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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
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نویسنده
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Dean Lorraine T. ,Schmitz Kathryn H. ,Frick Kevin D. ,Nicholas Lauren H. ,Zhang Yuehan ,Subramanian S. V. ,Visvanathan Kala
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منبع
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journal of cancer survivorship - 2018 - دوره : 12 - شماره : 3 - صفحه:306 -315
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چکیده
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Consumer credit reflect financial hardship that patients face due to cancer treatment, which in turn impact ability to manage health after cancer; however, credit’s relationship to economic burden and health after cancer has not been evaluated. from to 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. 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. 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. stabilizing and monitoring consumer credit be a potential intervention point for mitigating economic burden after breast cancer.
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کلیدواژه
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Credit ,Economic burden ,Socioeconomic position ,Breast cancer ,Lymphedema ,Survivorship ,USA
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آدرس
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Johns Hopkins University, Department of Epidemiology, Department of Health Policy and Management, USA. Johns Hopkins School of Medicine, Department of Oncology, USA, Pennsylvania State University College of Medicine, Pennsylvania State University, Department of Public Health Sciences, USA, Johns Hopkins University, Department of Health Policy and Management, USA, Johns Hopkins University, Department of Health Policy and Management, USA, University of Pennsylvania School of Medicine, University of Pennsylvania, Department of General Internal Medicine, USA, Harvard University, Department of Social and Behavioral Sciences, USA, Johns Hopkins University, Department of Epidemiology, USA. Johns Hopkins School of Medicine, Department of Oncology, USA
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Authors
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