Cancer survivors in the labor market: Evidence from recent US micro-panel data

Abstract

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Impact of cancer on income, wealth and economic outcomes of adult cancer survivors: a scoping review

“…This variability may be explained, in part, by differences in healthcare systems (eg, publicly funded or largely privatised) and welfare systems (eg, availability of disability benefits and/or pension, sick leave) in the country of study. Our findings support previous studies concluding that cancer’s impact on employment earnings is complex, and may be influenced by specific factors like cancer type and treatment modality, as well as gender, household and labour market structures, 35 36 53 and social ideologies. These complexities limit the ability to make comparisons across countries.…”

“…The greatest percentage is from a 2018 US study (all cancers), which found that annual income is reduced by 65% in the first 5 years post-diagnosis, for men and women combined. 35 …”

“… 36 These results are similar to another US study (not case–control) reporting annual income increased by 6.7% (p<0.01) to 16.2% (p<0.01) for female-specific cancers in the intermediate and long term, respectively, but no statistically significant effect in the short term. 35 …”

“…The dominant trend from several longitudinal studies shows cancer’s impact on income lessens as time since diagnosis increases, 34 37 44 48 suggesting survivors experience the largest declines in income in the first few years post-diagnosis. Other longitudinal studies reported exceptions to this trend, however, with some studies reporting insignificant effects of cancer on income in the short term 35 45 and one cross-sectional study finding a positive effect of cancer on survivors’ earnings compared with controls at 3 or more years post-diagnosis. 36 These results indicate follow-up time is an important, if not yet well-understood, factor in estimating changes in income following a cancer diagnosis.…”

“…Declines in employment income were most often reported on the scale of percentage change (n=11), [34][35][36][37][38][39][40][41][42][43][44] rather than in dollar values. Of the studies reporting a loss as the average percentage change in employment income (n=5), 35 38-40 44 the estimated reduction ranged widely from 6.6% to 65%.…”