{"id":"https://openalex.org/W2097588609","doi":null,"title":"Health Shocks in Patients with Cancer: A Longitudinal Analysis of Financial and Retirement Trends Using the Health and Retirement Study","display_name":"Health Shocks in Patients with Cancer: A Longitudinal Analysis of Financial and Retirement Trends Using the Health and Retirement Study","publication_year":2013,"publication_date":"2013-01-01","ids":{"openalex":"https://openalex.org/W2097588609","mag":"2097588609"},"language":"en","primary_location":{"id":"pmh:oai:repository.arizona.edu:10150/293483","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/10150/293483","pdf_url":null,"source":{"id":"https://openalex.org/S4306400271","display_name":"UA Campus Repository (The University of Arizona)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I138006243","host_organization_name":"University of Arizona","host_organization_lineage":["https://openalex.org/I138006243"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"Electronic Dissertation"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5103532826","display_name":"Adrienne M. Gilligan","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Adrienne M. Gilligan","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5103532826"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":2,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12708","display_name":"Economic and Financial Impacts of Cancer","score":0.9916999936103821,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T12708","display_name":"Economic and Financial Impacts of Cancer","score":0.9916999936103821,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10517","display_name":"Financial Literacy, Pension, Retirement Analysis","score":0.004399999976158142,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10178","display_name":"Cancer survivorship and care","score":0.0010999999940395355,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cancer","display_name":"cancer","score":0.8709999918937683},{"id":"https://openalex.org/keywords/net-worth","display_name":"net worth","score":0.7720000147819519},{"id":"https://openalex.org/keywords/consumer-debt","display_name":"consumer debt","score":0.8330000042915344},{"id":"https://openalex.org/keywords/mortgage-debt","display_name":"mortgage debt","score":0.9990000128746033},{"id":"https://openalex.org/keywords/home-equity","display_name":"home equity","score":0.9990000128746033},{"id":"https://openalex.org/keywords/retirement","display_name":"retirement","score":0.8199999928474426},{"id":"https://openalex.org/keywords/financial-hardship","display_name":"financial hardship","score":0.5260000228881836},{"id":"https://openalex.org/keywords/health-shocks","display_name":"health shocks","score":0.6129999756813049},{"id":"https://openalex.org/keywords/cancer-treatment-costs","display_name":"cancer treatment costs","score":0.6520000100135803},{"id":"https://openalex.org/keywords/retirement-age","display_name":"retirement age","score":0.33000001311302185},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.5329999923706055},{"id":"https://openalex.org/keywords/wealth-inequality","display_name":"wealth inequality","score":0.414000004529953},{"id":"https://openalex.org/keywords/private-insurance","display_name":"private insurance","score":0.4169999957084656},{"id":"https://openalex.org/keywords/alcohol-consumption","display_name":"alcohol consumption","score":0.6079999804496765},{"id":"https://openalex.org/keywords/hypertension","display_name":"hypertension","score":0.718999981880188},{"id":"https://openalex.org/keywords/marital-status","display_name":"marital status","score":0.8859999775886536},{"id":"https://openalex.org/keywords/human-capital","display_name":"human capital","score":0.5099999904632568},{"id":"https://openalex.org/keywords/health-and-retirement-study","display_name":"Health and Retirement Study","score":0.6539999842643738}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7630972862243652},{"id":"https://openalex.org/C2778770122","wikidata":"https://www.wikidata.org/wiki/Q1933764","display_name":"Net worth","level":3,"score":0.5546817779541016},{"id":"https://openalex.org/C2780176501","wikidata":"https://www.wikidata.org/wiki/Q5690755","display_name":"Health and Retirement Study","level":2,"score":0.5534011125564575},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.4915245473384857},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.46879395842552185},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.46087151765823364},{"id":"https://openalex.org/C2781354955","wikidata":"https://www.wikidata.org/wiki/Q11920938","display_name":"Marital status","level":3,"score":0.44065847992897034},{"id":"https://openalex.org/C2780850388","wikidata":"https://www.wikidata.org/wiki/Q5888995","display_name":"Home equity","level":2,"score":0.4361407160758972},{"id":"https://openalex.org/C120527767","wikidata":"https://www.wikidata.org/wiki/Q3196867","display_name":"Debt","level":2,"score":0.41601911187171936},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3492864966392517},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.28520745038986206},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2621622681617737},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.21733415126800537},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.17611074447631836},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.11656615138053894},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:repository.arizona.edu:10150/293483","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/10150/293483","pdf_url":null,"source":{"id":"https://openalex.org/S4306400271","display_name":"UA Campus Repository (The University of Arizona)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I138006243","host_organization_name":"University of Arizona","host_organization_lineage":["https://openalex.org/I138006243"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"Electronic Dissertation"},{"id":"mag:2097588609","doi":null,"is_oa":false,"landing_page_url":"https://arizona.openrepository.com/handle/10150/293483","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":164,"referenced_works":["https://openalex.org/W62555044","https://openalex.org/W155185472","https://openalex.org/W286713500","https://openalex.org/W377295446","https://openalex.org/W634656466","https://openalex.org/W1486115768","https://openalex.org/W1493338084","https://openalex.org/W1496530774","https://openalex.org/W1496715061","https://openalex.org/W1501155137","https://openalex.org/W1507801425","https://openalex.org/W1508294398","https://openalex.org/W1515201294","https://openalex.org/W1516715544","https://openalex.org/W1517515042","https://openalex.org/W1533484765","https://openalex.org/W1551850213","https://openalex.org/W1559098934","https://openalex.org/W1574541894","https://openalex.org/W1581758947","https://openalex.org/W1587988372","https://openalex.org/W1596508021","https://openalex.org/W1605491412","https://openalex.org/W1655203505","https://openalex.org/W1706390505","https://openalex.org/W1890898854","https://openalex.org/W1891890863","https://openalex.org/W1922581385","https://openalex.org/W1966358295","https://openalex.org/W1967605696","https://openalex.org/W1970193811","https://openalex.org/W1970545374","https://openalex.org/W1972838928","https://openalex.org/W1973948212","https://openalex.org/W1982652192","https://openalex.org/W1984590825","https://openalex.org/W1984592184","https://openalex.org/W1996830176","https://openalex.org/W1997318260","https://openalex.org/W1999187097","https://openalex.org/W2001987654","https://openalex.org/W2004753693","https://openalex.org/W2005158516","https://openalex.org/W2009797510","https://openalex.org/W2011661086","https://openalex.org/W2011749083","https://openalex.org/W2012942082","https://openalex.org/W2015158254","https://openalex.org/W2019025561","https://openalex.org/W2019328556","https://openalex.org/W2020253435","https://openalex.org/W2024050348","https://openalex.org/W2027607089","https://openalex.org/W2034066037","https://openalex.org/W2035639623","https://openalex.org/W2037969291","https://openalex.org/W2039113572","https://openalex.org/W2041469258","https://openalex.org/W2042312782","https://openalex.org/W2043794954","https://openalex.org/W2044758663","https://openalex.org/W2047631683","https://openalex.org/W2048773153","https://openalex.org/W2050056063","https://openalex.org/W2051809882","https://openalex.org/W2055965565","https://openalex.org/W2057367182","https://openalex.org/W2057923175","https://openalex.org/W2058941857","https://openalex.org/W2060420558","https://openalex.org/W2060565181","https://openalex.org/W2061989571","https://openalex.org/W2062432980","https://openalex.org/W2062873636","https://openalex.org/W2065495871","https://openalex.org/W2066339750","https://openalex.org/W2069287878","https://openalex.org/W2070221609","https://openalex.org/W2071230380","https://openalex.org/W2072205603","https://openalex.org/W2073467721","https://openalex.org/W2074142971","https://openalex.org/W2074225870","https://openalex.org/W2075697008","https://openalex.org/W2078923221","https://openalex.org/W2083077778","https://openalex.org/W2083838849","https://openalex.org/W2085752747","https://openalex.org/W2089013295","https://openalex.org/W2090009126","https://openalex.org/W2091489533","https://openalex.org/W2094459583","https://openalex.org/W2097826762","https://openalex.org/W2099401048","https://openalex.org/W2100412130","https://openalex.org/W2103796038","https://openalex.org/W2104698787","https://openalex.org/W2107899038","https://openalex.org/W2107929544","https://openalex.org/W2107976106","https://openalex.org/W2112090688","https://openalex.org/W2112316780","https://openalex.org/W2113098403","https://openalex.org/W2114201736","https://openalex.org/W2114308806","https://openalex.org/W2114829509","https://openalex.org/W2115277381","https://openalex.org/W2116774060","https://openalex.org/W2118078902","https://openalex.org/W2119515682","https://openalex.org/W2119516652","https://openalex.org/W2121274101","https://openalex.org/W2121690051","https://openalex.org/W2122087165","https://openalex.org/W2122789440","https://openalex.org/W2124326620","https://openalex.org/W2127406054","https://openalex.org/W2128409277","https://openalex.org/W2130752788","https://openalex.org/W2134121743","https://openalex.org/W2135590639","https://openalex.org/W2139548544","https://openalex.org/W2140811091","https://openalex.org/W2141105173","https://openalex.org/W2143978463","https://openalex.org/W2144499777","https://openalex.org/W2144507584","https://openalex.org/W2145666846","https://openalex.org/W2148621464","https://openalex.org/W2149942982","https://openalex.org/W2150291618","https://openalex.org/W2160410432","https://openalex.org/W2161387661","https://openalex.org/W2161783702","https://openalex.org/W2166144075","https://openalex.org/W2166535194","https://openalex.org/W2169515322","https://openalex.org/W2170866756","https://openalex.org/W2170915815","https://openalex.org/W2171036238","https://openalex.org/W2172183542","https://openalex.org/W2184454076","https://openalex.org/W2209734838","https://openalex.org/W2256935489","https://openalex.org/W2261332782","https://openalex.org/W2342262769","https://openalex.org/W2418877201","https://openalex.org/W2500103475","https://openalex.org/W2504128430","https://openalex.org/W2602737734","https://openalex.org/W2617632826","https://openalex.org/W2753371355","https://openalex.org/W2889605820","https://openalex.org/W3001472365","https://openalex.org/W3009625190","https://openalex.org/W3121872661","https://openalex.org/W3122371209","https://openalex.org/W3122703670","https://openalex.org/W3122723214","https://openalex.org/W3122737164","https://openalex.org/W3124330908","https://openalex.org/W3125510649","https://openalex.org/W3176570470","https://openalex.org/W7025543267"],"related_works":["https://openalex.org/W2807821904","https://openalex.org/W2593335347","https://openalex.org/W3168132894","https://openalex.org/W2806628538","https://openalex.org/W4221075116","https://openalex.org/W2891792429","https://openalex.org/W4405976506","https://openalex.org/W32358522","https://openalex.org/W4285795080","https://openalex.org/W4413780422"],"abstract_inverted_index":{"Objectives:":[0],"Evaluate":[1],"the":[2,23,44,49,52,91,110,131,337],"association":[3,92,111,132],"of":[4,38,48,51,55,74,112,133,140,147,183,238,282,294,301,309,316,321,336,345],"cancer":[5,113,134,173,177,189,196,213,233,248,304,310,317,322],"on":[6,101,114,135],"net":[7,78,81,115,185,314,340],"worth,":[8,116],"consumer":[9,117,203,225,325],"debt,":[10,12,118,120],"mortgage":[11,119,239],"home":[13,122,271],"equity":[14,272],"and":[15,25,63,66,80,98,121,157,176,232,242,266,318],"changes":[16],"in":[17,149,339],"retirement":[18],"trends.":[19],"Methods:":[20],"Data":[21],"from":[22,28,285],"Health":[24],"Retirement":[26],"Study":[27],"1998-2010":[29],"was":[30,43,60,70,86,127,278],"used.":[31],"Persons":[32],"had":[33],"to":[34,88,108,129,201,223,269,287],"have":[35,202,224,270],"a":[36,64,279,333],"diagnosis":[37,54,207,217,344],"cancer.":[39,56,346],"The":[40,57,145],"index":[41,69],"date":[42,59],"corresponding":[45],"HRS":[46],"wave":[47],"year":[50],"first":[53],"pre-index":[58],"2":[61],"years":[62,300],"2-year":[65],"4-year":[67],"post":[68,206,216,274,328,343],"observed.":[71],"Primary":[72],"outcomes":[73],"interest":[75],"were":[76,106,152,180,197,218,235,261],"zero/negative":[77,184,313],"worth":[79,186,315,341],"worth.":[82],"Multiple":[83],"logistic":[84,125],"regression":[85,126],"used":[87],"test":[89],"for":[90,194],"between":[93],"demographic,":[94],"economic,":[95],"human":[96],"capital,":[97],"cancer-related":[99],"variables":[100],"outcomes.":[102],"Generalized":[103],"linear":[104],"models":[105],"conducted":[107],"assess":[109,130],"equity.":[123],"Multinomial":[124],"performed":[128],"retirement.":[136],"Results:":[137],"A":[138],"total":[139],"6,055,110":[141],"individuals":[142,246,283],"(weighted)":[143],"qualified.":[144],"majority":[146],"patients":[148,297,311,323],"this":[150],"sample":[151],"male":[153],"(53.8%),":[154],"non-Hispanic":[155],"(95.5%),":[156],"white":[158],"(90.3%).":[159],"Marital":[160],"status":[161,174,234,277],"(p<0.05),":[162],"alcohol":[163],"consumption":[164],"(p=0.046),":[165],"hypertension":[166],"(p":[167],"=":[168],"0.034),":[169],"private":[170],"insurance":[171],"(p=0.001),":[172],"(p<0.001),":[175],"treatment":[178,193,231],"(p=0.022)":[179],"significant":[181,236,280,334],"predictors":[182,237],"4-years":[187,205,215,273],"after":[188],"diagnosis.":[190,275,329],"Patients":[191,209],"receiving":[192],"their":[195,212],"71%":[198],"more":[199,263],"likely":[200,221,264],"debt":[204,226,240,326],"(p=0.006).":[208],"who":[210],"reported":[211,312,324],"improving":[214],"significantly":[219,262],"less":[220],"(p=0.008)":[222],"(OR=0.59;":[227],"95%CI:":[228,252,257],"0.41-0.87).":[229],"Cancer":[230,276],"(p<0.001":[241],"0.024,":[243],"respectively).":[244],"For":[245],"whose":[247],"either":[249],"improved":[250],"(OR=1.46;":[251],"1.04-2.06)":[253],"or":[254],"worsened":[255],"(OR=4.09;":[256],"1.38-12.15),":[258],"both":[259],"groups":[260],"(p=0.030":[265],"0.011,":[267],"respectively)":[268],"predictor":[281],"transitioning":[284],"working":[286],"retired":[288],"(p=0.022).Conclusion:":[289],"This":[290],"nationally":[291],"representative":[292],"investigation":[293],"6.1":[295],"million":[296],"over":[298],"50":[299],"age":[302],"with":[303],"found":[305],"that":[306],"approximately":[307],"65%":[308],"almost":[319],"45%":[320],"four-years":[327,342],"Cancer-related":[330],"characteristics":[331],"explain":[332],"amount":[335],"change":[338]},"counts_by_year":[{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
