Table 2.
Burden of Financial Toxicity Among Non-Elderly Adults With and Without Cancer and/or ASCVD, From the National Health Interview Survey, 2013 to 2018
| Neither ASCVD Nor Cancer | Cancer Only | ASCVD Only | Both ASCVD and Cancer | |
|---|---|---|---|---|
| Any financial toxicity∗ | ||||
| Model 1 | Reference | 1.12 (1.05–1.20) | 1.90 (1.77–2.03) | 1.93 (1.63–2.28) |
| Model 2 | 1.12 (1.04–1.21) | 1.35 (1.25–1.47) | 1.39 (1.14–1.69) | |
| Any difficulty paying medical bills | ||||
| Model 1 | Reference | 1.36 (1.27–1.45) | 2.04 (1.91–2.19) | 2.27 (1.91–2.70) |
| Model 2 | 1.29 (1.20–1.39) | 1.53 (1.41–1.65) | 1.54 (1.27–1.86) | |
| Unable to pay medical bills | ||||
| Model 1 | Reference | 1.27 (1.12–1.45) | 2.52 (2.30–2.76) | 3.43 (2.83–4.16) |
| Model 2 | 1.29 (1.11–1.50) | 1.54 (1.38–1.71) | 2.02 (1.59–2.57) | |
| High financial distress | ||||
| Model 1 | Reference | 1.15 (1.07–1.24) | 2.04 (1.90–2.18) | 2.46 (2.08–2.92) |
| Model 2 | 1.03 (0.95–1.12) | 1.13 (1.04–1.24) | 1.26 (1.03–1.55) | |
| Cost-related medication nonadherence | ||||
| Model 1 | Reference | 1.78 (1.62–1.96) | 3.22 (2.93–3.54) | 4.72 (3.86–5.78) |
| Model 2 | 1.17 (1.04–1.31) | 1.48 (1.32–1.67) | 1.63 (1.27–2.09) | |
| Food insecurity | ||||
| Model 1 | Reference | 0.95 (0.86–1.05) | 2.65 (2.45–2.87) | 3.19 (2.65–3.83) |
| Model 2 | 0.95 (0.84–1.07) | 1.27 (1.14–1.42) | 1.34 (1.05–1.69) | |
| Foregone/delayed care due to cost | ||||
| Model 1 | Reference | 1.33 (1.21–1.45) | 2.08 (1.92–2.25) | 2.51 (2.08–3.03) |
| Model 2 | 1.14 (1.02–1.26) | 1.32 (1.18–1.47) | 1.61 (1.28–2.03) | |
Values are odds ratio (95% confidence interval).
Abbreviations as in Table 1.
∗
Any difficulty paying medical bills ± high financial distress ± cost-related medication non-adherence ± food insecurity ± delayed/foregone care due to cost. Model 1: unadjusted. Model 2: adjusted for age, sex, race/ethnicity, family income, education, insurance type, geographic region, cardiovascular risk factor profile, comorbidities, and, where appropriate (high financial distress, cost-related medication nonadherence, food insecurity and foregone/delayed care due to cost), burden from medical bills.