ArticleBreast cancer research and treatment2020
Racial differences in employment and cost-management behaviors in patients with metastatic breast cancer.
Article in Breast cancer research and treatment, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prognostic factors for return to work in breast cancer survivors.The Cochrane database of systematic reviews · 2025Pooled it
- Patient Out-of-Pocket Costs and Healthcare Utilization Related to Mastectomy vs Breast Conservation: A Claims-Based Study.Journal of surgical oncology · 2026Article
- Health financial resilience in individuals and households: a scoping review of components, strategies and outcomes.BMC public health · 2025Article
- Job Loss and Well-Being Among Chinese American Breast Cancer Survivors: The Mediating Role of Income and Perceived Stress.International journal of behavioral medicine · 2025Article
- Financial hardship screening among Native American patients with cancer: a qualitative analysis.BMC health services research · 2024Article
- Characterizing "collateral damage" in men and women with metastatic breast cancer (mBC) from diverse racial and ethnic backgrounds in New York City.Breast cancer research and treatment · 2024Article
- Racial and Ethnic Variations in Pre-Diagnosis Comorbidity Burden and Health-Related Quality of Life Among Older Women with Breast Cancer.Journal of racial and ethnic health disparities · 2024Article
- Knowledge, Attitudes, and Resources of Frontline Oncology Support Personnel Regarding Financial Burden in Patients With Cancer.JCO oncology practice · 2023Article
- Breast cancer treatment receipt and the role of financial stress, health literacy, and numeracy among diverse breast cancer survivors.Breast cancer research and treatment · 2023Article
- Multidimensional financial hardship among uninsured and insured young adult patients with metastatic breast cancer.Cancer medicine · 2023Article
- Planning for return to work during the first year after breast cancer metastasis: A Swedish cohort study.Cancer medicine · 2023Article
- Characterizing Cancer and Work Disparities Using Electronic Health Records.International journal of environmental research and public health · 2022Article
- Financial toxicity in female patients with breast cancer: a national cross-sectional study in China.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Use of sickness benefits by patients with metastatic breast cancer-A Swedish cohort study.European journal of cancer care · 2022Article
- Unmet needs and problems related to employment and working as reported by survivors with metastatic breast cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Challenges in Predicting Future Costs for Metastatic Breast Cancer.JNCI cancer spectrum · 2021Article
- Breast Cancer-Related Employment Disruption and Financial Hardship in the Sister Study.JNCI cancer spectrum · 2021Article
- Current Practices for Screening and Addressing Financial Hardship within the NCI Community Oncology Research Program.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2021Article
- Racial and Ethnic Differences in the Financial Consequences of Cancer-Related Employment Disruption.Frontiers in oncology · 2021Article
- Article
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Authors and funding
7 authors.
Funding
Abstract
purposeLittle is known about racial variations in the financial impact of cancer care. Using data from a national survey of racially diverse patients with metastatic breast cancer, we examined racial/ethnic patterns in employment and cost-management (i.e., financial coping) behaviors.
methodsWe conducted an online survey of patients with metastatic breast cancer. Participants reported on socio-demographic characteristics, employment, and financial coping behaviors. We employed adjusted modified Poisson regressions to evaluate racial/ethnic differences in changes in work for pay and financial coping.
resultsOur analysis included 1052 respondents from 41 states, including Non-Hispanic Blacks (NHB, 9%), Hispanics (7%), Asians/Pacific Islanders/Native Hawaiians (API/NH, 10%), American Indians/Alaskan Natives (AI/AN, 8%), and Non-Hispanic Whites (NHW, 66%). In adjusted analyses comparing NHWs with patients of color, patients of color were more likely to take unpaid leave (NHB Adjusted Risk Ratio [ARR] = 2.27; 95% CI 1.54, 3.34), take paid leave (Hispanic ARR = 2.27; 95% CI 1.54, 1.29), stop work (AI/AN ARR = 1.22; 95% CI 1.05, 1.41), and reduce work hours (AI/AN ARR = 1.33; 95% CI 1.14, 1.57). Patients of color were more likely than NHWs to stop treatment (NHB ARR = 1.22; 95% CI 1.08, 1.39), borrow money from friends/family (Hispanic ARR = 1.75; 95% CI 1.25, 2.44), skip other medical bills (API/NH ARR = 2.02; 95% CI 1.54, 2.63), and skip non-medical bills (AI/AN ARR = 1.67 95% CI 1.06, 2.63). Non-Hispanic Whites more commonly reported using savings or skipping a vacation to help manage costs.
conclusionsRacial/ethnic differences exist in employment changes and financial coping among metastatic breast cancer patients, with patients of color experiencing worse consequences. Equity must be a guiding principle in strategies addressing financial burden during cancer care.
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