The Impact of Financial Toxicity Levels on Life Satisfaction and Quality of Life in Older Adult Cancer Patients: A Cross-Sectional Study

Abstract Purpose This study measured the levels of financial toxicity in older adult cancer patients and examined the impact of financial toxicity on life satisfaction and quality of life. Methods The study sample consisted of 116 cancer patients aged 65 and over who applied to a university hospital in Kahramanmaraş, Türkiye, for treatment. The Comprehensive Score for Financial Toxicity Scale, Life Satisfaction Scale, and Quality of Life Scale were used in the study. Descriptive statistics, correlation analysis, and hierarchical regression analysis were used in the analysis of the data. Results It was determined that patients had moderate levels of financial toxicity, and that this level negatively affected life satisfaction and quality of life. Higher levels of financial toxicity were observed in female and married patients. Similarly, patients with access to caregivers, higher levels of education, and higher income levels were found to have higher quality of life and life satisfaction. Conclusion Assessments of life satisfaction and quality of life levels in older adult cancer patients have revealed that financial toxicity and socio-demographic characteristics are significant determinants. However, considering that older adults generally have a fixed income and may find it difficult to generate further financial gain, it is believed that supportive policies should be developed to prevent an increase in financial toxicity levels.