Employment status and termination among survivors of pediatric brain tumors: a cross-sectional survey.
Employment status and termination among survivors of pediatric brain tumors: a cross-sectional survey.
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儿科脑肿瘤幸存者的就业状况和终止：一项横断面调查。
DOI：
10.1007/s10147-018-1279-2
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发表时间：
2018
期刊：
影响因子：
3.3
通讯作者：
Kamibeppu K.
中科院分区：
文献类型：
--
作者：
Sato I;Higuchi A;Yanagisawa T;Murayama S;Kumabe T;Sugiyama K;Mukasa A;Saito N;Sawamura Y;Terasaki M;Shibui S;Takahashi J;Nishikawa R;Ishida Y;Kamibeppu K.
背景一些儿童癌症幸存者经历就业困难。本研究旨在描述小儿脑肿瘤幸存者的就业status.MethodsA横断面，观察性研究进行了调查问卷分发给101名小儿脑肿瘤幸存者（15岁或以上）和他们的主治医生从9个机构在日本。我们使用全国人口普查信息比较了参与者首次就业的类别和时间序列历史。延迟就业或提前终止就业的相关因素进行了检查，使用生存时间analysis.ResultsExclusive学生和家庭主妇，38脑肿瘤的幸存者（中位年龄27岁，15年以来诊断）的工作年龄。其中12人（32%）失业，9人（24%）从未就业。脑肿瘤幸存者首次就业的时间比一般人群晚，特别是那些教育水平较低的人。脑肿瘤幸存者的第一份工作在第一年内被终止的人数高于一般人群，特别是男性幸存者和生殖细胞肿瘤幸存者。脑肿瘤幸存者描述了他们的工作模式（不规则），工作类型（专家或专业），提前终止的原因（不合适的工作），和工作的想法（他们希望为他们的社区服务，但缺乏信心）。教育和福利制度应确定这一群体参与社会的个别方法。
BackgroundSome childhood cancer survivors experience employment difficulties. This study aimed to describe pediatric brain-tumor survivors’ employment status.MethodsA cross-sectional, observational study was conducted, with questionnaires distributed to 101 pediatric brain-tumor survivors (aged 15 years or older) and their attending physicians from nine institutions in Japan. We compared category and time-series histories for participants’ first-time employment using national census information. Factors related to delayed employment or early employment termination were examined using survival-time analyses.ResultsExcluding students and homemakers, 38 brain-tumor survivors (median age 27 years, with 15 years since diagnosis) were of working age. Of these, 12 (32%) were unemployed and 9 (24%) had never been employed. First-time employment occurred later for brain-tumor survivors than the general population, particularly in those with lower educational levels. The number of brain-tumor survivors whose first job was terminated within the first year was higher than that for the general population, particularly in male survivors and germ cell-tumor survivors. Brain-tumor survivors described their working patterns (irregular), job types (specialist or professional), reasons for early termination (unsuitable job), and thoughts about working (they wished to serve their communities but lacked confidence).ConclusionBrain-tumor survivors are associated with high unemployment rates and multiple unemployment-related factors. Education and welfare systems should identify individual methods of social participation for this group.