Lifestyle and Surveillance Adherence After Childhood Cancer—When Financial Hardship Shapes Survivorship

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Five-year survival rates for childhood cancer exceed 85%, resulting in a growing population of adult survivors needing lifelong follow-up care.
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Over half of childhood cancer survivors report medical financial hardship, impacting their adherence to healthy lifestyle behaviors and surveillance recommendations.
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Financial hardship is linked to higher rates of physical inactivity, smoking, and abnormal body mass index among childhood cancer survivors.
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Survivors experiencing material hardship show lower adherence to breast and cervical cancer screenings, raising concerns about survivorship care expectations.
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Psychological hardship related to medical costs is associated with unhealthy behaviors and nonadherence to skin cancer surveillance among survivors.

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