Women With Breast Cancer Who Work For Accommodating Employers More Likely To Retain Jobs After Treatment
Women With Breast Cancer Who Work For Accommodating Employers More Likely To Retain Jobs After Treatment
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DOI：
10.1377/hlthaff.2016.1196
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发表时间：
2017-02-01
期刊：
影响因子：
9.7
通讯作者：
Bradley, Cathy J.
中科院分区：
文献类型：
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作者：
Blinder, Victoria;Eberle, Carolyn;Bradley, Cathy J.
乳腺癌影响着美国八分之一的妇女，与高收入的白色幸存者相比，低收入的少数族裔乳腺癌幸存者失业的风险更大。雇主的住宿，如时间表的灵活性，已与高收入白人的工作保留，但这种住宿在低收入少数民族的工作保留的作用还没有得到很好的理解。我们对267名年龄在18-64岁之间、正在接受早期乳腺癌治疗的就业女性进行了一项纵向研究，她们会说英语、汉语、韩语或西班牙语。我们根据收入水平和种族/民族对患者进行分类。治疗后保留工作最少的类别是低收入妇女（57%）。工作保留率因种族/民族而异，从华裔女性的68%到非拉丁裔白人的98%不等。有通融雇主的妇女保留工作的可能性是没有通融雇主的妇女的两倍多。然而，低收入妇女与高收入妇女相比，不太可能有通融的雇主。在低薪和高薪工作中更统一地实施调整可以减少患有癌症诊断的工人之间就业结果的差异。需要进行更多的研究，以更好地了解雇主，特别是低收入工人在提供住宿方面可能面临的障碍。
Breast cancer affects one in eight women across the United States, and low-income minority survivors of breast cancer are at increased risk of job loss, compared to higher-income white survivors. Employer accommodations, such as schedule flexibility, have been associated with job retention in higher-income whites, but the role of such accommodations in job retention among low-income minorities is not well understood. We conducted a longitudinal study of 267 employed women ages 18-64 who were undergoing treatment for early-stage breast cancer and spoke English, Chinese, Korean, or Spanish. We categorized patients by income level and by race/ethnicity. The category with the lowest job retention after treatment was low-income women (57 percent). Job retention varied widely by race/ethnicity, ranging from 68 percent among Chinese women to 98 percent among non-Latina whites. Women who had accommodating employers were more than twice as likely to retain their jobs as those without accommodating employers. Low-income women were less likely than higher-income women to have accommodating employers, however. More uniform implementation of accommodations across low-and high-paying jobs could reduce disparities in employment outcomes among workers with a cancer diagnosis. Additional research is needed to better understand the barriers that employers, particularly those with low-income workers, may face in providing accommodations.