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. 2020 Mar;67(3):e28093.
doi: 10.1002/pbc.28093. Epub 2019 Nov 25.

Influence of pediatric cancer-related financial burden on parent distress and other stress-related symptoms

Sheila Judge Santacroce  1 , Shawn M Kneipp  1
Affiliations

Influence of pediatric cancer-related financial burden on parent distress and other stress-related symptoms

Sheila Judge Santacroce et al. Pediatr Blood Cancer. 2020 Mar.

Abstract

Background: Pediatric cancer-induced financial burden is source of stress for parents, particularly mothers, single parents, and parents with lower incomes. This financial burden has been linked to poorer family quality of life (QOL) in terms of new onset material hardships, and could also affect individual QOL in terms of parents' stress-related symptoms. Our purpose was to describe pediatric cancer-induced financial burden among parents of children with that diagnosis, its effects on their stress-related symptoms (distress, anxiety, cognition impairment, sleep impairment), and associations between select risk factors (relationship to the child, marital status, income) and the extent that financial burden affected parents' symptoms.

Procedure: We recruited via two parent-led groups and collected data using an online survey. We calculated frequencies of demographic characteristics, financial burden, and symptoms. We used chi-square statistics to examine bivariate associations between the risk factors and extent that cancer-related financial burden affected parents' symptoms.

Results: Most (63.6%) respondents reported that pediatric cancer severely affected their finances. The majority (50.23-69.86%) also reported that this burden severely affected their symptoms. Marital status, income, and, for some symptoms, relationship to the child were associated with the extent that financial burden affected the symptoms. Greater proportions of mothers (53-73.5%), divorced/single parents (69.2-90.4%), and parents in the lowest income category (77.3-95.5%) experienced severely affected symptoms compared to fathers (41.7-59.5%), married/partnered parents (41.7-59.5%), and parents in the highest income category (28.6-42.9%).

Conclusion: Financial burden and symptoms are fitting targets for interventions to improve family and individual QOL in the context of pediatric cancer.

Keywords: financial burden; quality of life; symptoms.

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References

REFERENCES

    1. Salsman J, Bingen K, Barr R, Freyer D. Understanding, measuring, and addressing the finanicial impact of cancer on adolescents and young adults. Pediatr Blood Cancer. 2018;66:e27660.
    1. Tsimicalis A, Stevens B, Ungar W, McKeever P, Greenberg M. The cost of childhood cancer from the family's perspective: a critical review. Pediatr Blood Cancer. 2011;56:707-717.
    1. Pelletier W, Bona K. Assessment of financial burden as a standard of care in pediatric oncology. Pediatr Blood Cancer. 2015;62(S):S619-S631.
    1. Santacroce S, Tan K, Killela M. Costs of illness to parents of children diagnosed with cancer. Eur J Oncol Nurs. 2018;35:22-32.
    1. Bona K, Dussel V, Oreliana L, et al. Economic impact of advanced pediatric cancer on families. J Pain Symptom Manage. 2014;47:594-603.

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