PMID- 32838705
OWN - NLM
STAT- MEDLINE
DCOM- 20220119
LR  - 20240323
IS  - 1557-9077 (Electronic)
IS  - 1050-7256 (Print)
IS  - 1050-7256 (Linking)
VI  - 31
IP  - 5
DP  - 2021 May
TI  - Financial Hardship Among Hispanic Women with Thyroid Cancer.
PG  - 752-759
LID - 10.1089/thy.2020.0497 [doi]
AB  - Background: Little is known about financial hardship among Hispanic women with 
      thyroid cancer. The goal of this study was to determine the prevalence of 
      financial hardship and to identify correlates of financial hardship in this 
      understudied patient group. Methods: We surveyed Hispanic women who had diagnoses 
      of thyroid cancer reported to the Los Angeles Surveillance Epidemiology and End 
      Results (SEER) registry in 2014-2015, and who had previously completed our 
      thyroid cancer survey in 2017-2018 (N = 273; 80% response rate). Acculturation 
      was assessed with the Short Acculturation Scale for Hispanics (SASH). Patients 
      were asked about three outcome measures since their thyroid cancer diagnosis: (i) 
      financial status, (ii) insurance status, and (iii) material measures of financial 
      hardship, collapsed into a single composite measure of financial hardship. We 
      used multivariable logistic regression to identify correlates of financial 
      hardship. Results: Patients' median age at diagnosis was 47 years (range 20-79 
      years); 49% were low-acculturated and 47% reported financial hardship. Since 
      their thyroid cancer diagnosis, 31% and 12% of the cohort reported being worse 
      off regarding financial and insurance status, respectively. In multivariable 
      analysis, high-acculturated older women were less likely to experience financial 
      hardship compared with high-acculturated 20-year-old women. While financial 
      hardship decreased with age for high-acculturated women (p = 0.002), financial 
      hardship remained elevated across all age groups for low-acculturated women 
      (p = 0.54). Conclusions: Our findings suggest that across all age groups, 
      low-acculturated Hispanic women with thyroid cancer are vulnerable to financial 
      hardship, emphasizing the need for tailored patient-focused interventions.
FAU - Chen, Debbie W
AU  - Chen DW
AD  - Division of Metabolism, Endocrinology, and Diabetes, Department of Internal 
      Medicine, University of Michigan, Ann Arbor, Michigan, USA.
FAU - Reyes-Gastelum, David
AU  - Reyes-Gastelum D
AD  - Division of Metabolism, Endocrinology, and Diabetes, Department of Internal 
      Medicine, University of Michigan, Ann Arbor, Michigan, USA.
FAU - Veenstra, Christine M
AU  - Veenstra CM
AD  - Division of Hematology/Oncology, Department of Internal Medicine, University of 
      Michigan, Ann Arbor, Michigan, USA.
FAU - Hamilton, Ann S
AU  - Hamilton AS
AD  - Division of Preventive Medicine, Keck School of Medicine, University of Southern 
      California, Los Angeles, California, USA.
FAU - Banerjee, Mousumi
AU  - Banerjee M
AD  - Department of Biostatistics, School of Public Health, University of Michigan, Ann 
      Arbor, Michigan, USA.
FAU - Haymart, Megan R
AU  - Haymart MR
AD  - Division of Metabolism, Endocrinology, and Diabetes, Department of Internal 
      Medicine, University of Michigan, Ann Arbor, Michigan, USA.
LA  - eng
GR  - R01 CA201198/CA/NCI NIH HHS/United States
GR  - T32 DK007245/DK/NIDDK NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
DEP - 20200922
PL  - United States
TA  - Thyroid
JT  - Thyroid : official journal of the American Thyroid Association
JID - 9104317
SB  - IM
MH  - *Acculturation
MH  - Adult
MH  - Age Factors
MH  - Aged
MH  - Economic Status/*statistics & numerical data
MH  - Female
MH  - Financial Stress/*epidemiology/ethnology
MH  - *Hispanic or Latino
MH  - Humans
MH  - Income
MH  - Insurance, Health/statistics & numerical data
MH  - Medicare
MH  - Middle Aged
MH  - Surveys and Questionnaires
MH  - Thyroid Neoplasms/*economics
MH  - United States
MH  - *Women
MH  - Young Adult
PMC - PMC8110026
OTO - NOTNLM
OT  - Hispanics
OT  - acculturation
OT  - financial burden
OT  - health care disparities
OT  - thyroid carcinoma
OT  - women
COIS- No competing financial interests exist.
EDAT- 2020/08/26 06:00
MHDA- 2022/01/20 06:00
PMCR- 2022/05/01
CRDT- 2020/08/26 06:00
PHST- 2020/08/26 06:00 [pubmed]
PHST- 2022/01/20 06:00 [medline]
PHST- 2020/08/26 06:00 [entrez]
PHST- 2022/05/01 00:00 [pmc-release]
AID - 10.1089/thy.2020.0497 [pii]
AID - 10.1089/thy.2020.0497 [doi]
PST - ppublish
SO  - Thyroid. 2021 May;31(5):752-759. doi: 10.1089/thy.2020.0497. Epub 2020 Sep 22.