Original Investigation

Socioeconomic Disparities in Caregiver Burden Among Families of Older Patients With Cancer

JAMA Health Forum 10.1001/jamahealthforum.2025.5614

December 26, 2025 at 11:00 AM EST

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What are the socioeconomic disparities in caregiving burden, psychological distress, and economic burden faced by family caregivers of older patients with cancer?In this cross-sectional study of 6786 patient-caregiver dyads in China, lower socioeconomic status was associated with higher caregiving burden across domains of health problems, self-esteem, financial pressure, disrupted schedule, and lacking family support, as well as higher risks of depression and anxiety. Nearly one-third of caregivers spent more than their annual household income on patient expenses, with considerable disparities by socioeconomic status.Socioeconomic disparities can exacerbate multidimensional caregiver burden; policy interventions, targeted subsidies, workplace protections, and community support are needed to mitigate caregiving strain amid aging populations.

Corresponding Author: Wenqiang Wei, PhD, National Central Cancer Registry, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China (weiwq@cicams.ac.cn).

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