Employment outcomes, financial burden, anxiety, and depression among caregivers of African American cancer survivors
Open accessAbstract
Purpose Caregivers of cancer survivors may need to take time off work or make other employment changes to handle caregiving demands. Work impacts of caregiving, financial burden, and psychosocial outcomes of caregivers are not well understood. Methods Results include information from surveys completed by 202 employed caregivers of participants in the Detroit Research on Cancer Survivors cohort, a population-based cohort of African American survivors of breast, colorectal, lung, or prostate cancer. Relationships between work outcomes, financial burden, and anxiety and depression were assessed using logistic regression models controlling for demographic and cancer-related factors. Results Most (73.8%) caregivers made some employment change. Sixty percent changed their schedule, hours, duties, or employment status; 15.3% took at least 1 month off to provide care, and 38% reported difficulty balancing work and caregiving. Employment changes were strongly associated with difficulty balancing work and caregiving (odds ratio [OR], 5.83; 95% CI, 2.38 to 14.0) and financial burden (OR, 2.12; 95% CI, 1.05 to 4.27). Difficulty balancing work and caregiving was associated with symptoms of anxiety (OR, 1.86; 95% CI, 1.01 to 3.43) and depression (OR, 2.40; 95% CI, 1.16 to 4.96). High ( v low) financial burden was associated with symptoms of anxiety (OR, 2.85; 95% CI, 1.01 to 8.06). Conclusion Difficulty balancing work and caregiving is common among caregivers of African American cancer sur…
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High levels of caregiving burden are associated with low levels of resilience among caregivers, placing them at greater risk for anxiety and depression.
“High levels of caregiving burden are often associated with low levels of resilience among caregivers, placing them at greater risk for anxiety and depression.”
From Support based on psychoeducation intervention to address quality of life and care burden among caregivers of patients with cancer: a randomized controlled trial (2025) · cites this paper as Hastert et al., 2020
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- Authors
- Hastert, T. A., Ruterbusch, J. J., Nair, M., Noor, M. I., Beebe-Dimmer, J. L., Schwartz, K., Baird, T. E., Harper, F. W. K., Thompson, H., & Schwartz, A. G.
- Affiliations
- Wayne State University (US)
- Wayne State University School of Medicine, Detroit, MI
- ORCID
- Venue
- JCO Oncology Practice
- Published
- 2020-03
- Volume
- 16
- Issue
- 3
- Pages
- e221-e233
- ISSN
- 2688-1527 (ISSN-L)
- 2688-1535
- PMC
- PMC7069702
- OpenAlex
- W2971474741
- Cited by
- 61
- References
- 3
- Citations by year
- 2026: 9 · 2025: 12 · 2024: 4 · 2023: 14 · 2022: 12 · 2021: 8 · 2020: 2
- FWCI
- 2.30
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- JCO Oncology Practice (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (n01pc35145-19-0-7)
- National Cancer Institute (N01 PC035145, U01CA199240)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Economic and Financial Impacts of Cancer
- Keywords
- cancer caregivers, African American cancer survivors, employment change, financial burden, anxiety, depression, psychosocial well-being, breast cancer, colorectal cancer, lung cancer, prostate cancer, caregiver support
- MeSH terms
- Cancer Survivors, Anxiety, Black or African American, Costs and Cost Analysis, Depression, Employment, Female, Humans, Male, Caregivers
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