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Tytuł pozycji:

Association of Neighborhood Deprivation Index With Success in Cancer Care Crowdfunding.

Tytuł:
Association of Neighborhood Deprivation Index With Success in Cancer Care Crowdfunding.
Autorzy:
Silver ER; Department of Medicine, Columbia University Irving Medical Center, New York, New York.
Truong HQ; Department of Medicine, Columbia University Irving Medical Center, New York, New York.
Ostvar S; Department of Medicine, Columbia University Irving Medical Center, New York, New York.
Hur C; Department of Medicine, Columbia University Irving Medical Center, New York, New York.; Herbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, New York.; Division of Digestive and Liver Diseases, Columbia University Irving Medical Center, New York, New York.
Tatonetti NP; Department of Medicine, Columbia University Irving Medical Center, New York, New York.; Herbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, New York.; Department of Biomedical Informatics, Columbia University Irving Medical Center, New York, New York.
Źródło:
JAMA network open [JAMA Netw Open] 2020 Dec 01; Vol. 3 (12), pp. e2026946. Date of Electronic Publication: 2020 Dec 01.
Typ publikacji:
Journal Article
Język:
English
Imprint Name(s):
Original Publication: Chicago, IL : American Medical Association, [2018]-
MeSH Terms:
Healthcare Financing*
Crowdsourcing/*methods
Financing, Personal/*methods
Neoplasms/*economics
Cross-Sectional Studies ; Health Care Costs ; Humans ; Residence Characteristics ; Socioeconomic Factors ; Surveys and Questionnaires ; United States
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Grant Information:
R35 GM131905 United States GM NIGMS NIH HHS
Entry Date(s):
Date Created: 20201203 Date Completed: 20210201 Latest Revision: 20240104
Update Code:
20240104
PubMed Central ID:
PMC7716189
DOI:
10.1001/jamanetworkopen.2020.26946
PMID:
33270122
Czasopismo naukowe
Importance: Financial toxicity resulting from cancer care poses a substantial public health concern, leading some patients to turn to online crowdfunding. However, the practice may exacerbate existing socioeconomic cancer disparities by privileging those with access to interpersonal wealth and digital media literacy.
Objective: To test the hypotheses that higher county-level socioeconomic status and the presence (vs absence) of text indicators of beneficiary worth in campaign descriptions are associated with amount raised from cancer crowdfunding.
Design, Setting, and Participants: This cross-sectional analysis examined US cancer crowdfunding campaigns conducted between 2010 and 2019 and data from the American Community Survey (2013-2017). Data analysis was performed from December 2019 to March 2020.
Exposures: Neighborhood deprivation index of campaign location and campaign text features indicating the beneficiary's worth.
Main Outcomes and Measures: Amount of money raised.
Results: This study analyzed 144 061 US cancer crowdfunding campaigns. Campaigns in counties with higher neighborhood deprivation raised less (-26.07%; 95% CI, -27.46% to -24.65%; P < .001) than those in counties with less neighborhood deprivation. Campaigns raised more funds when legitimizing details were provided, including clinical details about the cancer type (9.58%; 95% CI, 8.00% to 11.18%; P < .001) and treatment type (6.58%; 95% CI, 5.44% to 7.79%; P < .001) and financial details, such as insurance status (1.39%; 95% CI, 0.20% to 2.63%; P = .02) and out-of-pocket costs (7.36%; 95% CI, 6.18% to 8.55%; P < .001). Campaigns raised more money when beneficiaries were described as warm (13.80%; 95% CI, 12.30% to 15.26%; P < .001), brave (15.40%; 95% CI, 14.11% to 16.65%; P < .001), or self-reliant (5.23%; 95% CI, 3.77% to 6.72%; P < .001).
Conclusions and Relevance: These findings suggest that cancer crowdfunding success ay disproportionately benefit those in high-socioeconomic status areas and those with the internet literacy necessary to portray beneficiaries as worthy. By rewarding those with existing socioeconomic advantage, cancer crowdfunding may perpetuate socioeconomic disparities in cancer care access. The findings also underscore the widespread nature of financial toxicity resulting from cancer care.
Comment in: JAMA Netw Open. 2020 Dec 1;3(12):e2027191. (PMID: 33270118)

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