Working with cancer: health and employment among cancer survivors

Abstract

. Abstract PurposeCancer affects a growing proportion of US workers. Factors contributing to whether they continue or return to work after cancer diagnosis include: age, physical and mental health, health insurance, education, and cancer site.The purpose of this study was to assess the complex relationships between health indicators and employment status for adult cancer survivors. MethodsWe analyzed pooled data from the 1997-2012 US National Health Interview Survey (NHIS). Our sample included adults with a self-reported physician diagnosis of cancer (n = 24,810) and adults with no cancer history (n = 382,837). Using structural equation modeling (SEM), we evaluated the relationship between sociodemographic factors, cancer site, and physical and mental health indicators on the overall health and employment status among adults with a cancer history. ResultsThe overall model for cancer survivors fit the data well (χ 2 (374) = 3654.7, P < 0.001 (please make it 0.001 for all p values NOT .00l); comparative fit index = 0.98; root mean square error of approximation = 0.04). Although black cancer survivors were less likely to report good-to-excellent health, along with Hispanic survivors, they were more likely to continue to work after diagnosis compared with their white counterparts. Health insurance status and educational level were strongly and positively associated with health status and current employment. Age and time since diagnosis were not significantly associated with health status or employment, but there were significant differences by cancer site. ConclusionsA proportion of cancer survivors may continue to work because of employment-based health insurance despite reporting poor health and significant physical and mental health limitations. Acute and long-term health and social elsevier_AEP_7850

Long-term quality of life profile in oncology: a comparison between cancer survivors and the general population

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“…These data are not surprising; they expand and complement what was found in previous studies [1,15,21,22]. For example, in a study involving 24,810 US adults with self-reported physician diagnosis of cancer and 382,837 US adults with no cancer history, Clarke et al [22]showed how the non-working active cancer subsample, compared to those who claimed not to be, more often reported good or excellent health (although in a smaller percentage than the controls without any experience of cancer). Moreover, the percentage of functional limitations reported among not employed survivors was almost twice that of employed survivors, and more than twice that of not employed persons without a cancer history.…”

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