Prevalence, trends, and demographic characteristics associated with self-reported financial stress among head and neck cancer patients in the United States of America

Background Understanding the economic burden imposed by head and neck cancer diagnoses essential to contextualize healthcare decision-making for these patients. Methods A retrospective, cross-sectional analysis of the US National Health Interview Survey was performed between 2013 and 2018. Demographic and socioeconomic characteristics of adult head and neck cancer patients were analyzed in relation to survey responses related to financial stress factors. Results Among 710 head and neck cancer patients, 21.39% (95% Cl, 17.69%–25.09%) reported difficulty paying medical bills within the previous 12 months. Multivariable logistic regression revealed insurance status [aOR 2.17 (95% CI, 1.15–4.07), p < 0.001] and poverty status [aOR 2.55 (95% CI, 1.48–4.37), p = 0.017] to be significantly associated with difficulty paying medical bills. Conclusion A large proportion of HNC patients may experience financial stress related not only to out-of-pocket health care costs, but also exogenous financial challenges. These findings suggest that a significant proportion of HNC patients may experience financial stress related not only to out-of-pocket health care costs, but also exogenous financial challenges. Such barriers may impede patients' ability to access and adhere to treatment or force detrimental tradeoffs between health care and other essential needs.