Working with cancer: health and disability disparities among employed cancer survivors in the U.S

Details

• Personal Author:
  Arheart KL ; Clarke TC ; Fleming, Lora E. ; LeBlanc, William G. ; Lee DJ ; Ocasio MA ; Soler-Vila H
• Description:
  INTRODUCTION: Approximately 40% of Americans annually diagnosed with cancer are working-age adults. Using a nationally representative database, we characterized differences in health status and occupation of working cancer survivors and persons without cancer. METHODS: Cross-sectional data pooled from the 1997-2009 US National Health Interview Survey for adults with self-reported physician-diagnosed cancer (n=22,952) and those without (n=358,495), were analyzed. Multivariable logistic regression was used to compare the health and disability status of employed cancer survivors across occupational sectors relative to workers without a cancer history and unemployed cancer survivors. RESULTS: Relative to workers with no cancer history, cancer survivors were more likely (OR; 95%CI) to be white-collar workers and less likely to be service workers. Working cancer survivors were significantly less likely than unemployed survivors, but more likely than workers with no cancer history, to report poor-fair health (0.25; 0.24-0.26) and (2.06; 1.96-2.17) respectively, and = 2 functional limitations (0.37; 0.35-0.38) and (1.72; 1.64-1.80) respectively. Among employed cancer survivors, blue-collar workers reported worse health outcomes, yet they reported fewer workdays missed than white-collar workers. CONCLUSION: Blue-collar cancer survivors are working with high levels of poor health and disability. These findings support the need for workplace accommodations for cancer survivors in all occupational sectors, especially blue-collar workers. [Description provided by NIOSH]
• Subjects:
  Aging Epidemiology Men Neoplasms Occupational Health Safety Women
• Keywords:
  Age-groups Author Keywords: Cancer Survivor Cancer Health Policy Humans Occupation Statistical-analysis Survival-rate Working Survivor
• ISSN:
  0091-7435
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Florida ; OSHA Region 4
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  331-334
• Volume:
  53
• Issue:
  4
• NIOSHTIC Number:
  nn:20040309
• Citation:
  Prev Med 2011 Oct-Nov; 53(4-5):331-334
• Contact Point Address:
  Tainya C. Clarke, Department of Epidemiology & Public Health, University of Miami, Miller School of Medicine, Clinical Research Building, Room 1074, 1120 N.W. 14th Street, 10th Floor (R-669), Miami, Florida 33136
• Email:
  tclarke2@med.miami.edu
• Federal Fiscal Year:
  2012
• Performing Organization:
  University of Miami School of Medicine, Miami, Florida
• Peer Reviewed:
  True
• Start Date:
  20020901
• Source Full Name:
  Preventive Medicine
• End Date:
  20120831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:ea154914f7a2f8e281c48a5ae802f107e43da063a39366dd8b93868079a40f30a6467e667cdd3cf888b8c2f3e40d7820dce5a5943264ff4ad5a3b557e730418c
• Download URL:
  https://stacks.cdc.gov/view/cdc/193237/cdc_193237_DS1.pdf
• File Type:
  [PDF - 149.52 KB ]