Work Situation After Breast Cancer: Results From a Population-Based Study

Maunsell, Elizabeth; Drolet, Mélanie; Brisson, Jacques; Brisson, Chantal; Mâsse, Benoı̂t; Deschênes, L

doi:10.1093/jnci/djh335

Cited by 194 publications

(169 citation statements)

References 22 publications

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“…However it can also be a barrier for some women and hinders early return to work. Some survivors expressed that being alive or surviving cancer, makes them revalue life activities and redirected their attention towards living a better life, such as more enjoyment and family activities (Maunsell et al, 2004), and shunned RTW. Multiple myths held by survivors have been reported (Loh et al, 2007) and this included belief like they must not eat outside food, and must stay away from 'cancer causing toxins or environment including work stress.…”

Section: Discussionmentioning

confidence: 99%

Return to Work in Multi-ethnic Breast Cancer Survivors - A Qualitative Inquiry

Tan

Loh²,

Su³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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Introduction: Return-to-work (RTW) can be a problematic occupational issue with detrimental impact on the quality of life of previously-employed breast cancer survivors. This study explored barriers and facilitators encountered during the RTW process in the area of cancer survivorship. Materials and Methods: Six focus groups were conducted using a semi-structured interview guide on 40 informants (employed multiethnic survivors). Survivors were stratified into three groups for successfully RTW, and another three groups of survivors who were unable to return to work. Each of the three groups was ethnically homogeneous. Thematic analysis using a constant comparative approach was aided by in vivo software. Results: Participants shared numerous barriers and facilitators which directly or interactively affect RTW. Key barriers were physical-psychological after-effects of treatment, fear of potential environment hazards, high physical job demand, intrusive negative thoughts and overprotective family. Key facilitators were social support, employer support, and regard for financial independence. Across ethnic groups, the main facilitators were financial-independence (for Chinese), and socialisation opportunity (for Malay). A key barrier was after-effects of treatment, expressed across all ethnic groups. Conclusions: Numerous barriers were identified in the non-RTW survivors. Health professionals and especially occupational therapists should be consulted to assist the increasing survivors by providing occupational rehabilitation to enhance RTW amongst employed survivors. Future research to identify prognostic factors can guide clinical efforts to restore cancer survivors to their desired level/type of occupational functioning for productivity and wellbeing.

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Section: Discussionmentioning

confidence: 99%

Return to Work in Multi-ethnic Breast Cancer Survivors - A Qualitative Inquiry

Tan

Loh²,

Su³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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“…If the three multiple-choice items were not applicable, participants were asked to write in the reason for not working. We based most of the work-related questions on earlier studies (Maunsell et al, 2004;Yabroff et al, 2004;Bradley et al, 2005;Drolet et al, 2005;Short et al, 2005). Feasibility and comprehensibility of the full survey instrument -including work-and housework-related difficulties, reasons for unemployment, and socio-demographic and clinical characteristics -were pretested with 15 stomach cancer survivors in an outpatient clinic of the Korean National Cancer Center.…”

Section: Study Variablesmentioning

confidence: 99%

“…Many studies have assessed the employment status of cancer survivors (Maunsell et al, 2004;Yabroff et al, 2004;Bednarek and Bradley, 2005;Bradley et al, 2005;Drolet et al, 2005;Short et al, 2005;Bouknight et al, 2006), but only four of them included comparison groups (Maunsell et al, 2004;Yabroff et al, 2004;Bradley et al, 2005;Drolet et al, 2005), which are crucial to detecting cancer-specific effects. Furthermore, the majority of studies focused on breast (Maunsell et al 2004;Drolet et al, 2005;Bouknight et al, 2006) or heterogeneous types of cancer (Bradley and Bednarek, 2002a;Yabroff et al, 2004;Bednarek and Bradley, 2005;Short et al, 2005) and did not consider the survivors' ability to do housework. Little is known about the employment status and work-related difficulties associated with stomach cancer.…”

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confidence: 99%

Employment status and work-related difficulties in stomach cancer survivors compared with the general population

Lee

Bae

et al. 2008

Br J Cancer

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Little was known about work situation and work-related difficulties, including housework after stomach cancer diagnosis. We aimed to compare employment status and work-related difficulties between stomach cancer survivors and the general population. We enrolled 408 stomach cancer survivors from two hospitals 28 months after diagnosis and 994 representative volunteers from the general population from 15 geographic districts. Working was defined as being employed (including self-employed) and nonworking as being retired or a homemaker. Nonworking was significantly higher among stomach cancer survivors (46.6%) than in the general population (36.5%). Compared with the general population, the survivors had more fatigue in performing both housework (adjusted odds ratio (aOR) ¼ 2.08; 95% confidence interval (95% CI) ¼ 1.01 -4.29) and gainful work (aOR ¼ 4.02; 2.55 -6.33). More cancer survivors had reduced working hours (aOR ¼ 1.42; 95% CI ¼ 4.60 -28.35) and reduced work-related ability (aOR ¼ 6.11; 95% CI ¼ 3.64 -10.27) than did the general population. The association of nonworking with older age and being female was significantly more positive for survivors than for the general population. Among survivors, poorer Eastern Cooperation Oncology Group Performance Status and receiving total gastrectomy were positively associated with nonworking. Stomach cancer survivors experienced more difficulties in both housework and gainful employment than did the general population. Our findings on stomach cancer survivors' work-related difficulties and the predictors of nonworking will help physicians guide patients towards more realistic postsurgical employment plans.

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“…[1][2][3][4] Economic problems will also be aggravated if the spouse finds it difficult to maintain the earlier work activity. 5 People's annual labor earnings are determined by the number of hours worked and the wage, the latter reflecting several factors, including productivity.…”

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confidence: 99%

The impact of cancer on spouses' labor earnings

Syse

Tretli

Kravdal

2009

Cancer

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BACKGROUND:Cancer affects patients' incomes, but to the authors' knowledge few studies to date have examined how the income of the patients' spouses may be influenced. In this population‐based study from Norway, the effects of cancer on both partners' earnings are analyzed.METHODS:The difference between labor earnings the year before the cancer diagnosis and that 2, 5, or 8 years later was compared with the difference in earnings over a corresponding period for similar persons without cancer, applying linear regression models to national registry data. Approximately 1.1 million married persons ages 35 to 59 years were included, among them 17,250 persons diagnosed with cancer during 1991 through 1999.RESULTS:Two and 5 years after a cancer diagnosis, married men experienced lower earnings than they would have absent the illness. Cancer in wives, however, did not affect men's earnings. Women's earnings were adversely influenced to the same extent by their own as by their spouses' cancer. Brain, lung, and colorectal cancer in male spouses produced the most adverse effects on women's earnings. All effects were most pronounced for women no longer married.CONCLUSIONS:Women's earnings are lower after both their own and their spouses' cancer illness, and divorced and widowed women experience the most pronounced reduction after spousal cancer. Men's earnings are lower only if they are diagnosed themselves. This may reflect traditional sex roles, with men as main breadwinners and women as caregivers. For family households, cancer in men may result in greater financial difficulties than cancer among women, although the effect will depend on breadwinner roles before diagnosis. Cancer 2009;115(18 suppl):4350–61. © 2009 American Cancer Society.

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Work Situation After Breast Cancer: Results From a Population-Based Study

Abstract: We found little evidence that women diagnosed with breast cancer experience discrimination at work. This information may be helpful for working women concerned about employment after breast cancer.

Cited by 194 publications

References 22 publications

Return to Work in Multi-ethnic Breast Cancer Survivors - A Qualitative Inquiry

Return to Work in Multi-ethnic Breast Cancer Survivors - A Qualitative Inquiry

Employment status and work-related difficulties in stomach cancer survivors compared with the general population

The impact of cancer on spouses' labor earnings

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