Aims: To investigate how cancer survivors (CSs) experience the cancer-related support they get at the workplace, the proportion of CSs who change work due to cancer and the sociodemographic and work-related factors associated with CSs' work changes. Methods: CSs of the 10 most common invasive types of cancer for men and women in Norway completed a mailed questionnaire 15-39 months after primary treatment. All CSs who were working when diagnosed were included in the analyses (n ¼ 1115). Leaving the workforce and making other important changes in paid work were regarded as work changes. Results: When diagnosed with cancer, 84% of the CSs experienced their supervisor as caring vs. 90% for colleagues. At the time of the survey, 84% were still working; 24% had made changes in work due to the cancer. Work changes due to cancer were most common among CSs who reported low supervisor support related to the cancer (odds ratio (OR) 0.78) and high physical (OR 2.48) and psychological job demands (OR 1.39) at the time of diagnosis. Work changes were more common among self-employed CSs than among employees (OR 2.03). CSs with high education (OR 0.59) and medium income (OR 0.66) made fewer work changes than other CSs, but these differences were not significant when controlled for the work factors. Conclusions: Close follow-up by supervisors should be a key element in workplace health promotion programmes for CSs. Further, the programmes should target both physical and psychosocial work factors.
This article aims to examine the relationship between poverty and social exclusion in a dynamic perspective. We look at two dimensions of social exclusion (lack of friendship relationships and lack of participation in civic organisations), and scrutinise two aspects of poverty: poverty duration (that is, ‘previously poor’, ‘recently poor’, ‘recurrent poor’ and ‘permanently poor) and poverty gradation (defined as 50, 60 and 70 per cent of median income). For income, panel data for four waves are used (1997–2000). For the social exclusion indicators, data are available only for one wave, the year 2000. We find that poor people are more likely to see friends regularly than non-poor, but this is primarily caused by some third factor such as work activity or ethnicity, and not by poverty per se. With respect to relationship to civic organisations, the poor are less likely to participate than the non-poor. This occurs regardless of where the poverty line is drawn and the duration of poverty. These results are discussed in light of current anti-poverty policies and recent theories and research on social exclusion and social capital.
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