Health status, use of healthcare, and socio-economic implications of cancer survivorship in Portugal: results from the Fourth National Health Survey

J Cancer Surviv. 2014 Dec;8(4):611-7. doi: 10.1007/s11764-014-0370-6. Epub 2014 Jun 6.

Abstract

Purpose: Understanding the morbidity and socio-economic implications of cancer survivorship is essential for a comprehensive management of oncological diseases. We compared cancer survivors (CS) with the general population regarding health status, use of healthcare resources and socio-economic condition.

Methods: We analyzed data from a representative sample of the Portuguese population aged ≥15 years (n = 35,229). We defined three groups of CS, according to the time since diagnosis and the latest cancer treatment: CS 1 diagnosis within 12 months of interview; CS 2 diagnosis more than 12 months before and treatment in the previous 12 months; CS 3 diagnosis and treatment more than 12 months before. These were compared with the general population, adjusting for differences in sex, age, and place of residence.

Results: The prevalence of CS was 2.2% (CS 1: 0.2%; CS 2: 0.9%, CS 3: 1.1%). Self-perceived health status was worse among CS and short-time incapacity more frequent among CS 1 and CS 2. Health expenses were higher in the early stages of survivorship. Lower household income and financial difficulties were more frequent in CS 1 and CS 3 men, respectively.

Conclusion: This study confirmed the higher consumption of healthcare resources and worse financial situation among CS.

Implications for cancer survivors: Our study provides valuable information for understanding the global impact of cancer survivorship.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Female
  • Health Status
  • Health Surveys
  • Humans
  • Male
  • Middle Aged
  • Neoplasms / epidemiology
  • Neoplasms / mortality*
  • Portugal
  • Social Class
  • Survivors
  • Young Adult