{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T06:26:25Z","timestamp":1790922385210,"version":"4.1.0"},"reference-count":34,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2015,1,6]],"date-time":"2015-01-06T00:00:00Z","timestamp":1420502400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"NCI","award":["UO1 CA 93326"],"award-info":[{"award-number":["UO1 CA 93326"]}]},{"name":"NCI","award":["UO1 CA93329"],"award-info":[{"award-number":["UO1 CA93329"]}]},{"name":"NCI","award":["UO1 CA93332"],"award-info":[{"award-number":["UO1 CA93332"]}]},{"name":"NCI","award":["UO1 CA93339"],"award-info":[{"award-number":["UO1 CA93339"]}]},{"name":"NCI","award":["UO1 CA93344"],"award-info":[{"award-number":["UO1 CA93344"]}]},{"name":"NCI","award":["UO1 CA93348"],"award-info":[{"award-number":["UO1 CA93348"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2015,4,15]]},"abstract":"<jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>Current literature suggests that racial\/ethnic minority survivors may be more likely than whites to experience economic hardship after a cancer diagnosis; however, little is known about such hardship.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Patients with lung cancer (LC) and colorectal cancer (CRC) participating in the Cancer Care Outcomes Research and Surveillance (CanCORS) Consortium were surveyed approximately 4 months (baseline) and 12 months (follow\u2010up) after diagnosis. Economic hardship at follow\u2010up was present if participants 1) indicated difficulty living on household income; and\/or 2) for the following 2 months, anticipated experiencing hardships (inadequate housing, food, or medical attention) or reducing living standards to the bare necessities of life. The authors tested whether African Americans (AAs) and Hispanics were more likely than whites to experience economic hardship controlling for sex, age, education, marital status, cancer stage, treatment, and economic status at baseline (income, prescription drug coverage).<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Of 3432 survivors (39.7% with LC, 60.3% with CRC), 14% were AA, 7% were Hispanic, and 79% were white. AAs and Hispanics had lower education and income than whites. Approximately 68% of AAs, 58% of Hispanics, and 44.5% of whites reported economic hardship. In LC survivors, the Hispanic\u2010white disparity was not significant in unadjusted or adjusted analyses, and the AA\u2010white disparity was explained by baseline economic status. In CRC survivors, the Hispanic\u2010white disparity was explained by baseline economic status, and the AA\u2010white disparity was not explained by the variables that were included in the model.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Economic hardship was evident in almost 1 in 2 cancer survivors 1 year after diagnosis, especially AAs. Research should evaluate and address risk factors and their impact on survival and survivorship outcomes. <jats:bold><jats:italic>Cancer<\/jats:italic> 2015;121:1257\u20131264.<\/jats:bold> \u00a9 <jats:italic>2015 American Cancer Society<\/jats:italic>.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncr.29206","type":"journal-article","created":{"date-parts":[[2015,1,6]],"date-time":"2015-01-06T15:48:23Z","timestamp":1420559303000},"page":"1257-1264","source":"Crossref","is-referenced-by-count":95,"title":["Economic hardship of minority and non\u2010minority cancer survivors 1 year after diagnosis: Another long\u2010term effect of cancer?"],"prefix":"10.1002","volume":"121","author":[{"given":"Maria","family":"Pisu","sequence":"first","affiliation":[{"name":"Division of Preventive Medicine and Comprehensive Cancer Center University of Alabama at Birmingham Birmingham Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly 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