{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T05:45:20Z","timestamp":1777787120868,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Adolescent and Young Adult Oncology"],"abstract":"<jats:p>\n                    We explored how sociodemographics and health insurance literacy (HIL) are associated with financial toxicity (FT) among adolescent and young adult (AYA) cancer patients using linear regression. Participants (\n                    <jats:italic toggle=\"yes\">N<\/jats:italic>\n                    = 86; ages: 18\u201339) diagnosed with cancer in the past year completed baseline surveys of an intervention trial assessing HIL (range: 4\u201336, lower scores = worse literacy) and the COmprehensive Score for financial Toxicity (COST; range: 0\u201344, lower scores = higher toxicity). Policyholders had higher FT (\u03b2 = \u22125.24,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.02). Among AYAs aged 26\u201339, each one-point HIL increase correlated with a 0.55 increase in COST score (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.05). Improving HIL could address FT among AYAs aged 26\u201339, suggesting a potential target for intervention.\n                  <\/jats:p>","DOI":"10.1177\/21565333261438106","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T06:20:46Z","timestamp":1774938046000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Association of Health Insurance Literacy on Financial Toxicity Among Adolescent and Young Adult Cancer Patients"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-7135-5403","authenticated-orcid":false,"given":"Katie N.","family":"Rogers","sequence":"first","affiliation":[{"name":"Cancer Control and Population Sciences, Huntsman Cancer Institute, Salt Lake City, Utah, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Perla L.","family":"Vaca Lopez","sequence":"additional","affiliation":[{"name":"Cancer Control and Population Sciences, Huntsman Cancer Institute, Salt Lake City, Utah, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Chevrier","sequence":"additional","affiliation":[{"name":"Cancer Control and Population Sciences, Huntsman Cancer Institute, Salt Lake City, Utah, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heydon K.","family":"Kaddas","sequence":"additional","affiliation":[{"name":"Cancer Control and Population Sciences, Huntsman Cancer Institute, Salt Lake City, Utah, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karely M.","family":"van Thiel Berghuijs","sequence":"additional","affiliation":[{"name":"Cancer Control and Population Sciences, Huntsman Cancer Institute, Salt Lake City, Utah, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Austin R.","family":"Waters","sequence":"additional","affiliation":[{"name":"Cancer Control and Population Sciences, Huntsman Cancer Institute, Salt Lake City, Utah, USA."},{"name":"Department of Medical Oncology, Division of Population Sciences, Dana-Farber Cancer Institute, Boston, Massachusetts, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Echo L.","family":"Warner","sequence":"additional","affiliation":[{"name":"Cancer Control and Population Sciences, Huntsman Cancer Institute, Salt Lake City, Utah, USA."},{"name":"Department of Pediatrics, University of Utah, Salt Lake City, Utah, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Ray","sequence":"additional","affiliation":[{"name":"Huntsman-Intermountain Adolescent and Young Adult Cancer Care Program, Huntsman Cancer Institute, Salt Lake City, Utah, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karlie","family":"Allen","sequence":"additional","affiliation":[{"name":"Huntsman-Intermountain Adolescent and Young Adult Cancer Care Program, Huntsman Cancer Institute, Salt Lake City, Utah, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoko","family":"Tsukamoto","sequence":"additional","affiliation":[{"name":"Primary Children\u2019s Hospital Rainbow Kids Palliative Care Program, Salt Lake City, Utah, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas B.","family":"Fair","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Utah, Salt Lake City, Utah, USA."},{"name":"Huntsman-Intermountain Adolescent and Young Adult Cancer Care Program, Huntsman Cancer Institute, Salt Lake City, Utah, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark A.","family":"Lewis","sequence":"additional","affiliation":[{"name":"Intermountain Medical Oncology, Intermountain Health, Murray, Utah, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giselle K.","family":"Perez","sequence":"additional","affiliation":[{"name":"Health Policy Research Center, Mongan Institute, Massachusetts General Hospital, Boston, Massachusetts, USA."},{"name":"Harvard Medical School, Boston, Massachusetts, USA."},{"name":"Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elyse R.","family":"Park","sequence":"additional","affiliation":[{"name":"Health Policy Research Center, Mongan Institute, Massachusetts General Hospital, Boston, Massachusetts, USA."},{"name":"Harvard Medical School, Boston, Massachusetts, USA."},{"name":"Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne C.","family":"Kirchhoff","sequence":"additional","affiliation":[{"name":"Cancer Control and Population Sciences, Huntsman Cancer Institute, Salt Lake City, Utah, USA."},{"name":"Department of Pediatrics, University of Utah, Salt Lake City, Utah, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,30]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-021-06819-0"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2023.4430"},{"key":"e_1_3_3_4_1","first-page":"68","article-title":"Annual out-of-pocket expenditures and financial hardship among cancer survivors aged 18\u201364 years\u2014United States, 2011\u20132016","author":"Donatus U","year":"2019","unstructured":"3.Donatus U, , Ekwueme P, , Zhao J, et al. 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