The Impact of Diagnosis and Treatment of Rectal Cancer on Paid and Unpaid Labor

Brink, Michel; Hout, Wilbert B. Van Rien; Kievit, J.; Marijnen, Corrie A.M.; Putter, Hein; Velde, Cornelis J.H. van de; Stiggelbout, Anne M.

doi:10.1007/s10350-005-0120-y

Cited by 31 publications

(34 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This has in part been seen also in other studies [16,18,19,26,38,39]. The findings are not unexpected due to the nature of the diseases: These illnesses may be quite debilitating, thus influencing both work abilities and possibilities.…”

Section: Discussionsupporting

confidence: 66%

See 1 more Smart Citation

Cancer’s impact on employment and earnings—a population-based study from Norway

2008

View full text Add to dashboard Cite

Introduction Increased attention is being paid to the longterm health and well-being of people living with a history of cancer. Of particular concern is cancer's effect on productivity and work ability, which in turn is important for persons' financial situation, life satisfaction, and social relationships. We explored the extent to which Norwegian cancer survivors stay affiliated to working life compared to the cancer-free population, and quantified cancer-associated earning declines. Methods and results Logistic regression models were estimated to explore the impact of cancer on employment using register data covering the entire Norwegian population in 2001, 567,000 men and 549,300 women 40-59 years old, of whom 34,000 were diagnosed with cancer. These analyses revealed that a cancer diagnosis was strongly associated with not being employed. Log-linear regression models were used to estimate the effect of cancer on labor earnings in 2001 for those employed. Cancer was associated with a 12% decline in earnings overall. Leukemia, lymphomas, lung, brain, bone, colorectal, and head-andneck cancer resulted in the largest reductions in employment and earnings. Earning declines were strongly associated with educational level. In addition, linear regression models were used to estimate differentials in earnings before and after cancer. These results accorded well with those from crosssectional models. Conclusion and implications for cancer survivors Cancer survivors are less likely to be employed than the cancer-free population, and undertake modifications in their employment, e.g. reduce work-hours or hold lower-wage jobs, which result in reduced earnings. A social class gradient is present and must be addressed to accommodate appropriate intervention from welfare societies.

show abstract

Section: Discussionsupporting

confidence: 66%

“…Previous studies have suggested that any effect of cancer will be more severe in persons who perform manual, strenuous labor and have inflexible work schedules [21, 23, 29,38]. This type of labor is most common among persons with lower education.…”

Section: Education As a Modifying Factormentioning

confidence: 99%

Cancer’s impact on employment and earnings—a population-based study from Norway

2008

View full text Add to dashboard Cite

show abstract

“…() found an earlier return to work as age increased, whereas Van den Brink et al . (), Bouknight et al . () and Spelten et al .…”

Section: Resultsmentioning

confidence: 95%

“…Lower education was associated with less or later return to work (Van den Brink et al . ), a negative influence on return to work up to 5 years after diagnosis (Eaker et al . ), and a decreased chance of employment for both men and women (Taskila‐Brandt et al .…”

Section: Resultsmentioning

confidence: 99%

Predictors of return to work and employment in cancer survivors: a systematic review

Muijen

Weevers

Snels

et al. 2012

European Journal of Cancer Care

233

226

View full text Add to dashboard Cite

The objective of this study was to provide an overview of the prognostic factors for return to work and employment of cancer survivors. Cohort studies were selected if the population consisted of cancer patients between 18 and 65 years of age, with return to work, employment or equivalent concepts as main outcome measure, studying at least one prognostic factor. The methodological quality of the included studies and level of evidence for each prognostic factor were assessed. Twenty-eight cohort studies met the inclusion criteria. Heavy work and chemotherapy were negatively associated with return to work. Less invasive surgery was positively associated with return to work. Breast cancer survivors had the greatest chance of return to work. Old age, low education and low income were negatively associated with employment. Moderate evidence was found for extensive disease being negatively associated with both return to work and employment, and for female gender being negatively associated with return to work. The review shows that in cancer survivors, a limited number of prognostic factors of return to work and employment can be identified. Physicians primarily engaged in the process of vocational rehabilitation of cancer survivors should be aware of the potential role these factors exert.

show abstract

“…This likely confirms that having more children generates more unpaid work. None of the factors associated with unpaid work in POISE were modifiable, unlike factors associated with return to paid employment for young stroke survivors (independence in ADL at 28 days after stroke) [6] or people with rheumatoid arthritis and rectal cancer [13,28]. As a marker of recovery, participation in unpaid work after stroke may be less influenced by socio-demographic and treatment-related factors because unpaid work is a necessity and can be taken up at the patient's own pace and time in keeping with their capabilities [28].…”

Section: Discussionmentioning

confidence: 99%

Returning to Unpaid Work after Stroke: The Psychosocial Outcomes in Stroke Cohort Study

Carcel

Essue

et al. 2019

Cerebrovasc Dis

View full text Add to dashboard Cite

Background: While returning to paid work is a crucial marker of stroke recovery, little is known about the differences in unpaid work by sex following stroke. We aimed to determine the sex differences in participation in unpaid work 12 months after stroke. Methods: Psychosocial outcomes in stroke were a prospective, multicentre observational study that recruited individuals, 18–64 years, within 28 days of stroke from New South Wales, Australia. Unpaid work was defined as ≥5 h per week of one or more of: unpaid domestic work for the household; unpaid care of others; looking after own children without pay or looking after someone else’s children without pay. Data was collected before stroke, 28 days (baseline), 6 and 12 months follow-up. Results: Eighty per cent of women and 52% of men engaged in ≥5 h per week of unpaid work before stroke. At 12 months after, 69% of women and 53% of men completed ≥5 h of unpaid work per week. For women, there was a significant association between participation in unpaid work at 12 months and having financially dependent children (OR 2.67; 95% CI 1.08–6.59). A return to unpaid work in men was associated with participation in unpaid work before stroke (OR 3.74; 95% CI 2.14–6.53). Conclusions: More women are engaged in unpaid work before and at 12 months after stroke, but there is a reduction in the proportion of women returning to unpaid work at 12 months not seen in men. Consideration may need to be given to the development of rehabilitation strategies targeted at the specific needs of stroke survivors.

show abstract

The Impact of Diagnosis and Treatment of Rectal Cancer on Paid and Unpaid Labor

Cited by 31 publications

References 29 publications

Cancer’s impact on employment and earnings—a population-based study from Norway

Cancer’s impact on employment and earnings—a population-based study from Norway

Predictors of return to work and employment in cancer survivors: a systematic review

Returning to Unpaid Work after Stroke: The Psychosocial Outcomes in Stroke Cohort Study

Contact Info

Product

Resources

About