Background To describe the effect that providing cancer care to long-term cancer survivors has on the employment status of family caregivers (FCGs), and identify cancer-related characteristics that influence FCGs’ employment status in the post-treatment phase in China. Methods We surveyed 1155 cancer survivors (>1 year since completing treatment) from the cross‐sectional study “China Survey of Experiences with Cancer”. Participants reported changes in employment status of their FCGs. Descriptive statistics characterized the sample of survivors and FCGs’ employment status. Separate multivariable logistic regression models were conducted to examine the association between participant cancer characteristics and changes in FCGs’ employment status. Results In the primary treatment phase, 45.6% of all FCGs reduced their working hours and 17.4% stopped working altogether. In the post-treatment phase, 25.2% of FCGs reduced working hours and 6.6% stopped working. A higher probability of change in employment status among FCGs was associated with the following cancer-related characteristics: late-stage diagnosis, chemotherapy treatment, comorbidity, and limited ability to perform physical and mental tasks. Conclusions Cancer treatment and post-treatment demands may have a great number of impacts on the employment and economic productivity of Chinese FCGs. Interventions to assist them in maintaining employment are warranted across the whole survivorship trajectory.
Background: Family caregivers (FCGs) play a key role in the plan of care provision for long-term cancer survivors, yet few studies have been conducted as for the corresponding influence on them. This study aimed to better understand the effect of such a role on the employment status of FCGs, and identify cancer-related characteristics that influence FCGs’ employment status in the post-treatment phase in China. Methods: We surveyed 1155 cancer survivors (>1 year since completing treatment) from the cross‐sectional study “China Survey of Experiences with Cancer”. Participants reported changes in employment status of their FCGs. Descriptive statistics characterized the sample of survivors and FCGs’ employment status. Separate multivariable logistic regression models were conducted to examine the association between participant cancer characteristics and changes in FCGs’ employment status.Results: In the primary treatment phase, 45.6% of all FCGs reduced their working hours and 17.4% stopped working altogether. In the post-treatment phase, 25.2% of FCGs reduced working hours and 6.6% stopped working. A higher probability of change in employment status among FCGs was associated with the following cancer-related characteristics: late-stage diagnosis, chemotherapy treatment, comorbidity, and limited ability to perform physical and mental tasks.Conclusions: Cancer treatment and post-treatment demands may have a great number of impacts on the employment and economic productivity of Chinese FCGs. Interventions to assist them in maintaining employment are warranted across the whole survivorship trajectory.
Background: Family caregivers (FCGs) play a key role in the plan of care provision for long-term cancer survivors, yet few studies have been conducted on the impact of long-term caregiving on FCGs and their employment patterns. This study aims to further our understanding of the effect that caregiving role has on FCGs by identifying what cancer-related characteristics influence reduction of employment hours among FCGs in the post-treatment phase in China. Methods: A total of 1155 cancer survivors participated in this study. Patients reported changes in the employment patterns of their FCGs. Descriptive analysis looked at demographic and cancer-related characteristics of cancer survivors and types of FCGs’ employment changes in both primary- and post-treatment phases. Chi-square test was used to statistically test the association between survivors’ characteristics and changes in FCGs’ hours of labor force work in post-treatment phase. Separate multivariable logistic regression models were used to examine the relationship between cancer-related characteristics of participants and employment reduction patterns among FCGs in post-treatment phase while controlling for demographic factors.Results: In the primary-treatment phase, 45.6% of all FCGs reduced their working hours and 17.4% stopped working altogether. In the post-treatment phase, 25.2% of FCGs worked fewer hours and 6.6% left the workforce completely. The results show that a higher probability of change in employment hours among FCGs is associated with the following patient characteristics: having comorbidities, receiving chemotherapy treatment, limited ability to perform physical tasks, limited ability to perform mental tasks, and diagnosis of stage II of cancer.Conclusions: Care for cancer patients in both primary- and post- treatment phases may have substantial impacts on hours of formal employment of Chinese FCGs. Interventions helping FCGs balance caregiving duties with labor force work are warranted.
Background: Family caregivers (FCGs) play a key role in the plan of care provision for long-term cancer survivors, yet few studies have been conducted on the impact of long-term caregiving on FCGs and their employment patterns. This study aims to further our understanding of the effect that caregiving role has on FCGs by identifying what cancer-related characteristics influence reduction of employment hours among FCGs in the post-treatment phase in China. Methods: A total of 1155 cancer survivors participated in this study. Patients reported changes in the employment patterns of their FCGs. Descriptive analysis looked at demographic and cancer-related characteristics of cancer survivors and types of FCGs’ employment changes in both primary- and post-treatment phases. Chi-square test was used to statistically test the association between survivors’ characteristics and changes in FCGs’ hours of labor force work in post-treatment phase. Separate multivariable logistic regression models were used to examine the relationship between cancer-related characteristics of participants and employment reduction patterns among FCGs in post-treatment phase while controlling for demographic factors. Results: In the primary-treatment phase, 45.6% of all FCGs reduced their working hours and 17.4% stopped working altogether. In the post-treatment phase, 25.2% of FCGs worked fewer hours and 6.6% left the workforce completely. The results show that a higher probability of change in employment hours among FCGs is associated with the following patient characteristics: having comorbidities, receiving chemotherapy treatment, limited ability to perform physical tasks, limited ability to perform mental tasks, and diagnosis of stage II of cancer. Conclusions: Care for cancer patients in both primary- and post- treatment phases may have substantial impacts on hours of formal employment of Chinese FCGs. Interventions helping FCGs balance caregiving duties with labor force work are warranted.
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