Jingxuan Zhao|Xuesong Han|Zhiyuan Zheng|Matthew P. Banegas|Donatus U. Ekwueme|K. Robin Yabroff
Is Health Insurance Literacy Associated With Financial Hardship Among Cancer Survivors? Findings From a National Sample in the United States
American Cancer Society|American Cancer Society|American Cancer Society|Kaiser Permanente Center for Health Research|National Center for Chronic Disease Prevention and Health Promotion|Centers for Disease Control and Prevention|American Cancer Society
little known association health insurance literacy financial hardship among cancer survivors using 2016 medical expenditure panel survey experiences cancer selfadministered questionnaire evaluated associations health insurance literacy medical financial hardship nonmedical financial sacrifices among adult cancer survivors united states survivors 189 aged 1864 years 146 aged 65 years older reported health insurance literacy problems age groups 1864 65 years multivariable logistic regressions survivors health insurance literacy problems likely report material adjusted odds ratio aor 302 95 confidence interval ci 153 596 aor 333 95 ci 169 657 respectively psychological aor 553 95 ci 235 1301 aor 879 95 ci 455 1697 respectively hardship well types nonmedical financial sacrifices without problems future longitudinal studies warranted test causality assess whether improving health insurance literacy mitigate financial hardship