Cancer Survivors' Employment Patterns and Consequent Economic and Health Outcomes

描述（由申请人提供）：与诊断前相比，癌症幸存者在诊断后就业的可能性较小。然而，从现有研究中很难得出关于癌症诊断后的纵向就业模式的确切结论。此外，很少有研究考察就业状况以外的工作结果，或确定可能容易受到不良工作结果影响的癌症幸存者。拟议的研究将： 1. 检查癌症幸存者和非癌症对照组之间的工作状况（就业状况、工作强度和退休状况）是否存在差异，2. 检查癌症幸存者和非癌症对照组之间的家庭总收入（包括养老金、年金、补充保障收入和福利）是否存在差异，3. 检查癌症幸存者和非癌症对照组之间的健康保险覆盖范围是否存在差异，以及 4. 检查健康保险覆盖范围对癌症患者医疗保健利用和整体健康状况的影响幸存者。这项研究还将评估从事蓝领、服务或日常职业的妇女和幸存者是否容易受到不良工作结果的影响。这项研究的目标与癌症控制和人口科学部门提高癌症幸存者生活质量的使命一致。为了实现研究目标，我们将使用健康与退休研究的数据，这是一项具有全国代表性的纵向研究，使我们能够检查癌症幸存者的工作状况、经济状况和健康保险覆盖范围从诊断前到诊断后的时期如何变化，并将这些变化与研究期间未患癌症的参与者的变化进行比较。我们还将能够探索幸存者的健康保险、医疗保健利用和健康状况之间的关联。百分之六十四的被诊断患有癌症的人将成为长期幸存者，癌症生存是一个重要的公共卫生问题。患有癌症会使幸存者难以维持就业，这可能会影响他们的经济状况和健康保险覆盖范围。健康保险覆盖范围也可能与医疗保健利用和整体健康状况有关。拟议的项目将解决这些问题。

DESCRIPTION (provided by applicant): Cancer survivors are less likely to be employed after their diagnosis than before their diagnosis. However, it is difficult to draw firm conclusions regarding the longitudinal patterns of employment following a cancer diagnosis from existing studies. In addition, few studies have examined work outcomes other than employment status or identified cancer survivors who might be vulnerable to poor work outcomes. The proposed study will: 1. examine whether work status (employment status, work intensity and retirement status) differs between cancer survivors and non-cancer controls, 2. examine whether total household income (including income from pensions, annuities, supplemental security income and welfare) differs between cancer survivors and non-cancer controls, 3. examine whether health insurance coverage differs between cancer survivors and non-cancer controls, and 4. examine the impact of health insurance coverage on health care utilization and overall health status among cancer survivors. This research will also assess whether women and survivors employed in blue collar, service, or routine occupations are vulnerable to poor work outcomes. The objectives of this research are consistent with the mission of the Division of Cancer Control and Population Sciences to enhance quality of life for cancer survivors. To address study aims, we will use data from the Health and Retirement Study, a nationally representative longitudinal study that will enable us to examine how cancer survivors' work status, economic status and health insurance coverage changed from the period prior to their diagnosis to the period following their diagnosis and compare these changes with those of participants who remained cancer free during the study period. We will also be able to explore the association between health insurance, health care utilization and health status among survivors. Sixty-four percent of people who are diagnosed with cancer will become long-term survivors, and cancer survivorship is an important public health problem. Having cancer can make it difficult for survivors to maintain employment, which may impact their economic status and health insurance coverage. Health insurance coverage may also be associated with health care utilization and overall health status. The proposed project will address these issues.