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Inequality in income change among cancer survivors five years after diagnosis: Evidence from a French national survey
Worldwide, around 18 million people receive a cancer diagnosis each year, most of whom survive long enough to face additional cancer-related costs. In France, most costs directly related to cancer are covered by the National Health Insurance Fund, and cancer patients can receive treatments without p...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6776327/ https://www.ncbi.nlm.nih.gov/pubmed/31581224 http://dx.doi.org/10.1371/journal.pone.0222832 |
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author | Alleaume, Caroline Bendiane, Marc-Karim Peretti-Watel, Patrick Bouhnik, Anne-Déborah |
author_facet | Alleaume, Caroline Bendiane, Marc-Karim Peretti-Watel, Patrick Bouhnik, Anne-Déborah |
author_sort | Alleaume, Caroline |
collection | PubMed |
description | Worldwide, around 18 million people receive a cancer diagnosis each year, most of whom survive long enough to face additional cancer-related costs. In France, most costs directly related to cancer are covered by the National Health Insurance Fund, and cancer patients can receive treatments without paying advance fees. In this context, the costs faced by cancer survivors are mostly social costs. Drawing on fundamental cause theory, this study aimed to explore the socially-differentiated evolution of cancer survivor’s income five years after diagnosis. Our study draws on the findings of VICAN5, a French national survey that was conducted in 2015/2016 in a representative sample of 4,174 cancer survivors to obtain information on living conditions five years after diagnosis, and that was restricted to 12 tumour sites accounting for 88% of global cancer incidence in France. We used the multiple imputation method and the Heckman selection model to identify the factors associated with a decrease in household income per consumption unit (HICU), while accounting for missing data. Among survivors still working five years after diagnosis, 17.6% reported lower income at survey than at diagnosis. After adjustment for socio-demographic and medical characteristics, the decrease in HICU was more frequent in women, singles, low educated survivors, and survivors with reduced working time. Finally, subjective measures of income variation and economic well-being were a useful complement to objective measures since 31.6% of cancer survivors still working five years after diagnosis reported a perceived decrease in household income. In conclusion, inequalities in economic well-being persist long after diagnosis in France, and this despite the fact that most cancer-related costs are covered by the French National Health Insurance Fund. Consequently, more attention should be paid to cancer patients with low socio-economic status to help reduce inequalities in post-diagnosis living conditions. |
format | Online Article Text |
id | pubmed-6776327 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-67763272019-10-12 Inequality in income change among cancer survivors five years after diagnosis: Evidence from a French national survey Alleaume, Caroline Bendiane, Marc-Karim Peretti-Watel, Patrick Bouhnik, Anne-Déborah PLoS One Research Article Worldwide, around 18 million people receive a cancer diagnosis each year, most of whom survive long enough to face additional cancer-related costs. In France, most costs directly related to cancer are covered by the National Health Insurance Fund, and cancer patients can receive treatments without paying advance fees. In this context, the costs faced by cancer survivors are mostly social costs. Drawing on fundamental cause theory, this study aimed to explore the socially-differentiated evolution of cancer survivor’s income five years after diagnosis. Our study draws on the findings of VICAN5, a French national survey that was conducted in 2015/2016 in a representative sample of 4,174 cancer survivors to obtain information on living conditions five years after diagnosis, and that was restricted to 12 tumour sites accounting for 88% of global cancer incidence in France. We used the multiple imputation method and the Heckman selection model to identify the factors associated with a decrease in household income per consumption unit (HICU), while accounting for missing data. Among survivors still working five years after diagnosis, 17.6% reported lower income at survey than at diagnosis. After adjustment for socio-demographic and medical characteristics, the decrease in HICU was more frequent in women, singles, low educated survivors, and survivors with reduced working time. Finally, subjective measures of income variation and economic well-being were a useful complement to objective measures since 31.6% of cancer survivors still working five years after diagnosis reported a perceived decrease in household income. In conclusion, inequalities in economic well-being persist long after diagnosis in France, and this despite the fact that most cancer-related costs are covered by the French National Health Insurance Fund. Consequently, more attention should be paid to cancer patients with low socio-economic status to help reduce inequalities in post-diagnosis living conditions. Public Library of Science 2019-10-03 /pmc/articles/PMC6776327/ /pubmed/31581224 http://dx.doi.org/10.1371/journal.pone.0222832 Text en © 2019 Alleaume et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Alleaume, Caroline Bendiane, Marc-Karim Peretti-Watel, Patrick Bouhnik, Anne-Déborah Inequality in income change among cancer survivors five years after diagnosis: Evidence from a French national survey |
title | Inequality in income change among cancer survivors five years after diagnosis: Evidence from a French national survey |
title_full | Inequality in income change among cancer survivors five years after diagnosis: Evidence from a French national survey |
title_fullStr | Inequality in income change among cancer survivors five years after diagnosis: Evidence from a French national survey |
title_full_unstemmed | Inequality in income change among cancer survivors five years after diagnosis: Evidence from a French national survey |
title_short | Inequality in income change among cancer survivors five years after diagnosis: Evidence from a French national survey |
title_sort | inequality in income change among cancer survivors five years after diagnosis: evidence from a french national survey |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6776327/ https://www.ncbi.nlm.nih.gov/pubmed/31581224 http://dx.doi.org/10.1371/journal.pone.0222832 |
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