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Financial difficulties were ascertained with the financial difficulties item of the European Organisation for Research and Treatment of Cancer Core Instrument (EORTC QLQ-C30) at each time-point (cut-off\u2009&gt;\u200917). Financial difficulties were classified in trajectories: <jats:italic>always<\/jats:italic> (every time-point), <jats:italic>never<\/jats:italic> (no time-point), <jats:italic>initial<\/jats:italic> (first, not fourth), <jats:italic>delayed<\/jats:italic> (only fourth), and <jats:italic>acquired<\/jats:italic> (second and\/or third, not first).<\/jats:p>\n                <jats:p>A logistic regression was conducted with the\u00a0trajectories of financial difficulties as outcome and migration background as exposure. Age, trends in partnership status, and educational level were considered as confounders.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Of the 363 participants included, 49% reported financial difficulties at at least one time-point.<\/jats:p>\n                <jats:p>Financial difficulties were reported always by 7% of the participants, initially by 5%, delayed by 10%, and acquired by 21%.<\/jats:p>\n                <jats:p>Migrants were almost four times more likely to report delayed (odds ratio [OR]\u2009=\u20093.7; 95% confidence interval [CI] 1.3,\u00a010.5) or acquired (OR\u2009=\u20093.6;\u00a095%\u00a0CI 1.6,\u00a08.4) financial difficulties compared to non-migrant participants.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Survivors with a migration background are more likely to suffer from financial difficulties, especially in later stages of the follow-up. A linguistically\/culturally competent active enquiry about financial difficulties and information material regarding supporting services\/insurances should be considered.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00520-022-07074-7","type":"journal-article","created":{"date-parts":[[2022,5,4]],"date-time":"2022-05-04T06:03:24Z","timestamp":1651644204000},"page":"6677-6688","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Financial difficulties in breast cancer survivors with and without migration background in Germany\u2014results from the prospective multicentre cohort study BRENDA II"],"prefix":"10.1007","volume":"30","author":[{"given":"N.","family":"Riccetti","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Felberbaum","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Flock","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"K\u00fchn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Leinert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Schwentner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Singer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Taylor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"W\u00f6ckel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.","family":"Janni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,5,4]]},"reference":[{"issue":"14","key":"7074_CR1","doi-asserted-by":"publisher","first-page":"1608","DOI":"10.1200\/JCO.2011.37.9511","volume":"30","author":"V Shankaran","year":"2012","unstructured":"Shankaran V et al (2012) Risk Factors for Financial Hardship in Patients Receiving Adjuvant Chemotherapy for Colon Cancer: A Population-Based Exploratory Analysis. 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