Work disability among cancer patients

Greenwald, Howard P.; Dirks, Susan J.; Borgatta, Edgar F.; McCorkle, Ruth; Nevitt, Michael C.; Yelin, Edward H.

doi:10.1016/0277-9536(89)90065-8

Cited by 64 publications

(56 citation statements)

References 16 publications

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“…In line with previous research, the present findings indicate that working during treatment and returning to work is somewhat independent of cancer type and treatment type [12]. Whilst cancer and its treatment is known to impact on individuals psychological, cognitive and physical functioning [8,[10][11][12][13][14][15], the actual risk that these present to work during, or following treatment, can not be determined because of the cross sectional design of this study. However, it is Interesting that the symptom of fatigue was associated with both working during treatment and returning to work.…”

Section: Discussionsupporting

confidence: 66%

“…adjustment of physical environment, flexible/ alternative work arrangements). Items were developed from research within the wider fields of chronic illness and return to work [15][16][17] and included issues relating to rehabilitation policy (e.g. participation in a return to work interview) and work adjustments related to time discretion and physical load.…”

Section: Methodsmentioning

confidence: 99%

“…These include physical factors related to the disease (e.g. disfigurement or pain following surgery, [10,11]), fatigue [12], cognitive functioning [13,14]; and need for transportation [8,15]. Importantly, many of these side effects and consequences of cancer and its treatment may be more enduring and may last for many years post treatment.…”

mentioning

confidence: 99%

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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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Section: Discussionsupporting

confidence: 66%

Section: Methodsmentioning

confidence: 99%

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

2006

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“…Employment is a major factor in maintaining income levels and living conditions, especially among patients with long-lasting chronic diseases [1]. Moreover, unemployment has been shown to be an independent predictor of morbidity [2] and mortality from suicide and external causes [3][4][5] in the general population, thus contributing to social health inequalities in the general population [6].…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic Differences in the Impact of HIV Infection on Workforce Participation in France in the Era of Highly Active Antiretroviral Therapy

et al. 2007

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Objectives. We sought to measure the difference in employment rates between HIV-seropositive and HIV-seronegative persons and to establish whether this difference varied according to the HIV-infected persons’ socioeconomic position as defined by education level. Methods. We used data from the VESPA (VIH: Enquête Sur les Personnes Atteintes) study, a large cross-sectional survey conducted among a nationally representative sample of 2932 HIV-infected patients in France. Age-, gender-, nationality-, and education-standardized employment rates were estimated with the French general population as the reference. The differences in employment rates with the general population were computed overall and according to education level. Results. Compared with that of the general population, the overall employment rate was 25% lower (95% confidence interval [CI]=16%, 32%) among HIV-infected patients diagnosed before 1994 and 9% lower (95% CI = 5%, 16%) among HIV-infected patients diagnosed from 1994 onward. The difference in employment rates with the general population was significantly higher among patients with a low education level. The employment rate of highly educated HIV-infected patients diagnosed from 1994 onward did not differ from that of the general population. Conclusions. HIV infection was associated with decreased workforce participation among those with a low education level but not among highly educated individuals.

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“…L'infection par le VIH elle-même, mais aussi les caractéristiques sociodémographiques et professionnelles pèsent de façon concomitante sur la situation des personnes atteintes et rendent les femmes séropositives particulièrement exposées aux difficultés d'emploi. L'emploi est un facteur majeur de maintien du niveau de ressources et des conditions de vie, en particulier parmi les personnes atteintes d'affections de longue durée [1]. En outre, i l a été montré que l'absence d'emploi constituait un facteur de risque indé-pendant de la morbidité et de la mortalité par suicide et mort violente [2,[3][4][5].…”

Section: Résuméunclassified

L'emploi des femmes séropositives en France

Dray‐Spira

2008

Med Sci (Paris)

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RésuméDans ce chapitre, nous présentons plusieurs travaux issus d'analyses des données de la cohorte Anrs-C06-Primo et de l'enquête Anrs-Vespa, permettant de dresser un tableau de la situation de l'emploi des femmes séropositives en France et de décrire les mécanismes conduisant à cette situation. De la même façon que dans la population générale, parmi les personnes séropositives, les femmes ont un taux d'emploi significativement plus faible que les hommes. La situation professionnelle des femmes, plus précaire que celle des hommes, et qui s'ajoute à des charges domestiques et familiales souvent plus lourdes, apparaît plus déstabilisée par les effets de la maladie, en particulier quand celle-ci devient sévère. De plus, si certaines femmes, en particulier issues de l'immigration, parviennent à accéder à un emploi après le diagnostic du VIH, elles n'ont cependant souvent accès qu'à des emplois précaires. L'infection par le VIH elle-même, mais aussi les caractéristiques sociodémographiques et professionnelles pèsent de façon concomitante sur la situation des personnes atteintes et rendent les femmes séropositives particulièrement exposées aux difficultés d'emploi.

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Work disability among cancer patients

Cited by 64 publications

References 16 publications

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

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

Socioeconomic Differences in the Impact of HIV Infection on Workforce Participation in France in the Era of Highly Active Antiretroviral Therapy

L'emploi des femmes séropositives en France

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