TY - JOUR
T1 - Financial toxicity of informal caregivers of colorectal cancer patients
T2 - A cross-sectional study
AU - Zhang, Menghan
AU - Wang, Xiaokai
AU - Shao, Mengwei
AU - Li, Ting
AU - Guo, Shengjie
AU - Yang, Yi
AU - Yu, Lulu
AU - Bin, Ma
AU - Li, Dunhui
AU - Zhou, Huiyue
AU - Yao, Liqun
AU - Chen, Changying
AU - Wang, Tao
N1 - Funding Information:
The study was funded by the China Postdoctoral Science Foundation ( 2018M630839 ).
Publisher Copyright:
© 2024 The Authors
PY - 2024/4
Y1 - 2024/4
N2 - Purpose: To assess the level of financial toxicity of informal caregivers of colorectal cancer patients and explore the related key influencing factors. Method: A descriptive survey design was used in this study. Data were collected from 236 informal caregivers of colorectal cancer patients between March 2023 and July 2023 from a major hospital in central China (Henan province). Potential influence factors of financial toxicity, including basic information, perceived stress, and social support were analyzed using multivariate linear regression. Results: The financial toxicity score of 236 caregivers of colorectal cancer patients was 19.42 ± 9.72. One hundred and fourteen caregivers (accounting for 48.31%) of colorectal cancer patients had high levels of financial toxicity. Financial toxicity scores of caregivers were negatively correlated with perceived stress (r = −0.421, P < 0.001) and positively correlated with social support (r = 0.416, P < 0.001). Our multivariate regression analysis identified some factors that directly affected caregivers’ financial toxicity, including caregiver age (t = 2.105, P = 0.036), medical insurance (t = 2.462, P = 0.015), average household income (t = 2.995, P = 0.003), place of residence (t = 2.872, P = 0.004), perceived stress (t = −4.945, P < 0.001), and social support (t = 4.513, P < 0.001). Conclusions: Caregivers of colorectal cancer patients generally experience a higher level of financial toxicity, which could be eased by lower perceived stress and higher social support. In clinical practice, it is necessary to comprehensively assess the level of financial toxicity of particular caregivers and enact targeted interventions such as increasing communication and actively providing information to address the high medical costs, reducing the detrimental effects of financial toxicity, and improving the quality of colorectal cancer care.
AB - Purpose: To assess the level of financial toxicity of informal caregivers of colorectal cancer patients and explore the related key influencing factors. Method: A descriptive survey design was used in this study. Data were collected from 236 informal caregivers of colorectal cancer patients between March 2023 and July 2023 from a major hospital in central China (Henan province). Potential influence factors of financial toxicity, including basic information, perceived stress, and social support were analyzed using multivariate linear regression. Results: The financial toxicity score of 236 caregivers of colorectal cancer patients was 19.42 ± 9.72. One hundred and fourteen caregivers (accounting for 48.31%) of colorectal cancer patients had high levels of financial toxicity. Financial toxicity scores of caregivers were negatively correlated with perceived stress (r = −0.421, P < 0.001) and positively correlated with social support (r = 0.416, P < 0.001). Our multivariate regression analysis identified some factors that directly affected caregivers’ financial toxicity, including caregiver age (t = 2.105, P = 0.036), medical insurance (t = 2.462, P = 0.015), average household income (t = 2.995, P = 0.003), place of residence (t = 2.872, P = 0.004), perceived stress (t = −4.945, P < 0.001), and social support (t = 4.513, P < 0.001). Conclusions: Caregivers of colorectal cancer patients generally experience a higher level of financial toxicity, which could be eased by lower perceived stress and higher social support. In clinical practice, it is necessary to comprehensively assess the level of financial toxicity of particular caregivers and enact targeted interventions such as increasing communication and actively providing information to address the high medical costs, reducing the detrimental effects of financial toxicity, and improving the quality of colorectal cancer care.
KW - Caregiver
KW - Colorectal cancer
KW - Financial toxicity
KW - Perceived stress
KW - Social support
UR - http://www.scopus.com/inward/record.url?scp=85186065657&partnerID=8YFLogxK
U2 - 10.1016/j.ejon.2024.102519
DO - 10.1016/j.ejon.2024.102519
M3 - Article
C2 - 38402718
AN - SCOPUS:85186065657
SN - 1462-3889
VL - 69
JO - European Journal of Oncology Nursing
JF - European Journal of Oncology Nursing
M1 - 102519
ER -