The impact of cancer diagnosis on employment: is there a difference between rural and urban populations?
The impact of cancer diagnosis on employment: is there a difference between rural and urban populations?
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DOI：
10.1007/s11764-013-0317-3
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发表时间：
2014-06-01
影响因子：
3.7
通讯作者：
Geller, Berta M.
中科院分区：
文献类型：
--
作者：
Sowden, Michelle;Vacek, Pamela;Geller, Berta M.
目的确定居住在农村或城市地区是否会影响癌症诊断对就业的影响。方法对在佛蒙特州癌症幸存者监测登记处登记的2005名癌症幸存者进行调查，询问与癌症诊断或治疗相关的就业状况变化。有关癌症的数据来自医院癌症登记处。在诊断时表示他们正在工作的受访者被包括在这项研究中，共有1155名参与者。通过卡方检验和logistic回归评估农村或城市居住与就业变化之间的关系。结果农村和城市幸存者工作时间较短、经历职业变化或无法工作的比例在统计上没有显著差异。然而，农村患者比城市患者在确诊后提前退休的比例更高（11.1比7.2%,p = 0.031）。报告在癌症治疗期间领取伤残补偿的农村患者也较少（12.3比17.0%,p = 0.030）。结论：虽然许多患者在接受癌症诊断治疗后会重返工作岗位，但农村患者似乎不太可能获得带薪伤残津贴，更有可能提前退休。有可能农村人口从事对体力要求更高的工作，而他们在癌症治疗后无法继续。此外，农村地区的体力劳动类型很少提供残疾福利，这增加了癌症诊断对这一人群的影响。癌症诊断对农村居民就业的影响可能更大。癌症项目应该认识到这一差异，并加强对农村地区患者的重返工作和残疾咨询。
Purpose To determine if living in a rural or urban area influences the impact of cancer diagnosis on employment.Method Surveys that asked about changes in employment status related to a cancer diagnosis or treatment were sent to 2,005 cancer survivors enrolled in the Vermont Cancer Survivor Surveillance Registry. Data on cancers were obtained from hospital cancer registries. Respondents indicating that they were working at the time of diagnosis were included in this study for a total of 1,155 participants. Associations between rural or urban residence and changes in employment were assessed by chi-square tests and logistic regression.Results There were no statistically significant differences in the proportions of rural and urban survivors working fewer hours, experiencing a career change or unable to work. However, a larger proportion of rural than urban patients retired early after their diagnosis (11.1 vs. 7.2 %, p = 0.031). There were also fewer rural patients that reported that they went on paid disability during cancer treatment (12.3 vs. 17.0 %, p = 0.030).Conclusions While many patients will return to work after treatment for a cancer diagnosis, it appears that rural patients may be less likely to receive paid disability and more likely to retire early. It is possible that rural populations engage in more physically demanding jobs that they are unable to continue after their cancer treatment. Additionally the types of manual labor available in rural areas rarely offer disability benefits, increasing the impact of cancer diagnosis for this population.Implications for Cancer Survivors A cancer diagnosis may have a greater impact on employment among rural residents. Cancer programs should recognize this disparity and enhance return to work and disability counseling in patients from rural areas.