Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
권호 표지
DOI QR코드

DOI QR Code

Financial Distress and its Predicting Factors among Iranian Cancer Patients

  • Fathollahzade, Abazar (Medical-Surgical Department, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences) ;
  • Rahmani, Azad (Hematology and Oncology Research Center, Madani Hospital, Tabriz University of Medical Sciences) ;
  • Dadashzadeh, Abbas (Medical-Surgical Department, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences) ;
  • Gahramanian, Akram (Medical-Surgical Department, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences) ;
  • Esfahani, Ali (Hematology and Oncology Research Center, Madani Hospital, Tabriz University of Medical Sciences) ;
  • Javanganji, Leila (Hematology and Oncology Research Center, Madani Hospital, Tabriz University of Medical Sciences) ;
  • Nabiolahi, Leila (Medical-Surgical Department, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences)
  • Published : 2015.03.09
Download PDF
⟨ Previous Next ⟩

Abstract

Background: Financial distress due to the cost of cancer treatments is prevalent among cancer patients. Identifying the level of financial distress and its affecting factors has an important role in providing supportive services. Accordingly, the aims of this study were to determine these parameters among Iranian cancer patients. Materials and Methods: This descriptive-correlational study was undertaken among 262 cancer patients admitted to both private and public hospitals in East Azerbaijan province, Iran. The financial distress/financial well being scale was used to determine financial distress. The data were analyzed using SPSS software using descriptive and inferential statistics (multiple linear regression). Results: Among the 262 cancer patients, 57.3% were male and their mean age was 47.0 years. The mean score for financial distress was 4.12 (2.01). The final regression model demonstrated that the independent variables (predictors) of income less than living expenses, income equal to living expenses, having an employed spouse in governmental job and living with parents, with regression coefficients of -1.029, -0.515, 0.198, and 0.096, respectively, were predictors of financial distress among cancer patients. These variables accounted for 50% of changes in variance of financial distress. Conclusions: Iranian cancer patients have moderate to high levels of financial distress. Considering policies for managing direct and indirect costs of cancer treatments must be followed.

Keywords

References

  1. Abdollahzadeh F, et al (2014). Un-met supportive care needs of Iranian breast cancer patients. Asian Pac J Cancer Prev, 15, 3933-8. https://doi.org/10.7314/APJCP.2014.15.9.3933
  2. Afrooz R, et al (2014). The nature of hope among Iranian cancer patients. Asian Pac J Cancer Prev, 15, 9307-12. https://doi.org/10.7314/APJCP.2014.15.21.9307
  3. Arozullah AM, et al (2004). The financial burden of cancer: estimates from a study of insured women with breast cancer. J Support Oncol, 2, 271-8.
  4. Brown ML, Lipscomb J, Snyder C (2001). The burden of illness of cancer: Economic cost and quality of life. Annu Rev Public health, 22, 91-113. https://doi.org/10.1146/annurev.publhealth.22.1.91
  5. Chang YJ, Kwon YC, Lee WJ, Do YR, Seok LK, et al (2013). Burdens, needs and satisfaction of terminal cancer patients and their caregivers. Asian Pac J Cancer Prev, 14, 209-16. https://doi.org/10.7314/APJCP.2013.14.1.209
  6. Chino F, Peppercorn J, Taylor DH Jr, Lu Y, Samsa G, et al (2014). Self-reported financial burden and satisfaction with care among patients with cancer. Oncologist, 19, 414-20. https://doi.org/10.1634/theoncologist.2013-0374
  7. Cohn RJ, Goodenough B, Foreman T, Suneson J (2003). Hidden financial costs in treatment for childhood cancer: an Australian study of lifestyle implications for families absorbing out-of-pocket expenses. J Pediatr Hemato Oncol, 25, 854-63. https://doi.org/10.1097/00043426-200311000-00007
  8. DiMatteo MR, Lepper HS, Croghan TW (2000). Depression is a risk factor for noncompliance with medical treatment: meta-analysis of the effects of anxiety and depression on patient adherence. Arch Intern Med, 160, 2101-7. https://doi.org/10.1001/archinte.160.14.2101
  9. Ell K, Xie B, Wells A, Nedjat-Haiem F, Lee PJ, et al (2008). Economic stress among low-income women with cancer. Cancer, 112, 616-25. https://doi.org/10.1002/cncr.23203
  10. Emanuel EJ, et al (1999). Assistance from family members, friends, paid care givers and volunteers in the care of terminally ill patients. N England J Med, 341, 956-63. https://doi.org/10.1056/NEJM199909233411306
  11. Gupta D, Lis CG, Grutsch JF (2007). Perceived cancer-related financial difficulty: implications for patient satisfaction with quality of life in advanced cancer. Support Care Cancer, 15, 1051-6. https://doi.org/10.1007/s00520-007-0214-2
  12. Hayman JA, et al (2001). Estimating the cost of informal caregiving for elderly patients with cancer. J Clin Oncol, 19, 3219-25. https://doi.org/10.1200/JCO.2001.19.13.3219
  13. Heath JA, Lintuuran RM, Rigguto G, Tikotlian N, McCarthy M (2006). Childhood cancer: its impact and financial costs for Australian families. Pediatr Hemato Oncol, 23, 439-48. https://doi.org/10.1080/08880010600692526
  14. Jemal A, Bray F, Center MM, Ferlay J, Ward E, et al (2011). Global cancer statistics. CA Cancer J Clin, 61, 69-90. https://doi.org/10.3322/caac.20107
  15. Kearney N, Giulio P (2012). Nursing cancer practice: a textbook for the specialist nurse. Elsevier Harcourt Brace.
  16. Kim J, Garman ET, Sorhaindo B (2003). Relationships among credit counseling clients' financial well-being, financial behaviors, financial stressor events and health. Financial Counseling Planning, 14, 75-87.
  17. Kimman M, et al (2012). Socioeconomic impact of cancer in member countries of the association of Southeast Asian nations (ASEAN): the ACTION study protocol. Asian Pac J Cancer Prev, 13, 421-5. https://doi.org/10.7314/APJCP.2012.13.2.421
  18. Longo CJ, Fitch M, Deber RB, Williams AP (2006). Financial and family burden associated with cancer treatment in Ontario, Canada. Support Care Cancer, 14, 1077-85. https://doi.org/10.1007/s00520-006-0088-8
  19. Markman M, Luce R (2010). Impact of the cost of cancer treatment: an internet-based survey. J Oncol Pract, 6, 69-73. https://doi.org/10.1200/JOP.091074
  20. Mostert S, et al (2012). Socio-economic status plays important roles in childhood cancer treatment outcome in Indonesia. Asian Pac J Cancer Prev, 13, 6491-6. https://doi.org/10.7314/APJCP.2012.13.12.6491
  21. Mousavi SM, Gouya MM, Ramazani R, Davanlou M, Hajsadeghi N, et al (2009). Cancer incidence and mortality in Iran. Ann Oncol, 20, 556-63.
  22. Nair KS, Raj S, Tiwari VK, Piang LK (2013). Cost of treatment for cancer: experiences of patients in public hospitals in India. Asian Pac J Cancer Prev, 14, 5049-54. https://doi.org/10.7314/APJCP.2013.14.9.5049
  23. NCCN (The National Comperehensive Cancer Network) (2010). Distress management clinical practice guidelines in oncology, version 1. Available at: www.nccn.org/professionals/physician_gls/f_guidelines.asp#supportive.
  24. O'Neill B, Prawitz AD, Sorhaindo B, Kim J, Garman ET (2006). Changes in health, negative financial events and financial distress/financial well-being for debt management program clients. Journal of Financial Counseling and Planning, 17, 34-45.
  25. Pandey M, Thomas BC, Ramdas K, NandaMohan V (2006). Factors influencing distress in Indian cancer patients. Psychooncology, 15, 547-50. https://doi.org/10.1002/pon.978
  26. Rogers S, Harvey-Woodworth C, Lowe D (2012). Patients' perspective of financial benefits following head and neck cancer in Merseyside and Cheshire. Br J Oral and Maxillo Surg, 50, 404-9. https://doi.org/10.1016/j.bjoms.2011.07.020
  27. Roy-Byrne PP, Davidson KW, Kessler RC, Asmundson GJ, Goodwin RD, et al (2008). Anxiety disorders and comorbid medical illness. Gen Hosp Psychiatry, 6, 467-85.
  28. Spagnola S, Zabora J, BrintzenhofeSzoc K, et al (2003). The satisfaction with life domains scale for breast cancer (SLDSBC). Breast J, 9, 463-71. https://doi.org/10.1046/j.1524-4741.2003.09603.x
  29. Steiner JF, Cavender TA, Main DS, Bradley CJ (2004). Assessing the impact of cancer on work outcomes. Cancer, 101, 1703-11. https://doi.org/10.1002/cncr.20564
  30. Sulku SN, Bernard DM (2012). Financial burden of health care expenditures: Turkey. Iran J Public Health, 41, 48-64.
  31. VanHoose L, Black LL, Doty K, Sabata D, Twumasi-Ankrah P, et al (2014). An analysis of the distress thermometer problem list and distress in patients with cancer. Support Care Cancer, 16, (Epub ahead of print)
  32. WHO (2014). Programmes and projects, Cancer. In, http://www.who.int/cancer/en
  33. Yi M, Park K, Park EY (2014). Psychosocial needs of lowincome people with cancer in Korea. Eur J Oncol Nurs, 18, 549-56. https://doi.org/10.1016/j.ejon.2014.07.005
  34. Zaidi AA, Ansari TZ, Khan A (2012). The financial burden of cancer: Estimates from patients undergoing cancer care in a tertiary care hospital. Int J Equity Health, 11, 60. https://doi.org/10.1186/1475-9276-11-60

Cited by

  1. Short Sleep Duration and Its Correlates among Cancer Survivors in Korea: the Korea National Health and Nutrition Examination Surveys vol.16, pp.11, 2015, https://doi.org/10.7314/APJCP.2015.16.11.4705
  2. Perceptions of Iranian Cancer Patients Regarding Respecting their Dignity in Hospital Settings vol.16, pp.13, 2015, https://doi.org/10.7314/APJCP.2015.16.13.5453
  3. Cancer Care Burden among Primary Family Caregivers of Iranian Hematologic Cancer Patients vol.16, pp.13, 2015, https://doi.org/10.7314/APJCP.2015.16.13.5499
  4. Levels of Conscience and Related Factors among Iranian Oncology Nurses vol.16, pp.18, 2016, https://doi.org/10.7314/APJCP.2015.16.18.8211
  5. Viewpoints of Family Caregivers about Posttraumatic Growth in Cancer Patients vol.17, pp.2, 2016, https://doi.org/10.7314/APJCP.2016.17.2.755
  6. Nurse Attitude-Related Barriers to Effective Control of Cancer Pain among Iranian Nurses vol.17, pp.4, 2016, https://doi.org/10.7314/APJCP.2016.17.4.2141