Table 4.
Odds ratios (OR) and 95% confidence intervals (CI) of the association between overall and types of financial hardship and limiting care due to cost
Age and Sex Adjusted | Fully Adjusted | Mutually Adjusted | |
---|---|---|---|
OR (95% CI) | OR (95% CI) | OR (95% CI) | |
Any financial hardship | |||
Any care limitations | 5.0 (3.4, 7.4) | 4.4 (2.9, 6.6) | -- |
Skipped doses of prescribed medication to save money | 3.2 (1.9, 5.4) | 2.7 (1.5, 4.9) | -- |
Refused treatment due to cost | 7.5 (3.3, 16.9) | 5.9 (2.6, 13.7) | -- |
Needed to see a doctor but did not go due to cost | 5.4 (3.3, 8.8) | 4.1 (2.4, 6.9) | -- |
Borrowed money from friends or family to pay for cancer care | |||
Any care limitations | 8.1 (5.1, 12.6) | 7.6 (4.6, 12.6) | 3.9 (2.2, 6.9) |
Reported still being in debt due to cancer | |||
Any care limitations | 6.2 (4.3, 8.8) | 4.9 (3.4, 7.2) | 3.0 (1.9, 4.6) |
Used assets (investments, home equity, retirement savings) | |||
Any care limitations | 2.0 (1.4, 3.0) | 2.2 (1.4, 3.5) | 1.1 (0.6, 1.9) |
Experienced a decrease in income | |||
Any care limitations | 2.8 (2.0, 4.0) | 2.7 (1.8, 4.0) | 1.8 (1.1,2.6) |
Fully Adjusted models control for age at diagnosis, sex, income, employment status, marital status, health insurance, and cancer site using categories in Table 1. Mutually Adjusted models add the other forms of financial hardship (borrowing, debt, assets, and/or reduction in income), as appropriate (e.g. models of the associations between borrowing money and care limitations are further adjusted for debt, assets, and decrease in income).