  • G. GuyD. Ekwueme Katherine S. Virgo
  • Medicine, Political Science
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology
  • 2013
TLDR
The economic impact of cancer survivorship is considerable and is also high years after a cancer diagnosis, particularly among those recently diagnosed.

“It still affects our economic situation”: long-term economic burden of breast cancer and lymphedema

TLDR
Interviews suggested that the cascading nature of economic burden on long-term savings and work opportunities, and insufficiency of insurance to cover lymphedema-related needs drove cost differences, which reinforce the need for actions at policy, provider, and individual patient levels, to reduce lyMPhedema costs.

Healthcare Expenditure Burden Among Non-elderly Cancer Survivors, 2008–2012

The impact of sociodemographic, treatment, and work support on missed work after breast cancer diagnosis

TLDR
Many women stop working altogether after a diagnosis of breast cancer, particularly if they are racial/ethnic minorities, receive chemotherapy, or those who are employed in an unsupportive work settings.
...