Employment Status and Work-Related Difficulties in Lung Cancer Survivors Compared With the General Population
Employment Status and Work-Related Difficulties in Lung Cancer Survivors Compared With the General Population
复制标题
DOI：
10.1097/sla.0b013e318291db9d
复制
发表时间：
2014-03-01
影响因子：
9
通讯作者：
Yoon, Seok-Jun
中科院分区：
文献类型：
--
作者：
Kim, Young Ae;Yun, Young Ho;Yoon, Seok-Jun
目的：了解肺癌幸存者的就业状况及面临的工作问题。背景：虽然肺癌幸存者的人数正在增加，但人们对他们的就业和工作相关问题知之甚少。方法：我们招募了830名肺癌治愈性手术后12个月（诊断后中位时间4.11年）的肺癌幸存者和1000名来自普通人群的志愿者。所有参与者都完成了欧洲癌症研究和治疗组织的生活质量问卷，核心30个项目和一份包括与他们的工作有关的问卷。我们使用逻辑回归分析来确定失业的独立预测因素。结果：肺癌幸存者的就业率从确诊时的68.6%下降到治疗后的38.8%，明显低于普通人群的就业率（63.5%），校正优势比= 2.31,95%可信区间：1.66 ~ 3.22。治疗后女性的失业率高于男性。在幸存者中，就业与年龄、家庭收入、合并症数量和社会功能不良呈负相关。疲劳（78.6%）是幸存者报告的最常见的工作相关问题。结论：肺癌幸存者在就业方面比一般人群遇到更多的困难。年龄、家庭月收入、合并症数量和社会功能似乎是影响就业状况的重要因素。这些发现表明，肺癌幸存者需要支持来应对癌症的经济影响。
Objective: To investigate the employment status of lung cancer survivors and the work-related problems they face.Background: Although the number of lung cancer survivors is increasing, little is known about their employment and work-related issues.Methods: We enrolled 830 lung cancer survivors 12 months after lung cancer curative surgery (median time after diagnosis, 4.11 years) and 1000 volunteers from the general population. All participants completed the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, Core 30-item and a questionnaire that included items relating to their jobs. We used logistic regression analysis to identify independent predictors of unemployment.Results: The employment rate of lung cancer survivors decreased from 68.6% at the time of diagnosis to 38.8% after treatment, which was significantly lower than the employment rate of the general population (63.5%; adjusted odds ratio = 2.31, 95% confidence interval: 1.66-3.22). The posttreatment unemployment rate was higher for women than for men. Among survivors, employment was inversely associated with older age, household income, number of comorbidities, and poor social functioning. Fatigue (78.6%) was the most common work-related problem reported by survivors.Conclusions: Lung cancer survivors experienced more difficulties in employment than did the general population. Age, monthly household income, number of comorbidities, and social functioning appear to be important factors influencing employment status. These findings suggest that lung cancer survivors need support to cope with the financial impact of cancer.