Unemployment among breast cancer survivors

Carlsen, Kathrine; Ewertz, Marianne; Dalton, Susanne Oksbjerg; Badsberg, Jens Henrik; Osler, Merete

doi:10.1177/1403494813520354

Cited by 41 publications

(42 citation statements)

References 23 publications

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“…We found that cancer survivors were more likely to be employed for pay during the study follow-up period. These findings differ from those of several longitudinal studies, which found that either cancer survivors were less likely to be employed than non-survivors, or that there were no significant differences in employment outcomes between the two groups [18][19][20][21][22][23]28,29]. Additionally, unlike previous studies [26,40], we found that indicators of health status such as fatigue and depression were not associated with employment outcomes.…”

Section: Discussioncontrasting

confidence: 99%

“…among women. However, results have been mixed [18][19][20][21][22][23][24][25][26][27][28][29], and only a limited number of long-term (>5 years) studies have investigated the role of occupation type in women's employment outcomes after cancer. In a Danish population-based study, cancer survivors had a higher likelihood of unemployment during the 20 years of follow-up than persons without a cancer history, and manual work was a significant predictor of unemployment [28].…”

Section: Introductionmentioning

confidence: 99%

“…In a Danish population-based study, cancer survivors had a higher likelihood of unemployment during the 20 years of follow-up than persons without a cancer history, and manual work was a significant predictor of unemployment [28]. Another study of Danish breast cancer survivors with an average of 10 years of follow-up reported that manual workers were more likely to experience unemployment than management and office workers [23]. To date, only one U.S. study has reported an association between occupation type and employment outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Long-Term Employment Outcomes among Female Cancer Survivors

Ekenga

Kwon

Kim

et al. 2020

IJERPH

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Advances in early detection and treatment have led to a growing population of female cancer survivors, many of whom are of working age. We examined the relationship between cancer and long-term (>5 years) employment outcomes in a nationally representative sample of working-age women in the United States. Data from nine waves of the Health and Retirement Study were used to examine employment status and weekly hours worked among cancer survivors (n = 483) and women without cancer (n = 6605). We used random slope regression models to estimate the impact of cancer and occupation type on employment outcomes. There was no difference in employment status between cancer survivors and women without cancer at baseline; however, during follow-up, cancer survivors were more likely to be employed than women without cancer (odds ratio (OR) = 1.33, 95% confidence interval (CI): 1.11-1.58). Among 6-10-year survivors, professional workers were less likely (OR = 0.40, 95% CI: 0.21-0.74) to be employed than manual workers. Among >10-year survivors, professional workers averaged fewer weekly hours worked (−2.4 h, 95% CI: −4.4-−0.47) than manual workers. The impact of cancer on long-term employment outcomes may differ by occupation type. Identifying the occupation-specific mechanisms associated with the return to work will be critical to developing targeted strategies to promote employment in the growing female cancer survivor population.

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Long-Term Employment Outcomes among Female Cancer Survivors

Ekenga

Kwon

Kim

et al. 2020

IJERPH

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“…In the present study, there were significantly more survivors with the SC who worked part-time or who were on sick leave or disabled than those without the SC. Cancer-related symptoms such as pain, fatigue, and psychological distress have been associated with unemployment in several studies, but all these studies have investigated one symptom at a time [23][24][25]. To our current knowledge, the present study is the first to show that the SC of pain, fatigue, and psychological distress after breast cancer treatment is associated with reduced ability to work for many years after the diagnosis.…”

Section: Sociodemographic Characteristicsmentioning

confidence: 57%

“…Getting patients back to work is one of the first and most important goals after treatment is completed. However, several studies have shown that breast cancer survivors have an increased risk of unemployment [21,[23][24][25].…”

Section: Introductionmentioning

confidence: 99%

Symptom cluster of pain, fatigue, and psychological distress in breast cancer survivors: prevalence and characteristics

Bjerkeset

Röhrl

Schou-Bredal

2020

Breast Cancer Res Treat

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Purpose Breast cancer survivors may experience pain, fatigue, or psychological distress as a result of the treatment. These symptoms may co-occur and form a cluster. However little is known about symptom clusters (SCs) in long-term breast cancer survivors. This study aimed to identify subgroups of breast cancer survivors with the SC of pain, fatigue, and psychological distress, and to examine sociodemographic and clinical characteristics associated with this SC. Methods Data were obtained from a nationwide survey of breast cancer survivors (N = 834). Exhaustive enumeration of possible combination of the three binary variables (pain, fatigue, psychological distress) was conducted. They were identified using the recommended threshold for the Hospital Anxiety and Depression Scale, the Fatigue Questionnaire, and a score of one or more on a numeric rating scale for pain. The SC was defined to include all the three variables, all other combinations were defined as no SC. Logistic regression analyses were conducted to examine the association between sociodemographic and clinical variables and the SC. Results Of the 834 survivors, 13% had the SC. Younger age (OR 2.3, 95% CI 1.3-4.1, p = 0.003), lymphedema (OR 1.9, 95% CI 1.1-3.2, p = 0.02), working part-time (OR 2.9, 95% CI 1.6-5.3, p < 0.001), or being disabled (OR 4.1, 95% CI 2.2-7.8, p < 0.001) were all associated with the SC. Conclusion Thirteen percent of the survivors experienced the SC. It appears that premenstrual women are at greater risk, than postmenopausal women. Having this SC might have an impact on the survivors' ability to work.

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Association of Insurance Status and Racial Disparities With the Detection of Early-Stage Breast Cancer

et al. 2020

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IMPORTANCECompared with non-Hispanic white women, racial/ethnic minority women receive a diagnosis of breast cancer at a more advanced stage and have higher morbidity and mortality with breast cancer diagnosis. Access to care with adequate insurance may be associated with earlier diagnosis, expedited treatment, and improved prognosis. OBJECTIVE To examine the extent to which insurance is associated with access to timely breast cancer diagnosis and breast cancer stage differences among a large, diverse population of US patients with breast cancer. DESIGN, SETTING, AND PARTICIPANTS This retrospective, cross-sectional population-based study used data from the Surveillance, Epidemiology, and End Results Program on 177 075 women aged 40 to 64 years who received a diagnosis of stage I to III breast cancer between

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Unemployment among breast cancer survivors

Abstract: Duration of unemployment before breast cancer was the most important determinant of unemployment after breast cancer treatment. This allows identification of a particularly vulnerable group of patients in need of rehabilitation.

Cited by 41 publications

References 23 publications

Long-Term Employment Outcomes among Female Cancer Survivors

Long-Term Employment Outcomes among Female Cancer Survivors

Symptom cluster of pain, fatigue, and psychological distress in breast cancer survivors: prevalence and characteristics

Association of Insurance Status and Racial Disparities With the Detection of Early-Stage Breast Cancer

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