ArticleAsia-Pacific journal of oncology nursing2026
Financial hardship among patients with lung cancer and their family caregivers: A comparative study of two institution-based samples from Hong Kong and Mainland China.
Article in Asia-Pacific journal of oncology nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To investigate and compare the severity and prevalence of financial hardship among lung cancer patients and their caregivers in two institution-based samples from Hong Kong and Mainland China, emphasizing regional differences in healthcare systems and socioeconomic contexts. Methods: A cross-sectional survey of 355 patient-caregiver pairs (Hong Kong: 50; Mainland China: 305) collected data on sociodemographic and clinical characteristics, financial hardship, quality of life (QoL), and distress. Comparisons were made using independent sample t-tests, Chi-square tests, and Ordinary Least Squares (OLS) regression. Results: Financial hardship was prevalent and severe in both Hong Kong and Mainland China for both patients (52.0% vs. 42.3%, Mean COST score: 15.04 vs. 16.48) and Caregivers (28.0% vs. 25.2%; Mean COST score: 18.36 vs. 19.82). Patients' and caregivers' COST scores were strongly correlated ( Conclusions: Financial hardship is prevalent among lung cancer patients and caregivers across regions, shaped by the interplay of socioeconomic position and healthcare system design. Early screening, family-centered support, and policies addressing socioeconomic inequities are essential to mitigate financial hardship across diverse healthcare settings.
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