Table 4.
Patient Factors Associated With Psychological Financial Hardship Associated With Cancer, Its Treatment, or Lasting Effects of Treatment, by Age Group
| Age 18-64 Years | Age ≥ 65 Years* | |||||
|---|---|---|---|---|---|---|
| Adjusted Probability† | 95% CI | Wald F P | Adjusted Probability† | 95% CI | Wald F P | |
| Current age | .120 | < .001 | ||||
| 18-54 | 35.8 | 29.7 to 42.5 | — | — | — | |
| 55-64 | 28.4 | 22.2 to 35.4 | — | — | — | |
| 65-74 | — | — | — | 21.5 | 16.4 to 27.6 | |
| ≥ 75* | — | — | — | 8.2 | 5.2 to 12.7 | |
| Sex | .057 | .240 | ||||
| Male | 25.4 | 18.1 to 34.4 | 16.8 | 11.7 to 23.5 | ||
| Female | 35.0 | 29.9 to 40.5 | 12.9 | 9.6 to 17.1 | ||
| Race/ethnicity | .362 | . | .251 | |||
| Non-Hispanic white only | 31.1 | 26.1 to 36.7 | 14.1 | 10.7 to 18.4 | ||
| All other race/ethnicities | 35.2 | 28.1 to 43.0 | 19.5 | 12.0 to 30.2 | ||
| Current marital status | .825 | . | .333 | |||
| Married | 32.4 | 27.0 to 38.2 | 13.3 | 9.7 to 17.9 | ||
| Not married‡ | 31.3 | 24.2 to 39.4 | 16.7 | 11.5 to 23.7 | ||
| Current family income as percent of poverty level§ | .019 | . | .597 | |||
| Q1: < 185.24 | 29.6 | 22.2 to 38.4 | 18.1 | 12.4 to 25.8 | ||
| Q2: 185.24-328.31 | 36.1 | 27.2 to 46.1 | 14.5 | 8.7 to 23.3 | ||
| Q3: 328.32-589.40 | 40.3 | 31.6 to 49.7 | 13.8 | 8.3 to 22.1 | ||
| Q4: ≥ 589.41 | 21.2 | 13.9 to 30.9 | 12.5 | 7.4 to 20.3 | ||
| Employment change due to cancer | .074 | |||||
| Employed at or after diagnosis and took extended paid or unpaid leave or switched to part time | 39.3 | 31.5 to 47.6 | — | — | — | |
| Employed, but did not take extended leave or switch to part time | 27.3 | 20.7 to 35.1 | — | — | — | |
| Not employed at or after diagnosis/missing | 29.9 | 22.3 to 38.8 | — | — | — | |
| Current health insurance‖ | .043 | .279 | ||||
| Age 18-64, any private | 30.0 | 24.6 to 35.9 | — | — | — | |
| Age 18-64, public only | 31.1 | 19.9 to 43.1 | — | — | — | |
| Age 18-64, uninsured | 48.9 | 34.3 to 63.7 | — | — | — | |
| Age ≥ 65, Medicare and private* | — | — | — | 14.2 | 10.1 to 19.6 | |
| Age ≥ 65, Medicare and other public* | — | — | — | 9.8 | 5.0 to 18.1 | |
| Age ≥ 65, Medicare only* | — | — | — | 17.0 | 12.0 to 23.6 | |
| Number of MEPS priority conditions (excluding cancer)¶ | .404 | . | .667 | |||
| 0-1 | 29.8 | 23.8 to 36.7 | 16.2 | 9.5 to 26.3 | ||
| 2-8 | 33.8 | 27.5 to 40.7 | 14.3 | 11.0 to 18.5 | ||
| Time since last treatment | .024 | .081 | ||||
| 1 year | 43.5 | 31.8 to 56.0 | 21.3 | 14.4 to 30.5 | ||
| 1 to < 5 years | 31.0 | 23.5 to 39.7 | 14.8 | 8.7 to 24.0 | ||
| ≥ 5 years# | 29.1 | 22.9 to 36.2 | 13.1 | 8.9 to 18.9 | ||
| Never treated/missing | 17.1 | 9.4 to 29.0 | 6.9 | 3.1 to 14.7 | ||
NOTE. Data from 2011 MEPS Experiences With Cancer Survey. Boldface type indicates statistical significance.
Abbreviations: MEPS, Medical Expenditure Panel Survey; Q, quartile (Q1 is lowest income quartile as a percentage of poverty line and Q4 is highest income quartile).
Age top-coded ≥ 85 by the MEPS.
Predicted marginals from a multivariable logistic regression.
Not married includes widowed, divorced, separated, or never married.
Quartiles of family income as a percent of poverty level defined based on distribution in full sample.
Public insurance included Medicare, Medicaid, State Children's Health Insurance Program, and/or other public hospital/physician coverage. Age less than 65, public only, comprised people younger than 65 who had one or more types of public coverage and did not have private coverage. Age ≥ 65 years, Medicare and other public, comprised people age 65 and older who had both Medicare and one or more other types of public coverage. TRICARE/CHAMPVA was treated as private coverage, as were employer-based, union-based, and other private insurance.
MEPS priority conditions include arthritis, asthma, diabetes, emphysema, heart disease (angina, coronary heart disease, heart attack, other heart condition/disease), high cholesterol, hypertension, and stroke.
Years since last treatment top-coded at ≥ 20 by the MEPS.