Supplemental security income and social security disability insurance coverage among long-term childhood cancer survivors.

Journal Article (Journal Article)

Supplemental security income (SSI) and social security disability insurance (DI) are federal programs that provide disability benefits. We report on SSI/DI enrollment in a random sample of adult, long-term survivors of childhood cancer (n = 698) vs a comparison group without cancer (n = 210) from the Childhood Cancer Survivor Study who completed a health insurance survey. A total of 13.5% and 10.0% of survivors had ever been enrolled on SSI or DI, respectively, compared with 2.6% and 5.4% of the comparison group. Cranial radiation doses of 25 Gy or more were associated with a higher risk of current SSI (relative risk [RR] = 3.93, 95% confidence interval [CI] = 2.05 to 7.56) and DI (RR = 3.65, 95% CI = 1.65 to 8.06) enrollment. Survivors with severe/life-threatening conditions were more often enrolled on SSI (RR = 3.77, 95% CI = 2.04 to 6.96) and DI (RR = 2.73, 95% CI = 1.45 to 5.14) compared with those with mild/moderate or no health conditions. Further research is needed on disability-related financial challenges after childhood cancer.

Full Text

Duke Authors

Cited Authors

  • Kirchhoff, AC; Parsons, HM; Kuhlthau, KA; Leisenring, W; Donelan, K; Warner, EL; Armstrong, GT; Robison, LL; Oeffinger, KC; Park, ER

Published Date

  • June 2015

Published In

Volume / Issue

  • 107 / 6

Start / End Page

  • djv057 -

PubMed ID

  • 25770148

Pubmed Central ID

  • PMC4650970

Electronic International Standard Serial Number (EISSN)

  • 1460-2105

Digital Object Identifier (DOI)

  • 10.1093/jnci/djv057


  • eng

Conference Location

  • United States