Beyond Cancer: The Hidden Impact of Financial Strain and Basic Needs Insecurity on Adolescent and Young Adult Survivors - Report - MDSpire

Beyond Cancer: The Hidden Impact of Financial Strain and Basic Needs Insecurity on Adolescent and Young Adult Survivors

  • By

  • Trishnee Bhurosy

  • Pindar Yawulda Mbaya

  • Brian L. Sprague

  • Alison Jones

  • Jessica Heath

  • Florence Onyeje Abraham

  • Maija Reblin

  • Tammy Chung

  • February 18, 2026

  • 0 min

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Clinical Report: Beyond Cancer: The Hidden Impact of Financial Strain

Overview

Adolescent and young adult (AYA) cancer survivors face significant financial toxicity and food insecurity, which adversely affect their quality of life. This report highlights the complex interplay of financial burdens and basic needs instability in this vulnerable population.

Background

The rising incidence of cancer among adolescents and young adults (AYAs) necessitates a focus on their unique challenges post-treatment. Financial toxicity, characterized by the economic burden of cancer treatment, is prevalent in this group, compounded by food insecurity and inadequate support systems. Understanding these issues is crucial for improving survivorship care and overall well-being.

Data Highlights

No numerical data available in the source material.

Key Findings

  • AYA cancer survivors experience high levels of financial toxicity due to treatment costs and job loss.
  • 70% of AYA respondents reported no discussions about financial burdens with healthcare providers.
  • Food insecurity is more prevalent among AYA cancer survivors compared to older survivors.
  • Better patient-provider communication correlates with lower odds of food insecurity.
  • Disruptions in education and employment contribute to financial challenges faced by AYAs.

Clinical Implications

Healthcare providers should prioritize discussions about financial toxicity and food insecurity with AYA cancer survivors to mitigate long-term adverse effects. Implementing supportive services and resources can enhance survivorship care and improve overall quality of life for this population.

Conclusion

Addressing financial strain and basic needs insecurity is essential for the well-being of AYA cancer survivors. Comprehensive care strategies must incorporate these factors to support their recovery and quality of life.

References

  1. National Cancer Institute, NCI, 2023 -- Financial Toxicity and Cancer Treatment
  2. Brandon Hayes-Lattin, MD, The ASCO Post, 2018 -- Raising Awareness of the Financial Impact of Cancer on Young Adult Survivors
  3. The ASCO Post, 2020 -- Cancer Survivors Face Substantial Medical Financial Hardship
  4. NCCN Guidelines, NCCN Continuing Education, 2025 -- Survivorship, Version 2.2025
  5. Mortality Outcomes for Survivors of Cancer With Food Insecurity in the US, JAMA Health Forum, 2025
  6. The ASCO Post — Cancer Survivors Face Lasting Financial Struggles Long After Treatment Ends, New Study Reports
  7. The ASCO Post — AYA Cancer Survivors Face Increased Social Risks
  8. ESMO expert consensus statements on the screening and management of financial toxicity in patients with cancer
  9. Supporting Cancer Patients and Survivors | AACR Cancer Progress Report 2025
  10. NCCN Guidelines® Insights - Survivorship, Version 2.2025 | NCCN Continuing Education
  11. Financial Toxicity and Cancer Treatment (PDQ®) - NCI
  12. Mortality Outcomes for Survivors of Cancer With Food Insecurity in the US - PubMed
  13. Dietary patterns among U.S. food insecure cancer survivors and the risk of mortality: NHANES 1999–2018 | Cancer Causes & Control | Springer Nature Link
  14. Financial Toxicity Tied to Increased Risk of Mortality Among Patients With Cancer - The ASCO Post
  15. Interventions to mitigate cancer-related medical financial hardship: A systematic review and meta-analysis - PubMed
  16. Long-Term Follow-Up

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