Derek S Falk, Janet A Tooze, Karen M Winkfield, Ronny A Bell, Sarah A Birken, Bonny B Morris, Carla Strom, Emily Copus, Kelsey Shore, Kathryn E Weaver
{"title":"Factors Associated with Delaying and Forgoing Care Due to Cost among Long-term, Appalachian Cancer Survivors in Rural North Carolina.","authors":"Derek S Falk, Janet A Tooze, Karen M Winkfield, Ronny A Bell, Sarah A Birken, Bonny B Morris, Carla Strom, Emily Copus, Kelsey Shore, Kathryn E Weaver","doi":"10.1080/28352610.2023.2270401","DOIUrl":"10.1080/28352610.2023.2270401","url":null,"abstract":"<p><strong>Background: </strong>Little research exists on delayed and forgone health and mental health care due to cost among rural cancer survivors.</p><p><strong>Methods: </strong>We surveyed survivors in 7 primarily rural, Appalachian counties February to May 2020. Univariable analyses examined the distribution and prevalence of delayed/forgone care due to cost in the past year by independent variables. Chi-square or Fisher's tests examined bivariable differences. Logistic regressions assessed the odds of delayed/forgone care due to cost.</p><p><strong>Results: </strong>Respondents (n=428), aged 68.6 years on average (SD: 12.0), were 96.3% non-Hispanic white and 49.8% female; 25.0% reported delayed/forgone care due to cost. The response rate was 18.5%. The proportion of delayed/forgone care for those aged 18-64 years was 46.7% and 15.0% for those aged 65+ years (P<0.0001). Females aged 65+ years (OR: 2.00; CI: 1.02-3.93) had double the odds of delayed/forgone care due to cost compared to males aged 65+ years.</p><p><strong>Conclusion: </strong>About one in four rural cancer survivors reported delayed/forgone care due to cost, with rates approaching 50% in survivors aged <65 years.</p><p><strong>Impact: </strong>Clinical implications indicate the need to: 1) ask about the impact of care costs, and 2) provide supportive services to mitigate effects of treatment costs, particularly for younger and female survivors.</p>","PeriodicalId":510903,"journal":{"name":"Cancer survivorship research & care","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10766413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139099473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}