Working with cancer: health and employment among cancer survivors

Details

• Personal Author:
  Arheart KL ; Christ SL ; Clarke TC ; Fleming, Lora E. ; Lee DJ ; Martinez AC ; Prado G ; Soler-Vila H
• Description:
  PURPOSE: Cancer affects a growing proportion of US workers. Factors contributing to whether they continue or return to work after cancer diagnosis include: age, physical and mental health, health insurance, education, and cancer site. The purpose of this study was to assess the complex relationships between health indicators and employment status for adult cancer survivors. METHODS: We analyzed pooled data from the 1997-2012 US National Health Interview Survey (NHIS). Our sample included adults with a self-reported physician diagnosis of cancer (n = 24,810) and adults with no cancer history (n = 382,837). Using structural equation modeling (SEM), we evaluated the relationship between sociodemographic factors, cancer site, and physical and mental health indicators on the overall health and employment status among adults with a cancer history. RESULTS: The overall model for cancer survivors fit the data well (X(2) (374) = 3654.7, P < .001; comparative fit index = 0.98; root mean square error of approximation = 0.04). Although black cancer survivors were less likely to report good-to-excellent health, along with Hispanic survivors, they were more likely to continue to work after diagnosis compared with their white counterparts. Health insurance status and educational level were strongly and positively associated with health status and current employment. Age and time since diagnosis were not significantly associated with health status or employment, but there were significant differences by cancer site. CONCLUSIONS: A proportion of cancer survivors may continue to work because of employment-based health insurance despite reporting poor health and significant physical and mental health limitations. Acute and long-term health and social support are essential for the continued productive employment and quality of life of all cancer survivors. [Description provided by NIOSH]
• Subjects:
  Age Factors Education Employment Epidemiology Men Mental Health Neoplasms Occupational Health Race Factors Safety Women

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• Keywords:
  Age-factors Author Keywords: Cancer Cancer Employees Health Policy Humans Mental-health Models Physical-fitness Physiological-effects Physiology Racial-factors Sociological-factors Statistical-analysis Survivors Survivorship Worker-health Workers

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• ISSN:
  1047-2797
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Florida ; Indiana ; New York ; OSHA Region 2 ; OSHA Region 4 ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  25
• Issue:
  11
• NIOSHTIC Number:
  nn:20047570
• Citation:
  Ann Epidemiol 2015 Nov; 25(11):832-888
• Contact Point Address:
  Lora E. Fleming MD, PhD, European Centre for Environment and Human Health, University of Exeter Medical School c/o Knowledge Spa RCHT, Truro, Cornwall TR13AE, UK
• Email:
  L.E.Fleming@Exeter.ac.uk
• Federal Fiscal Year:
  2016
• Performing Organization:
  University of Miami School of Medicine, Miami, Florida
• Peer Reviewed:
  True
• Start Date:
  20020901
• Source Full Name:
  Annals of Epidemiology
• End Date:
  20120831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:ebc796a788a1a4d0d98ba28e29ea4b0d97cfab2fb5c408042cdf462fac823450c89a014e6c2313c483fe2bb823bb0622f67ac67775036953a28cefc0ce5d55b6
• Download URL:
  https://stacks.cdc.gov/view/cdc/202587/cdc_202587_DS1.pdf
• File Type:
  [PDF - 330.29 KB ]