Educational achievement, employment and living situation in long-term young adult survivors of childhood cancer in the Netherlands
Educational achievement, employment and living situation in long-term young adult survivors of childhood cancer in the Netherlands
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DOI：
10.1002/pon.628
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发表时间：
2003-04-01
期刊：
影响因子：
3.6
通讯作者：
De Haan, RJ
中科院分区：
文献类型：
--
作者：
Langeveld, NE;Ubbink, MC;De Haan, RJ
本文调查了500名荷兰长期年轻癌症幸存者(年龄范围16-49岁，47%为女性)的教育成就、就业状况、生活状况、婚姻状况和子女。结果与1092名没有癌症病史的参照组(年龄范围为15-33岁，55%为女性)进行了比较。研究了人口统计学和医学特征对心理社会适应的影响。所有参与者都完成了一份自我报告问卷。结果显示，尽管许多幸存者功能正常，过着正常的生活，但一小部分幸存者完成高中学业、获得高级研究生学位、完成普通小学或中学学业的可能性较小，不得不更频繁地参加学习障碍项目。受雇幸存者的百分比低于对照组受雇对照组的百分比，但更多的幸存者是学生或家庭主妇。幸存者的结婚率和为人父母的比例较低，他们更担心自己的生育能力和孩子患癌症的风险。幸存者，尤其是男性，更多地与父母住在一起。头颅照射剂量小于或等于25Gy是影响低教育程度的重要独立预后因素。有脑部/中枢神经系统肿瘤病史的幸存者比确诊为白血病/非霍奇金淋巴瘤的幸存者单身的风险更高。这些结果表明，许多在童年或青春期被诊断患有癌症的人的生活的重要方面受到了影响。版权所有(C)2002 John Wiley Sons，Ltd.
This paper investigated educational achievement, employment status, living situation, marital status and offspring in 500 Dutch long-term young adults survivors of childhood cancer (age range, 16-49 years, 47% female). The results were compared with a reference group of 1092 persons with no history of cancer (age range, 15-33 years, 55% female). The impact of demographic and medical characteristics on psychosocial adjustment was studied. All participants completed a self-report questionnaire. The results showed that, although many survivors are functioning well and leading normal lives, a subgroup of survivors were less likely to complete high-school, to attain an advanced graduate degree, to follow normal elementary or secondary school and had to be enrolled more often on learning disabled programs. The percentage of employed survivors was lower than the percentage of employed controls in the comparison group, but more survivors were student or homemaker. Survivors had lower rates of marriage and parenthood, and worried more about their fertility and the risk of their children having cancer. Survivors, especially males, lived more often with their parents. Cranial irradiation dose less than or equal to 25 Gy was an important independent prognostic factor of lower educational achievement. Survivors with a history of brain/CNS tumours had a higher risk of being single than survivors with a diagnosis of leukaemia/non-Hodgkin lymphoma. These results indicate that important aspects of life are affected in a substantial number of persons who have been diagnosed with cancer during childhood or adolescence. Copyright (C) 2002 John Wiley Sons, Ltd.