Table 2. Prevalence and Multivariable Odds Ratios (ORs) of Health Care Costs, Worry, and Effects on Health Care Utilization.
| Outcomes | Survivors and Siblings, No. (%)a | OR (95% CI)b | Survivors by Insurance Status, No. (%) | OR (95% CI)c | ||
|---|---|---|---|---|---|---|
| Survivors | Siblings | Uninsured | Insured | |||
| Health Care Costs | ||||||
| In the past year, have any of the following happened because of medical expenses?d | ||||||
| Had to take money out of savings | 212 (32.8) | 56 (26.6) | 1.28 (0.87-1.90) | 31 (39.7) | 181 (32.0) | 1.67 (0.93-3.02) |
| Had to borrow money | 117 (17.3) | 18 (9.1) | 1.84 (1.03-3.28) | 28 (33.9) | 89 (15.5) | 3.11 (1.67-5.79) |
| Worry | ||||||
| In the past year, how much did you worry that:e | ||||||
| You wouldn’t be able to pay for medical bills | 171 (26.7) | 39 (19.1) | 1.45 (0.94-2.23) | 43 (59.2) | 128 (23.3) | 6.21 (3.27-11.77) |
| You wouldn’t be able to get a medical procedure that you needed | 135 (20.6) | 27 (12.4) | 1.80 (1.09-2.98) | 41 (58.5) | 94 (16.6) | 8.53 (4.59-15.88) |
| You wouldn’t be able to go to the health care providers you wanted | 128 (19.4) | 29 (15.0) | 1.32 (0.80-2.16) | 40 (55.1) | 88 (15.6) | 8.63 (4.59-16.20) |
| Effects of Health Care Costs and Cost-Worry on Health Care Utilization | ||||||
| In the past year, was there a time when you did any of the following because you were worried about the cost?d | ||||||
| Skipped medical test, treatment, or follow-up | 159 (24.6) | 38 (19.5) | 1.77 (0.75-2.83) | 34 (45.9) | 125 (22.3) | 4.24 (2.30-7.81) |
| Had a medical problem but did not go to a health care provider or a clinic | 169 (25.3) | 49 (23.7) | 1.03 (0.69-1.55) | 46 (59.8) | 123 (21.6) | 8.00 (4.23-15.15) |
| Did not see a specialist | 82 (13.1) | 21 (11.5) | 1.02 (0.60-1.74) | 13 (17.7) | 69 (12.7) | 1.67 (0.76-3.66) |
| Postponed preventative care | 181 (27.6) | 48 (22.6) | 1.20 (0.79-1.81) | 43 (63.5) | 138 (24.0) | 8.28 (4.41-15.55) |
| Had no primary care provider | 76 (10.1) | 20 (7.7) | 1.32 (0.74-2.39) | 34 (45.7) | 42 (6.3) | 12.17 (6.16-24.01) |
| Did not fill a prescription | 107 (15.7) | 19 (9.0) | 1.74 (1.01-3.04) | 25 (30.9) | 82 (14.1) | 3.31 (1.64-6.69) |
a
Percentages weighted to reflect the population age distribution of the full Childhood Cancer Survivor Study cohort.
b
Regression models adjusted for age, sex, marital status, and chronic health condition; ORs show survivor vs siblings (reference category).
c
Regression models adjusted for age, sex, marital status, and chronic health condition; ORs show uninsured survivors vs insured survivors (reference category).
d
Participants who reported yes; “don’t know” and missing were excluded. ·
e
Participants who reported worrying a great deal or a fair amount (other response choices: not at all or a little).