ArticleJournal of cancer survivorship : research and practice2026
Household income and county income inequality are associated with financial hardship among cancer survivors in New Jersey.
Article in Journal of cancer survivorship : research and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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Who cites it
3 citing papers in PubMed.
- Contextual assessment of perceived health system alignment with National Standards for Cancer Survivorship Care in the American Southeast.Journal of cancer survivorship : research and practice · 2026Article
- Differences in patient-centered burdens and economic outcomes based on sociodemographic characteristics and social determinants of health: a scoping review.Frontiers in public health · 2026Article
- Factors correlated with financial hardship among cancer patients during the COVID-19 pandemic.PloS one · 2026Article
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Authors and funding
10 authors.
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Abstract
purposeTo examine how household income and county income inequality are linked to financial hardship among cancer survivors.
methodsCancer survivors (n = 864) identified through the New Jersey State Cancer Registry were surveyed from August 2018 to January 2022. Local area income inequality was reflected by the Gini index a measure of income inequality at the county level. Multivariable logistic regression analyses were performed, and the average marginal effect (AME) was calculated.
resultsCompared to survivors residing in households with income of $90,000 or more (higher income), those with household incomes between $50,000 and $89,999 (middle income) had a significantly higher risk of ever being unable to cover their share of the cost of cancer-related medical care (AME = .104, p = .001), higher risk of foregoing care in the past 12 months because of cost, including dental care (AME = .124, p < .001), eye care (AME = .082, p = .005), and mental health care or counseling (AME = .067, p = .002). An increase in the Gini index from the 25th to 75th percentile was associated with an increased risk of unmet needs in paying for follow-up care or medications related to cancer (AME = .021, p = .014) and an increased risk of foregoing doctor visits (AME = .017, p = .02) and eye care (AME = .03, p = .002) because of cost in the past 12 months.
conclusionsLocal area income inequality was associated with certain aspects of cancer survivors' experience of financial hardship. IMPLICATIONS FOR CANCER SURVIVORS: It is important to consider refining and extending financial navigation programs to survivors residing in areas with high income inequality.
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