Associations of Partner Cancer History With Access to Care Among Older Adults in the U.S.

Abstract

The long-term effects of individuals' cancer diagnosis and treatment may disrupt their partners' daily activities, employment, and financial stability, potentially impacting access to health care. This study aimed to examine the association between partner cancer history and access to care. Adults aged ≥50 years living with a partner who participated in the 2010-2022 Health and Retirement Study were included in this cross-sectional study. Individuals were categorized as with or without a partner with a cancer history. Access to care was measured as (1) having a usual source of care; (2) difficulties finding a provider; (3) inability to afford medical care; and (4) receipt of preventive services, including flu vaccination, cholesterol checks, and any breast, colorectal, or cervical cancer screenings within the past 2 years. Multivariable logistic regression analyses were used to examine the associations of partner cancer history with access to care, adjusted for age, sex (male or female), race and ethnicity, educational attainment, comorbidities, individual cancer history, and survey year. Individuals whose partner had a cancer history had higher odds of reporting challenges in finding a general provider (OR=1.30; 95% CI=1.04, 1.62) than individuals without partner cancer history. Partner cancer history was associated with a higher likelihood of receiving breast (OR=1.34; 95% CI=1.07, 1.68) and colorectal (OR=1.15; 95% CI=1.03, 1.29) cancer screenings among eligible populations. Programs aimed at improving resources are needed for individuals with a partner diagnosed with cancer. Partner's cancer diagnosis may also enhance individuals' awareness and uptake of cancer screenings.