Summary of evidence on causes and effects of financial hardship in hematologic malignancies
| Cause or risk factor . | Findings . |
|---|---|
| Employment | Not being able to work is associated with more financial hardship, particularly for families of children with hematologic malignancies.15-18 |
| Health insurance coverage | Having health insurance or better coverage (insurance covers more costs) is associated with lower risk of financial hardship in HCT and studies including people with hematologic malignancies.19,20 |
| Comorbidities | Studies including people with hematologic malignancies have found more comorbidities to be associated with greater risk of financial hardship.21,22 |
| Age | Younger adults (aged, 18-39 y) and middle-aged adults (40-65 y) consistently report more financial hardship than older adults (aged, 65+ y) including in HCT and hematologic malignancy samples.23,24 Families with children diagnosed with hematologic malignancies are also more likely to experience financial hardship.25,26 |
| Cause or risk factor . | Findings . |
|---|---|
| Employment | Not being able to work is associated with more financial hardship, particularly for families of children with hematologic malignancies.15-18 |
| Health insurance coverage | Having health insurance or better coverage (insurance covers more costs) is associated with lower risk of financial hardship in HCT and studies including people with hematologic malignancies.19,20 |
| Comorbidities | Studies including people with hematologic malignancies have found more comorbidities to be associated with greater risk of financial hardship.21,22 |
| Age | Younger adults (aged, 18-39 y) and middle-aged adults (40-65 y) consistently report more financial hardship than older adults (aged, 65+ y) including in HCT and hematologic malignancy samples.23,24 Families with children diagnosed with hematologic malignancies are also more likely to experience financial hardship.25,26 |
| Effect . | Findings . |
|---|---|
| HRQOL | People with hematologic malignancies and undergoing HCT have worse HRQOL if they also have financial hardship.27-29 |
| Mortality | Financial hardship is associated with earlier mortality in hematologic malignancies in some studies10 but not others.27 |
| Effect . | Findings . |
|---|---|
| HRQOL | People with hematologic malignancies and undergoing HCT have worse HRQOL if they also have financial hardship.27-29 |
| Mortality | Financial hardship is associated with earlier mortality in hematologic malignancies in some studies10 but not others.27 |