Consumer credit as a novel marker for economic burden and health after cancer in a diverse population of breast cancer survivors in the USA

Lorraine T. Dean, Kathryn H. Schmitz, Kevin D. Frick, Lauren H. Nicholas, Yuehan Zhang, S. V. Subramanian, Kala Visvanathan

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: Consumer credit may reflect financial hardship that patients face due to cancer treatment, which in turn may impact ability to manage health after cancer; however, credit’s relationship to economic burden and health after cancer has not been evaluated. Methods: From May to September 2015, 123 women with a history of breast cancer residing in Pennsylvania or New Jersey completed a cross-sectional survey of demographics, socioeconomic position, comorbidities, SF-12 self-rated health, economic burden since cancer diagnosis, psychosocial stress, and self-reported (poor to excellent) credit quality. Ordinal logistic regression evaluated credit’s contribution to economic burden and self-rated health. Results: Mean respondent age was 64 years. Mean year from diagnosis was 11.5. Forty percent of respondents were Black or Other and 60% were White. Twenty-four percent self-reported poor credit, and 76% reported good to excellent credit quality. In adjusted models, changing income, using savings, borrowing money, and being unable to purchase a health need since cancer were associated with poorer credit. Better credit was associated with 7.72 ([1.22, 14.20], p = 0.02) higher physical health t-score, and a − 2.00 ([− 3.92, − 0.09], p = 0.04) point change in psychosocial stress. Conclusions: This exploratory analysis establishes the premise for consumer credit as a marker of economic burden and health for breast cancer survivors. Future work should validate these findings in larger samples and for other health conditions. Implications for Cancer Survivors: Stabilizing and monitoring consumer credit may be a potential intervention point for mitigating economic burden after breast cancer.

Original languageEnglish (US)
Pages (from-to)306-315
Number of pages10
JournalJournal of Cancer Survivorship
Volume12
Issue number3
DOIs
StatePublished - Jun 1 2018

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Survivors
Economics
Breast Neoplasms
Health
Population
Neoplasms
Comorbidity
Cross-Sectional Studies
Logistic Models
Demography

All Science Journal Classification (ASJC) codes

  • Oncology
  • Oncology(nursing)

Cite this

Dean, Lorraine T. ; Schmitz, Kathryn H. ; Frick, Kevin D. ; Nicholas, Lauren H. ; Zhang, Yuehan ; Subramanian, S. V. ; Visvanathan, Kala. / Consumer credit as a novel marker for economic burden and health after cancer in a diverse population of breast cancer survivors in the USA. In: Journal of Cancer Survivorship. 2018 ; Vol. 12, No. 3. pp. 306-315.
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abstract = "Background: Consumer credit may reflect financial hardship that patients face due to cancer treatment, which in turn may impact ability to manage health after cancer; however, credit’s relationship to economic burden and health after cancer has not been evaluated. Methods: From May to September 2015, 123 women with a history of breast cancer residing in Pennsylvania or New Jersey completed a cross-sectional survey of demographics, socioeconomic position, comorbidities, SF-12 self-rated health, economic burden since cancer diagnosis, psychosocial stress, and self-reported (poor to excellent) credit quality. Ordinal logistic regression evaluated credit’s contribution to economic burden and self-rated health. Results: Mean respondent age was 64 years. Mean year from diagnosis was 11.5. Forty percent of respondents were Black or Other and 60{\%} were White. Twenty-four percent self-reported poor credit, and 76{\%} reported good to excellent credit quality. In adjusted models, changing income, using savings, borrowing money, and being unable to purchase a health need since cancer were associated with poorer credit. Better credit was associated with 7.72 ([1.22, 14.20], p = 0.02) higher physical health t-score, and a − 2.00 ([− 3.92, − 0.09], p = 0.04) point change in psychosocial stress. Conclusions: This exploratory analysis establishes the premise for consumer credit as a marker of economic burden and health for breast cancer survivors. Future work should validate these findings in larger samples and for other health conditions. Implications for Cancer Survivors: Stabilizing and monitoring consumer credit may be a potential intervention point for mitigating economic burden after breast cancer.",
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Consumer credit as a novel marker for economic burden and health after cancer in a diverse population of breast cancer survivors in the USA. / Dean, Lorraine T.; Schmitz, Kathryn H.; Frick, Kevin D.; Nicholas, Lauren H.; Zhang, Yuehan; Subramanian, S. V.; Visvanathan, Kala.

In: Journal of Cancer Survivorship, Vol. 12, No. 3, 01.06.2018, p. 306-315.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Consumer credit as a novel marker for economic burden and health after cancer in a diverse population of breast cancer survivors in the USA

AU - Dean, Lorraine T.

AU - Schmitz, Kathryn H.

AU - Frick, Kevin D.

AU - Nicholas, Lauren H.

AU - Zhang, Yuehan

AU - Subramanian, S. V.

AU - Visvanathan, Kala

PY - 2018/6/1

Y1 - 2018/6/1

N2 - Background: Consumer credit may reflect financial hardship that patients face due to cancer treatment, which in turn may impact ability to manage health after cancer; however, credit’s relationship to economic burden and health after cancer has not been evaluated. Methods: From May to September 2015, 123 women with a history of breast cancer residing in Pennsylvania or New Jersey completed a cross-sectional survey of demographics, socioeconomic position, comorbidities, SF-12 self-rated health, economic burden since cancer diagnosis, psychosocial stress, and self-reported (poor to excellent) credit quality. Ordinal logistic regression evaluated credit’s contribution to economic burden and self-rated health. Results: Mean respondent age was 64 years. Mean year from diagnosis was 11.5. Forty percent of respondents were Black or Other and 60% were White. Twenty-four percent self-reported poor credit, and 76% reported good to excellent credit quality. In adjusted models, changing income, using savings, borrowing money, and being unable to purchase a health need since cancer were associated with poorer credit. Better credit was associated with 7.72 ([1.22, 14.20], p = 0.02) higher physical health t-score, and a − 2.00 ([− 3.92, − 0.09], p = 0.04) point change in psychosocial stress. Conclusions: This exploratory analysis establishes the premise for consumer credit as a marker of economic burden and health for breast cancer survivors. Future work should validate these findings in larger samples and for other health conditions. Implications for Cancer Survivors: Stabilizing and monitoring consumer credit may be a potential intervention point for mitigating economic burden after breast cancer.

AB - Background: Consumer credit may reflect financial hardship that patients face due to cancer treatment, which in turn may impact ability to manage health after cancer; however, credit’s relationship to economic burden and health after cancer has not been evaluated. Methods: From May to September 2015, 123 women with a history of breast cancer residing in Pennsylvania or New Jersey completed a cross-sectional survey of demographics, socioeconomic position, comorbidities, SF-12 self-rated health, economic burden since cancer diagnosis, psychosocial stress, and self-reported (poor to excellent) credit quality. Ordinal logistic regression evaluated credit’s contribution to economic burden and self-rated health. Results: Mean respondent age was 64 years. Mean year from diagnosis was 11.5. Forty percent of respondents were Black or Other and 60% were White. Twenty-four percent self-reported poor credit, and 76% reported good to excellent credit quality. In adjusted models, changing income, using savings, borrowing money, and being unable to purchase a health need since cancer were associated with poorer credit. Better credit was associated with 7.72 ([1.22, 14.20], p = 0.02) higher physical health t-score, and a − 2.00 ([− 3.92, − 0.09], p = 0.04) point change in psychosocial stress. Conclusions: This exploratory analysis establishes the premise for consumer credit as a marker of economic burden and health for breast cancer survivors. Future work should validate these findings in larger samples and for other health conditions. Implications for Cancer Survivors: Stabilizing and monitoring consumer credit may be a potential intervention point for mitigating economic burden after breast cancer.

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