ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2021
The association of health insurance literacy and numeracy with financial toxicity and hardships among colorectal cancer survivors.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
What it found
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- Prevalence and determinants of financial toxicity in patients with colorectal cancer: a systematic review and meta-analysis.International journal for equity in health · 2026Pooled it
- Subjective and objective financial toxicity among colorectal cancer patients: a systematic review.BMC cancer · 2024Pooled it
- Health Insurance Navigation Tools Intervention: A Pilot Trial Within the Childhood Cancer Survivor Study.JCO oncology practice · 2024Trial
- Health Insurance Literacy Improvements Among Recently Diagnosed Adolescents and Young Adults With Cancer: Results From a Pilot Randomized Controlled Trial.JCO oncology practice · 2024Trial
- Financial hardship among patients with lung cancer and their family caregivers: A comparative study of two institution-based samples from Hong Kong and Mainland China.Asia-Pacific journal of oncology nursing · 2026Article
- Latent profiles of health insurance literacy, numeracy and supplementary voluntary health insurance enrollment.Health economics review · 2026Article
- "Nothing Is as Great a Learning Experience as Getting a $15,000 Bill": A Mixed-Methods Study of Young Adult Cancer Survivors' Experience With Insurance Coverage.JCO oncology practice · 2026Article
- The development and preliminary evaluation of a financial navigation program among patients with breast cancer in China.Asia-Pacific journal of oncology nursing · 2025Article
- Assessing the effect of virtual navigation interventions to improve health insurance literacy and decrease financial burden in cancer survivors: The HINT II study protocol.Contemporary clinical trials · 2025Article
- The Shadow Price of Uncertainty: Consequences of Unpredictable Insurance Coverage for Access, Care, and Financial Security.The Milbank quarterly · 2025Article
- Social Needs in Cancer Survivors: A Scoping Review and Future Directions.Current oncology reports · 2025Article
- Assessment of the financial toxicity in patients with differentiated thyroid cancer: a cross-sectional study in western China.Frontiers in public health · 2025Article
- Mediating and moderating factors between stigma and adaptability to return to work for cancer survivors.Scientific reports · 2024Article
- National survey of patient perspectives on cost discussions among recipients of copay assistance.The oncologist · 2024Article
- Effect of supplementary private health insurance on out-of-pocket inpatient medical expenditure: evidence from Malaysia.Health policy and planning · 2024Article
- Identifying the factors affecting financial toxicity status in patients with middle and advanced colorectal cancer: a cross-sectional study.Frontiers in public health · 2024Article
- Relationships Among Health Insurance Literacy, Financial Toxicity, and Sociodemographic Factors in Patients With Cancer.JCO oncology practice · 2023Article
- "It's just not easy to understand": A mixed methods study of health insurance literacy and insurance plan decision-making in cancer survivors.Cancer medicine · 2023Article
- Financial toxicity among head and neck cancer patients and their caregivers: A cross-sectional pilot study.Laryngoscope investigative otolaryngology · 2023Article
- Health insurance literacy among head and neck cancer patients and their caregivers: A cross-sectional pilot study.Laryngoscope investigative otolaryngology · 2022Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
purposeIn this study, we examined the association of financial hardship measured by material financial burden and financial toxicity with health insurance literacy and numeracy among colorectal cancer survivors. The lack of evidence on the impact of cost-related health literacy, specifically health insurance literacy and numeracy, on financial toxicity among cancer survivors warrants further research.
methodsBetween January and November 2019, we used a cross-sectional research design to collect surveys from 104 colorectal cancer survivors (diagnosed within last 5 years) from the Kentucky Cancer Registry. Survey items assessed health insurance literacy (measured by confidence and behaviors in choosing and using health insurance), numeracy, material financial burden, and financial toxicity, in addition to socio-demographic variables. Survey data were subsequently linked to the participant's cancer registry record. Data were analyzed using descriptive, bivariate, and multiple linear regression analyses.
resultsThe mean financial toxicity score was 24.5, with scores ranging from 3 to 43 (higher scores indicating greater financial toxicity). Eighty percent of participants indicated they had experienced one or more material burdens related to their cancer. The majority had adequate health insurance (79%); however, the majority also had low numeracy (84%). After controlling for socio-demographic covariates, significant predictors of greater financial toxicity were high material burden scores, low health insurance literacy, and low numeracy.
conclusionsFindings indicate the need to develop programs and interventions aimed at improving health insurance literacy and numeracy as a strategy for reducing financial toxicity and hardships among colorectal cancer survivors.
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