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J Cancer Surviv. 2015 Mar;9(1):50-8. doi: 10.1007/s11764-014-0392-0. Epub 2014 Aug 10.

Mental health services utilization and expenditures associated with cancer survivorship in the United States.

Author information

1
Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, 4770 Buford Highway NE, MS F-76, Atlanta, GA, 30341-3724, USA, cli11@cdc.gov.

Abstract

PURPOSE:

The aim of this study is to assess mental health services utilization and expenditures associated with cancer history using a nationally representative sample in the US.

METHODS:

We used data from the 2008-2011 Medical Expenditure Panel Survey and multivariate regression models to assess mental health services use and expenditures among cancer survivors compared to individuals without a cancer history, stratified by age (18-64 and ≥65 years) and time since diagnosis (≤1 vs. >1 year).

RESULTS:

Among adults aged 18-64, compared with individuals without a cancer history, cancer survivors were more likely to screen positive for current psychological distress and depression regardless of time since diagnosis; survivors diagnosed >1 year ago were more likely to use mental health prescription drugs; those diagnosed within 1 year reported significantly lower annual per capita mental health drug expenditure and out-of-pocket mental health expenditure, while those diagnosed >1 year presented significantly higher annual per capita mental health expenditure. No significant differences in mental health expenditures were found among adults aged 65 or older.

CONCLUSIONS:

Mental health problems presented higher health and economic burden among younger and longer-term survivors than individuals without a cancer history. This study provides data for monitoring the impact of initiatives to enhance coverage and access for mental health services at the national level.

IMPLICATIONS FOR CANCER SURVIVORS:

Early detection and appropriate treatment of mental health problems may help improve quality of cancer survivorship.

PMID:
25108481
PMCID:
PMC4492105
DOI:
10.1007/s11764-014-0392-0
[Indexed for MEDLINE]
Free PMC Article

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