| Title |
Mental health insurance access and utilization among childhood cancer survivors: a report from the childhood cancer survivor study
|
|---|---|
| Published in |
Journal of Cancer Survivorship, April 2018
|
| DOI | 10.1007/s11764-018-0691-y |
| Pubmed ID | |
| Authors |
Giselle K. Perez, Anne C. Kirchhoff, Christopher Recklitis, Kevin R. Krull, Karen A. Kuhlthau, Paul C. Nathan, Julia Rabin, Gregory T. Armstrong, Wendy Leisenring, Leslie L. Robison, Elyse R. Park |
| Abstract |
To describe and compare the prevalence of mental health access, preference, and use among pediatric cancer survivors and their siblings. To identify factors associated with mental health access and use among survivors. Six hundred ninety-eight survivors in the Childhood Cancer Survivor Study (median age = 39.4; median years from diagnosis = 30.8) and 210 siblings (median age = 40.4) were surveyed. Outcomes included having mental health insurance coverage, delaying care due to cost, perceived value of mental health benefits, and visiting a mental health provider in the past year. There were no differences in mental health access, preferences, and use between survivors and siblings (p > 0.05). Among respondents with a history of distress, most reported not having seen a mental health provider in the past year (80.9% survivors vs. 77.1% siblings; p = 0.60). Uninsured survivors were more likely to defer mental health services due to cost (24.6 vs. 8.4%; p < 0.001). In multivariable models, males (OR = 2.96) and survivors with public (OR = 6.61) or employer-sponsored insurance (ESI; OR = 14.37) were more likely to have mental health coverage. Most childhood cancer survivors value having mental healthcare benefits; however, coverage and use of mental health services remain suboptimal. The most vulnerable of survivors, specifically the uninsured and those with a history of distress, are at risk of experiencing challenges accessing mental health care. Childhood cancer survivors are at risk for experiencing high levels of daily life stress that is compounded by treatment-related sequelae. Integrative, system-based approaches that incorporate financial programs with patient education about insurance benefits can help reduce some of the financial barriers survivors face. |
X Demographics
The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 1 | 33% |
| Germany | 1 | 33% |
| Unknown | 1 | 33% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 2 | 67% |
| Science communicators (journalists, bloggers, editors) | 1 | 33% |
Mendeley readers
The data shown below were compiled from readership statistics for 67 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 67 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Ph. D. Student | 8 | 12% |
| Student > Bachelor | 7 | 10% |
| Researcher | 6 | 9% |
| Student > Master | 6 | 9% |
| Student > Postgraduate | 5 | 7% |
| Other | 8 | 12% |
| Unknown | 27 | 40% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 10 | 15% |
| Nursing and Health Professions | 10 | 15% |
| Psychology | 10 | 15% |
| Neuroscience | 2 | 3% |
| Social Sciences | 2 | 3% |
| Other | 4 | 6% |
| Unknown | 29 | 43% |
Attention Score in Context
This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 April 2018.
All research outputs
#13,901,523
of 23,045,021 outputs
Outputs from Journal of Cancer Survivorship
#676
of 988 outputs
Outputs of similar age
#175,376
of 327,391 outputs
Outputs of similar age from Journal of Cancer Survivorship
#9
of 13 outputs
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