金融毒性（FT）描述了癌症诊断对患者、家庭和社会福祉造成的客观或主观过度财务压力。FT的后果已经证明跨越不同经济等级和多样化的医疗模式的国家。本研究试图描述在一个主要提供公共免费医疗的中低收入国家中FT及其影响。这是一项横断面研究，涉及210名乳腺癌患者（任何分期，I至IV阶段），在诊断后6至18个月之间接受了访谈。金融毒性非常普遍，81%的人在1到5的评分尺度上报告了3个及以上。旅行费用（94%），医院外检查费用（87%）和公共医疗系统外的咨询费（81%）是对FT最常见的贡献因素。 30%的人每天在食物上做出妥协，在教育方面占到20%，超过三分之一的人存在工作流失。随着癌症分期的进展和距离最近放疗单位的增加，FT增加（分别为P = .008 和 .01）。家庭和亲戚是最常见的经济支持方式（77.6%）。总之，我们的团队中FT很大，许多人不得不每天为基本需求做出妥协。尽管已经有成熟的公共免费医疗制度，但仍有许多人选择就诊于收费私立医疗机构的至少一部分护理。© 作者（们）2023。由牛津大学出版社出版。

Financial toxicity (FT) describes either objective or perceived excess financial strain due to a cancer diagnosis on the well-being of patients, families, and society. The consequences of FT have been shown to span countries of varied economic tiers and diverse healthcare models. This study attempts to describe FT and its effects in a lower- to middle-income country delivering predominantly public nonfee-levying healthcare. This was a cross-sectional study involving 210 patients with breast cancer of any stage (I to IV), interviewed between 6 and 18 months from the date of diagnosis. Financial toxicity was highly prevalent with 81% reporting 3 or more on a scale of 1 to 5. Costs incurred for travelling (94%), out-of-hospital investigations (87%), and consultation fees outside the public system (81%) were the most common contributors to FT. Daily compromises for food and education were made by 30% and 20%, respectively, with loss of work seen in over one-third. Greater FT was seen with advanced cancer stage and increasing distance to the nearest radiotherapy unit (P = .008 and .01, respectively). Family and relatives were the most common form of financial support (77.6%). In conclusion, FT is substantial in our group, with many having to make daily compromises for basic needs. Many opt to visit the fee-levying private sector for at least some part of their care, despite the availability of an established public nonfee-levying healthcare.© The Author(s) 2023. Published by Oxford University Press.