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Cost concerns prevent many cancer survivors from getting medical care
Date:6/13/2010

WINSTON-SALEM, N.C. Monday, June 14, 2010 A new study led by a Wake Forest University Baptist Medical Center researcher shows that millions of cancer survivors are forgoing needed medical care because of concerns about cost.

Published early online today in CANCER, a peer-reviewed journal of the American Cancer Society, the study raises the concern that the long-term health and well-being of cancer survivors could suffer because patients have financial worries about their care.

A team led by Kathryn E. Weaver, Ph.D., M.P.H., an assistant professor in the Division of Public Health Sciences and lead author on the study, examined the prevalence of forgoing different types of health care due to financial concerns. Researchers sought to determine whether cancer history and race or ethnicity were associated with individuals' likelihood to go without care.

The investigators analyzed information from the annual U.S. National Health Interview Survey (NHIS), an in-person, nationwide survey of 30,000 to 40,000 households in the civilian, non-institutionalized population that is used to track trends in illness and disability in the United States. Data from 6,602 adult cancer survivors and 104,364 individuals with no history of cancer, who were surveyed in the 2003 to 2006 NHIS, were included in the study.

The analysis showed that among cancer survivors, the prevalence of forgoing care in the past year due to concerns about cost was 7.8 percent for medical care, 9.9 percent for prescription medications, 11.3 percent for dental care, and 2.7 percent for mental health care. Cancer survivors under the age of 65 years were one and a half to two times more likely to delay or forgo all types of medical care than their same-age peers without a history of cancer. Hispanic and black cancer survivors were more likely to go without prescription medications and dental care than white survivors.

"Although the large number of survivors going without care was
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Contact: Jessica Guenzel
jguenzel@wfubmc.edu
336-716-3487
Wake Forest University Baptist Medical Center
Source:Eurekalert

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