ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2021
Financial worry and psychological distress among cancer survivors in the United States, 2013-2018.
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. It is linked to trial NCT05527392 (Assessing the Effect of Virtual Navigation Interventions to Improve Health Insurance Literacy and Decrease Financial Burden), which is not on this map. Cited by 31 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Assessing the Effect of Virtual Navigation Interventions to Improve Health Insurance Literacy and Decrease Financial Burden: A Childhood Cancer Survivor Study Randomized Trial (HINTII)
Who cites it
31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.
- Digital Health Interventions to Improve Mental Health in Patients With Cancer: Umbrella Review.Journal of medical Internet research · 2025Pooled it
- Health-related quality of life in breast cancer patients in Asia: A meta-analysis and systematic review.Frontiers in oncology · 2022Pooled it
- A Health Systems Analysis of Global Head and Neck Cancer Outcomes.The Laryngoscope · 2026Article
- A One Health Perspective on Cancer: A Narrative Review.Medical sciences (Basel, Switzerland) · 2026Review
- Holding it together: a longitudinal study of psychological distress and associated factors in mothers with cancer.BMC psychology · 2026Observational
- Functional disability and multidimensional hardship among cancer survivors in the USA: a nationally representative study.Journal of cancer survivorship : research and practice · 2026Article
- Integrating Cancer Education Into High School Curricula.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026Review
- The impact of fear of cancer recurrence on anxiety and depression in women with cancer: The chain mediating roles of financial toxicity and psychological distress - A multicenter investigative study.Asia-Pacific journal of oncology nursing · 2025Article
- Relationships between financial distress and anxiety and depression in cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Navigating the Hardship Together: Factors Associated With Couple Relationship Functioning in Parents With Cancer Who Have Dependent Children.Psycho-oncology · 2025Article
- Multidisciplinary Team Intervention: Catalysts for Changing Prognosis in Advanced Breast Cancer.Journal of breast cancer · 2025Article
- Associations of Financial Toxicity with Employment Concerns and Cancer-Related Distress: A Cross-Sectional Survey among Korean Working-Age Cancer Survivors.Cancer research and treatment · 2025Article
- National cancer system metrics and leukemia outcomes: an analysis of global data for pediatric and adult patients.Leukemia · 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
- Understanding the family financial toxicity of cancer through the lens of US patients of South Asian descent.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Mediating and moderating factors between stigma and adaptability to return to work for cancer survivors.Scientific reports · 2024Article
- Evaluating the impact of financial worry on mental health: a cross-sectional study among Kenyan radiographers.BMC public health · 2024Article
- Medical financial hardship in the Southern United States: the struggle continues across generations pre- and post- the Affordable Care Act.Research in health services & regions · 2024Article
- Association of financial worry with substance use, mental health, and quality of life in cancer patients.Journal of cancer survivorship : research and practice · 2023Article
- Leveraging national and global political determinants of health to promote equity in cancer care.Journal of the National Cancer Institute · 2023Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA growing proportion of cancer survivors experience financial toxicity. However, the psychological burden of cancer costs and associated mental health outcomes require further investigation. We assessed prevalence and predictors of self-reported financial worry and mental health outcomes among cancer survivors. PATIENTS AND
methodsData from the 2013-2018 National Health Interview Survey (NHIS) for adults reporting a cancer diagnosis were used. Multivariable ordinal logistic regressions defined adjusted odds ratios (AORs) of reporting financial worry by relevant sociodemographic variables, and sample weight-adjusted prevalence of financial worry was estimated. The association between financial worry and psychological distress, as defined by the six-item Kessler Psychological Distress Scale was also assessed.
resultsAmong 13,361 survey participants (median age 67; 60.0% female), 9567 (71.6%) self-reported financial worry, including worries regarding costs of paying for children's college education (62.7%), maintaining one's standard of living (59.7%), and medical costs due to illness or accident (58.3%). Female sex, younger age, and Asian American race were associated with increased odds of financial worry (P < 0.05 for all). Of 13,218 participants with complete responses to K6 questions, 701 (5.3%) met the threshold for severe psychological distress. Participants endorsing financial worry were more likely to have psychological distress (6.6 vs. 1.2%, AOR 2.89, 95% CI 2.03-4.13, P< 0.001) with each additional worry conferring 23.9% increased likelihood of psychological distress.
conclusionsA majority of cancer survivors reported financial worry, which was associated with greater odds of reporting psychological distress. Policies and guidelines are needed to identify and mitigate financial worries and psychologic distress among patients with cancer, with the goal of improving psychological well-being and overall cancer survivorship care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.