Table A1.
Factors Associated With Any Material Financial Hardship Associated With Cancer, Its Treatment, or Lasting Effects of Treatment, by Age Group
| Age 18-64 Years | Age ≥ 65 Years* | ||||||
|---|---|---|---|---|---|---|---|
| Adjusted Odds Ratio† | 95% CI | Wald F P | Adjusted Odds Ratio† | 95% CI | Wald F P | ||
| Current age, years | .009 | .012 | |||||
| 18-54 | 2.01 | (1.20 to 3.38) | — | — | — | ||
| 55-64 | 1.00 | — | — | — | |||
| 65-74 | — | — | — | 2.05 | (1.18 to 3.57) | ||
| ≥ 75* | — | — | — | 1.00 | |||
| Sex | .034 | .415 | |||||
| Male | 0.55 | (0.32 to 0.95) | 1.27 | (0.71 to 2.26) | |||
| Female | 1.00 | 1.00 | |||||
| Race/ethnicity | .008 | .052 | |||||
| Non-Hispanic white only | 0.52 | (0.32 to 0.84) | 0.57 | (0.32 to 1.00) | |||
| All other race/ethnicities | 1.00 | 1.00 | |||||
| Current marital status | .469 | .660 | |||||
| Married | 0.83 | (0.49 to 1.39) | 0.88 | (0.48 to 1.59) | |||
| Not married‡ | 1.00 | 1.00 | |||||
| Current family income as percent of poverty level§ | .433 | .816 | |||||
| Q1: < 185.24 | 2.37 | (0.81 to 6.94) | 1.19 | (0.50 to 2.83) | |||
| Q2: 185.24–328.31 | 2.10 | (0.76 to 5.83) | 0.84 | (0.36 to 1.92) | |||
| Q3: 328.32–589.40 | 1.69 | (0.69 to 4.11) | 0.97 | (0.40 to 2.37) | |||
| Q4: ≥ 589.41 | 1.00 | 1.00 | |||||
| Employment change due to cancer | < .001 | ||||||
| Employed at or after diagnosis and took extended paid or unpaid leave or switched to part time | 4.87 | (2.86 to 8.28) | — | — | — | ||
| Employed, but did not take extended leave or switch to part time | 1.00 | — | — | — | |||
| Not employed at or after diagnosis/missing | 0.80 | (0.44 to 1.48) | — | — | — | ||
| Current health insurance‖ | .106 | .629 | |||||
| Age 18-64, any private | 0.40 | (0.15 to 1.04) | — | — | — | ||
| Age 18-64, public only | 0.80 | (0.33 to 1.95) | — | — | — | ||
| Age 18-64, uninsured | 1.00 | — | — | — | |||
| Age ≥ 65, Medicare and private* | — | — | — | .76 | (0.42 to 1.37) | ||
| Age ≥65, Medicare and other public* | — | — | — | 0.70 | (0.28 to 1.76) | ||
| Age ≥ 65, Medicare only* | — | — | — | 1.00 | |||
| Number of MEPS priority conditions (excluding cancer)¶ | .749 | .131 | |||||
| 0-1 | 1.08 | (0.67 to 1.74) | 1.67 | (0.86 to 3.27) | |||
| 2-8 | 1.00 | 1.00 | |||||
| Time since last treatment, years | .014 | .490 | |||||
| 1 | 3.67 | (1.38 to 9.72) | 1.97 | (0.66 to 5.90) | |||
| 1 to < 5 | 3.13 | (1.13 to 8.65) | 1.87 | (0.61 to 5.76) | |||
| ≥ 5# | 1.79 | (0.66 to 4.83) | 2.25 | (0.80 to 6.31) | |||
| Never treated/missing | 1.00 | 1.00 | |||||
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 years by the MEPS.
Odds ratios 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 years who had one or more types of public coverage and did not have private coverage. Age ≥ 65, Medicare and other public, comprised people age 65 years 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