Educational and Vocational Achievement Among Long-Term Survivors of Adolescent Cancer in Germany
Educational and Vocational Achievement Among Long-Term Survivors of Adolescent Cancer in Germany
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DOI：
10.1002/pbc.22806
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发表时间：
2011-03-01
影响因子：
3.2
通讯作者：
Goldbeck, Lutz
中科院分区：
文献类型：
--
作者：
Dieluweit, Ute;Debatin, Klaus-Michael;Goldbeck, Lutz
背景。青春期包括从学校毕业，为职业生涯做准备。这些任务的完成可能会受到癌症经历的阻碍。本研究调查了德国青少年癌症长期幸存者的教育和职业成就。过程。通过德国儿童癌症登记处招募青春期癌症成年幸存者（n = 820，发病年龄在15 - 18岁之间；M = 15.8, SD = 0.9岁；随访年龄：M = 30.4, SD = 6.0岁）。他们完成了自我报告，其中包括他们的教育和职业水平以及他们目前的职业状况。结果与来自一般人群的年龄匹配样本进行比较（德国社会经济调查小组，n = 820，年龄：M = 30.4, SD = 6.7）。通过亚组分析确定教育和职业成就不佳的风险因素。结果。与一般人群的同龄人相比，青春期癌症幸存者的教育和职业水平更高。幸存者就业的比例较高；然而，幸存者在开始第一份工作时年龄要大得多。亚组分析显示，幸存者的神经心理迟发效应与大学毕业率和就业率下降有关。高中毕业时没有出现这种神经认知延迟效应。结论。大多数德国癌症幸存者在青春期参加学校和职业生活，没有重大困难。问题尤其出现在有神经心理后遗症的幸存者身上。进一步的研究应该调查这些结果是否可以归因于德国儿童癌症患者的支持系统或样本效应。儿科血癌2011；56:432-438。(C) 2010 Wiley-Liss, Inc。
Background. Adolescence involves graduating from school and preparing one's professional career. The accomplishment of these tasks may be hampered by the experience of cancer. This study investigates the educational and professional achievements of German long-term survivors of adolescent cancer. Procedure. Adult survivors of cancer during adolescence (n = 820, age at onset between 15 and 18 years; M = 15.8, SD = 0.9 years; age at follow-up: M = 30.4, SD = 6.0 years) were recruited through the German Childhood Cancer Registry. They completed self-reports with standard items on their educational and vocational level and their current occupational situation. Outcomes were compared to an age-matched sample from the general population (German Socio-Economic Panel, n = 820, age: M = 30.4, SD = 6.7). Risk factors for educational and vocational underachievement were identified by subgroup analyses. Results. Compared to peers from the general population, survivors of cancer during adolescence achieved higher,educational and vocational levels. A higher proportion of survivors was employed; however, survivors were significantly older when starting their first occupation. Subgroup analyses revealed that neuropsychological late effects were associated with reduced rates of graduation from university and of employment among the survivors. No such effect of neuro-cognitive late effects occurred for high school graduation. Conclusions. Most German survivors of cancer during adolescence participate in school and vocational life without major difficulties. Problems particularly arise for survivors with neuropsychological sequelae. Further research should investigate whether these results can be attributed to the German support system for pediatric cancer patients or to sample effects.Pediatr Blood Cancer 2011;56:432-438. (C) 2010 Wiley-Liss, Inc.