ArticleJournal of the National Cancer Institute2021
Medical Financial Hardship in Survivors of Adolescent and Young Adult Cancer in the United States.
Article in Journal of the National Cancer Institute, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled it.
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Who cites it
53 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.
- From economic burden to patient-centered solutions: the evolving landscape of financial toxicity in oncology.Frontiers in public health · 2026Pooled it
- Education, Employment, and Financial Outcomes in Adolescent and Young Adult Cancer Survivors-A Systematic Review.Current oncology (Toronto, Ont.) · 2023Pooled it
- Financial hardship in adolescent and young adult cancer survivors and adult survivors of childhood cancers.Journal of cancer survivorship : research and practice · 2026Review
- Personalized risk prediction of financial toxicity in patients with cancer: an interpretable machine learning study.JNCI cancer spectrum · 2026Article
- Financial hardship and mental health among cancer survivors: examining the moderating role of race/ethnicity.Journal of cancer survivorship : research and practice · 2026Article
- Adolescent and young adult cancer survivor experiences of financial toxicity: a scoping review.Journal of cancer survivorship : research and practice · 2026Review
- Income after cancer across gender and age among Canadian adolescents and young adults.Journal of the National Cancer Institute · 2026Article
- Social Risk Burden among US Cancer Survivors across Adulthood: Evidence from the 2022-2023 BRFSS.Cancer research communications · 2026Article
- The relationship of race/ethnicity and age with medical financial hardship for cancer survivors in the United States.Journal of cancer survivorship : research and practice · 2026Article
- Association between cancer and cardiovascular disease risk: a cross-sectional study of 241,064 individuals.Frontiers in oncology · 2026Article
- Article
- Engagement in and correlates of total cutaneous exams and skin self-exams among young melanoma survivors and their family.Journal of behavioral medicine · 2025Article
- Association of cancer with racial disparities in financial health: a national cohort study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Observational
- Enduring Economic Effects of a Cancer Diagnosis in Adolescence and Young Adulthood.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025Article
- Quantifying and addressing self-defined needs in cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- A dyad-based analysis of social support dynamics among adolescent/young adult cancer survivors and their parents from a predominately Hispanic/Latino, socioeconomically disadvantaged, and rural population.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Non-monetary burdens of out-of-pocket costs incurred by patients and caregivers for medical care: a scoping review.BMJ open · 2025Article
- Rethinking the rise of early-onset gastrointestinal cancers: a call to action.JNCI cancer spectrum · 2025Article
- Cancer advocacy, barriers and associated factors among adolescents and young adults with cancer in Africa.Ecancermedicalscience · 2025Article
- Excess risk of chronic health conditions in Black adolescent and young adult cancer survivors.Journal of cancer survivorship : research and practice · 2024Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCancer and its treatment can result in lifelong medical financial hardship, which we aimed to describe among adult survivors of adolescent and young adult (AYA) cancers in the United States.
methodsWe identified adult (aged ≥18 years) survivors of AYA cancers (diagnosed ages 15-39 years) and adults without a cancer history from the 2010-2018 National Health Interview Surveys. Proportions of respondents reporting measures in different hardship domains (material [eg, problems paying bills], psychological [eg, distress], and behavioral [eg, forgoing care due to cost]) were compared between groups using multivariable logistic regression models and hardship intensity (cooccurrence of hardship domains) using ordinal logistic regression. Cost-related changes in prescription medication use were assessed separately.
resultsA total of 2588 AYA cancer survivors (median = 31 [interquartile range = 26-35] years at diagnosis; 75.0% more than 6 years and 50.0% more than 16 years since diagnosis) and 256 964 adults without a cancer history were identified. Survivors were more likely to report at least 1 hardship measure in material (36.7% vs 27.7%, P < .001) and behavioral (28.4% vs 21.2%, P < .001) domains, hardship in all 3 domains (13.1% vs 8.7%, P < .001), and at least 1 cost-related prescription medication nonadherence (13.7% vs 10.3%, P = .001) behavior.
conclusionsAdult survivors of AYA cancers are more likely to experience medical financial hardship across multiple domains compared with adults without a cancer history. Health-care providers must recognize this inequity and its impact on survivors' health, and multifaceted interventions are necessary to address underlying causes.
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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.