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  • Wiley  (2)
  • Zhao, Jingxuan  (2)
  • 1
    In: International Journal of Cancer, Wiley, Vol. 151, No. 12 ( 2022-12-15), p. 2095-2106
    Abstract: State‐specific information on lost earnings due to smoking‐attributable cancer deaths to inform and advocate for tobacco control policies is lacking. We estimated person‐years of life lost (PYLL) and lost earnings due to cigarette smoking‐attributable cancer deaths in the United States nationally and by state. Proportions and numbers of cigarette smoking‐attributable cancer deaths and associated PYLL among individuals aged 25 to 79 years in 2019 were calculated and combined with annual median earnings to estimate lost earnings attributable to cigarette smoking. In 2019, estimated total PYLL and lost earnings associated with cigarette smoking‐attributable cancer deaths in ages 25 to 79 years in the United States were 2 188 195 (95% CI, 2 148 707‐2 231 538) PYLL and $20.9 billion ($20.0 billion‐$21.7 billion), respectively. States with the highest overall age‐standardized PYLL and lost earning rates generally were in the South and Midwest. The estimated rate per 100 000 population ranged from 352 (339‐366) in Utah to 1337 (1310‐1367) in West Virginia for PYLL and from $4.3 million ($3.5 million‐$5.2 million) in Idaho to $14.8 million ($10.6 million‐$20.7 million) in Missouri for lost earnings. If age‐specific PYLL and lost earning rates in Utah had been achieved by all states, 58.2% (57.0%‐59.5%) of the estimated total PYLL (1 274 178; 1 242 218‐1 306 685 PYLL) and 50.5% (34.2%‐62.4%) of lost earnings ($10.5 billion; $7.1 billion‐$13.1 billion) in 2019 nationally would have been avoided. Lost earnings due to smoking‐attributable cancer deaths are substantial in the United States and are highest in states with weaker tobacco control policies.
    Type of Medium: Online Resource
    ISSN: 0020-7136 , 1097-0215
    URL: Issue
    RVK:
    Language: English
    Publisher: Wiley
    Publication Date: 2022
    detail.hit.zdb_id: 218257-9
    detail.hit.zdb_id: 1474822-8
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  • 2
    In: CA: A Cancer Journal for Clinicians, Wiley, Vol. 74, No. 4 ( 2024-07), p. 341-358
    Abstract: The rising costs of cancer care and subsequent medical financial hardship for cancer survivors and families are well documented in the United States. Less attention has been paid to employment disruptions and loss of household income after a cancer diagnosis and during treatment, potentially resulting in lasting financial hardship, particularly for working‐age adults not yet age‐eligible for Medicare coverage and their families. In this article, the authors use a composite patient case to illustrate the adverse consequences of cancer diagnosis and treatment for employment, health insurance coverage, household income, and other aspects of financial hardship. They summarize existing research and provide nationally representative estimates of multiple aspects of financial hardship and health insurance coverage, benefit design, and employee benefits, such as paid sick leave, among working‐age adults with a history of cancer and compare them with estimates among working‐age adults without a history of cancer from the most recently available years of the National Health Interview Survey (2019–2021). Then, the authors identify opportunities for addressing employment and health insurance coverage challenges at multiple levels, including federal, state, and local policies; employers; cancer care delivery organizations; and nonprofit organizations. These efforts, when informed by research to identify best practices, can potentially help mitigate the financial hardship associated with cancer.
    Type of Medium: Online Resource
    ISSN: 0007-9235 , 1542-4863
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2024
    detail.hit.zdb_id: 603553-X
    detail.hit.zdb_id: 2018502-9
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