Early retirement and non-employment after breast cancer
Early retirement and non-employment after breast cancer
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DOI：
10.1002/pon.3459
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发表时间：
2014-06-01
期刊：
影响因子：
3.6
通讯作者：
Gunnarsdottir, H.
中科院分区：
文献类型：
--
作者：
Lindbohm, M-L.;Kuosma, E.;Gunnarsdottir, H.
目的探讨工作场所支持、社会人口因素和合并症是否与乳腺癌幸存者因其他原因提前退休或失业有关。我们还比较了在职、退休和其他非在职乳腺癌幸存者的生活质量和慢性症状（疼痛、疲劳、焦虑和抑郁）。方法：我们选取了1997年至2002年间在丹麦、芬兰、冰岛和挪威的医院或癌症登记处诊断出的乳腺癌幸存者（nowo研究）。所有患者均已接受治疗。通过问卷收集了关于就业、共发病和支助的资料。样本包括1111名工作年龄的无癌症幸存者，他们在诊断时有工作。我们使用多项逻辑回归模型来分析各种决定因素与提前退休和其他非就业（由于失业，补贴就业或成为家庭主妇）的关系。结果癌症后早期退休和其他不就业与受教育程度低、身体生活质量低、合并症和疼痛有关。其他没有工作的幸存者也认为他们的精神生活质量较低，比所有其他幸存者更经常感到焦虑和疲劳。此外，他们在诊断后报告的主管支持水平低于就业幸存者。退休幸存者更多地报告说，同事的支持力度不够。结论在制定政策措施以提高该人群的劳动力市场参与度和防止其过早退出工作生活时，需要考虑不同群体非就业癌症幸存者的健康状况和功能状况的差异。版权所有：John Wiley & Sons， Ltd。
ObjectiveThis study examined whether workplace support, sociodemographic factors and co-morbidity are associated with early retirement or non-employment due to other reasons among breast cancer survivors. We also compared quality of life and chronic symptoms (pain, fatigue, anxiety and depression) among employed, retired and other non-employed breast cancer survivors. MethodsWe identified breast cancer survivors diagnosed between 1997 and 2002 from either a hospital or a cancer registry in Denmark, Finland, Iceland and Norway (NOCWO study). All patients had been treated with curative intent. Information on employment, co-morbidity and support was collected via a questionnaire. The sample included 1111 working-aged cancer-free survivors who had been employed at the time of diagnosis. We used multinomial logistic regression models to analyse the association of various determinants with early retirement and other non-employment (due to unemployment, subsidized employment or being a homemaker). ResultsLow education, low physical quality of life, co-morbidity and pain were associated with both early retirement and other non-employment after cancer. Other non-employed survivors also rated their mental quality of life as lower and experienced anxiety and fatigue more often than all the other survivors. Moreover, they reported a lower level of supervisor support after their diagnosis than the employed survivors. Retired survivors more often reported weak support from colleagues. ConclusionsDifferences in ill health and functional status between various groups of non-employed cancer survivors need to be considered when planning policy measures for improving the labour market participation of this population and preventing their early withdrawal from working life. Copyright (c) 2013 John Wiley & Sons, Ltd.