Journal
JOURNAL OF AGING AND HEALTH
Volume 32, Issue 5-6, Pages 394-400Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/0898264319826428
Keywords
stress causation; stress exposure; economic well-being; financial toxicity; financial problems
Categories
Funding
- National Institute on Aging [NIA U01AG032947]
- Johns Hopkins Bloomberg School of Public Health
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Objective: Financial problems in cancer survivors are associated with distress and reduced quality of life. Most studies have been cross-sectional, and a longitudinal study is needed to guide clinical interventions. Method: We used data from two surveys of the National Health and Aging Trends Study (NHATS). Participants (n = 307) reported whether they experienced six indicators of financial burden. The Patient Health Questionnaire 4 assessed depressive symptoms and general anxiety. Cross-lagged panel analyses assessed whether financial burden predicted distress and health or vice versa. Results: In the total sample, financial burden at the first survey predicted depressive symptoms (p < .01), general anxiety (p < .01), and self-rated health (p < .01) at the second survey. Depressive symptoms, general anxiety, and self-rated health at the first survey did not predict later financial burden (ps > .05). Discussion: Results suggest financial problems predict later distress and poor health. This study highlights the need to address financial burden in cancer survivors.
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