Short-term effects of breast cancer on labor market attachment: results from a longitudinal study

Bradley, Cathy J.; Neumark, David; Bednarek, Heather L.; Schenk, Maryjean

doi:10.1016/j.jhealeco.2004.07.003

Cited by 161 publications

(149 citation statements)

References 23 publications

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“…Where possible, studies of disability and employment outcomes for cancer survivors have matched survivor and comparison samples on employment status at diagnosis (Bradley et al, 2002a;Maunsell et al, 2004;Bradley et al, 2005a). Preliminary analyses confirmed that not working at diagnosis strongly predicted disability in 2002 in the cancer sample (adjusted odds ratio = 2.52, p<.0001).…”

Section: Health and Retirement Studymentioning

confidence: 99%

“…Studies of the employment consequences of cancer survivorship have focused more on employment rates than disability rates (Bradley et al, 2002a;Bradley et al, 2002b;Chirikos et al, 2002a;Chirikos et al, 2002b;Spelten et al, 2002;Hewitt et al, 2003;Maunsell et al, 2004;Yabroff et al, 2004;Bradley et al, 2005a;Bradley et al, 2005b;Short et al, 2005). However, disability rates provide a conceptually broader measure of the employment effect of cancer survivorship than employment rates.…”

Section: Measures Of Disability and Chronic Conditionsmentioning

confidence: 99%

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Work disability associated with cancer survivorship and other chronic conditions

2007

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SummaryThe long-term effects of cancer and its treatment on employment and productivity are a major concern for the 40% of cancer survivors in the U.S. who are working age. This study's objectives were (1) to quantify the increase in work disability attributable to cancer in a cohort of adult survivors who were an average of 46 months post-diagnosis and (2) to compare disability rates in cancer survivors to individuals with other chronic conditions. Data from the Penn State Cancer Survivor Study (PSCSS) and the Health and Retirement Study (HRS) were compared. The PSCSS sample included 647 survivors age 55-65, diagnosed at four medical centers in Pennsylvania and Maryland. There were 5988 similarly aged subjects without cancer in the HRS. Adjusted odds ratios for work disability were estimated for cancer survivorship, heart disease, stroke, diabetes, lung disease, and arthritis/rheumatism with multivariate logistic regression. Even for cancer-free survivors, the disability rate was significantly higher in comparison to adults with no chronic conditions (female OR=1.94; male OR=1.89). There were few significant differences between disability rates for cancer and other conditions. The elevated disability rate is another argument for viewing cancer survivorship as a chronic condition potentially requiring a broad range of psychosocial services.

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Section: Health and Retirement Studymentioning

confidence: 99%

Section: Measures Of Disability and Chronic Conditionsmentioning

confidence: 99%

Work disability associated with cancer survivorship and other chronic conditions

2007

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“…arranging home working or flexible working), a limited number of studies have examined the role of work adjustments specifically for cancer patients. Evidence suggests that, when an option, cancer survivors rely heavily on adjustments in time discretion, working reduced hours during and following treatment [18]. Whether adjustments to working time are a readily accessible 'default' option or an effective and appropriate adjustment remains to be understood.…”

mentioning

confidence: 99%

Cancer survivorship and work: Symptoms, supervisor response, co-worker disclosure and work adjustment

2006

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Introduction: Recent improvements in cancer treatment have not only increased cancer survivorship but also peoples' ability to work during and following treatment. However, the impact that both diagnosis and treatment has on cancer survivors' ability to fully engage in paid work is not yet entirely understood. This study aims to explore the role of symptoms, work adjustments and cancer disclosure to supervisors and co-workers on working during primary cancer treatment and return to work following treatment. Method: 328 cancer survivors responded to a 33 item questionnaire that assessed cancer-specific variables e.g. type and treatment, symptoms experienced during and following treatment, disclosure of cancer and adjustments and supports available at work. Multivariate logistic regressions were run to determine the association of symptoms, disclosure and work adjustments and working during treatment and returning to work following treatment. Results:The findings indicate that opportunities to work flexibly (OR=2.43, CI 1.21-4.02), disclosure to colleagues (OR=3.03, CI 1.28-8.19), difficulties managing fatigue (OR=2.08, CI 1.22-3.85), and paid time off to attend all medical appointments (OR=.4, CI .30-.87) were associated with continuing to work during treatment. Correlates of return to work included difficulties managing fatigue (OR=1.49, CI 1.42-6.18), managing the stress of cancer (OR=2.80, 1.05-5.34), managing physical changes associated with cancer (OR=.46, CI .13-.95), received advice from their doctor about work (OR=1.47, CI 1.09-2.84) and return to work meeting with employer (OR 1.99, 1.2-5.09). Conclusions: This study highlights the importance of symptom management in cancer survivors who work and the potential impact of workplace adjustments on the ability of cancer survivors to navigate in the world of work.

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“…Second, we studied elderly cancer survivors with all types of cancers, yet variations in employment outcomes are likely to differ by age and cancer type 34 . More negative employment outcomes have been shown for head and neck cancers 11,35 than for other cancer types [7][8][9][10] . Although we had information about cancer type for a subset of patients, we had insufficient power to conduct analyses within these subgroups.…”

Section: Discussionmentioning

confidence: 99%

“…In a cohort of near elderly individuals, those who develop a new major chronic condition suffered large reductions in labor income and savings within 2 years of diagnosis 6 . Some studies suggest that cancer survivors may have lower employment rates than others; however, these studies mostly examine recently diagnosed cancer survivors and focus on specific cancer types such as breast cancer [7][8][9][10] , head and neck cancer 11 , and prostate cancer 12 . Few data are available about longterm socioeconomic indicators 5 .…”

Section: Introductionmentioning

confidence: 99%

Financial Status, Employment, and Insurance Among Older Cancer Survivors

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Short-term effects of breast cancer on labor market attachment: results from a longitudinal study

Cited by 161 publications

References 23 publications

Work disability associated with cancer survivorship and other chronic conditions

Work disability associated with cancer survivorship and other chronic conditions

Cancer survivorship and work: Symptoms, supervisor response, co-worker disclosure and work adjustment

Financial Status, Employment, and Insurance Among Older Cancer Survivors

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