Work-Health Conflict Among Breast Cancer Survivors: Associations with Cancer Self-Management, Quality of Life, and Anticipated Turnover

Details

• Personal Author:
  Austin HL ; Bellizzi KM ; Blank TO ; Cavallari JM ; Cherniack, Martin G. ; Decker RE ; Dugan AG ; Hundal J ; Namazi S ; Shaw WS ; Swede H ; Tannenbaum SH
• Description:
  Breast cancer and its treatment can affect a survivor's work role, potentially resulting in job loss or work withdrawal. Survivors are encouraged to adopt self-management behaviors as part of their health role to minimize treatment after-effects, prevent cancer recurrence, and improve health-related quality of life. We examined work-health conflict, an under-recognized form of inter-role conflict that occurs when work role demands make it difficult to engage in the health role. We hypothesized that work-health conflict is directly associated with poorer quality of life and anticipated turnover, and indirectly associated with both outcomes through self-management behaviors. An online cross-sectional survey was administered to working breast cancer survivors. We conducted ordinary least square regressions path analysis to test hypothesized associations of work-health conflict, quality of life, anticipated turnover, and cancer self-management. Respondents (n = 157) had a mean age of 51 and were primarily female (98%), White and non-Hispanic (85%), married or partnered (74%), and college-educated (94%). Hypothesis-testing showed that work-health conflict had direct effects on health-related quality of life and anticipated turnover, as well as indirect effects through self-management. We provide evidence for the adverse health and work impacts of work-health conflict, a potentially modifiable variable that is of growing interest within the literature on work-life interface. Employers should focus on supporting survivors' long-term health-related quality of life and opportunities for health-supporting activities, which may promote work retention. Upstream interventions may be needed to address sources of work-health conflict, and may include minimizing spillover of work stress and reducing drains on time and energy resources. [Description provided by NIOSH]
• Subjects:
  Occupational Health Safety Stress, Psychological
• Keywords:
  Author Keywords: Cancer Survivorship Breast Cancer Cancer Survivors Chronic Health Conditions Cross Sectional Studies Job Stress Quality Of Life Turnover Work-health Conflict Work-life Balance Work-life Conflict

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• ISSN:
  2367-0134
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Connecticut ; Ohio ; OSHA Region 1 ; OSHA Region 3 ; OSHA Region 5 ; Rhode Island ; Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  315-335
• Volume:
  8
• Issue:
  2
• NIOSHTIC Number:
  nn:20069763
• Citation:
  Occup Health Sci 2024 Jun; 8(2):315-335
• Contact Point Address:
  Alicia G. Dugan, Department of Medicine, Division of Occupational and Environmental Medicine, University of Connecticut School of Medicine, 263 Farmington Ave, Farmington, CT, 06030, USA
• Email:
  adugan@uchc.edu
• Federal Fiscal Year:
  2024
• Performing Organization:
  University of Connecticut School of Medicine/Dentistry
• Peer Reviewed:
  True
• Start Date:
  20200901
• Source Full Name:
  Occupational Health Science
• End Date:
  20230831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:5691f0c20697d4b07b320c7b86384e10f22c7b33ee81df0d334615d79681656ff6240a9af7f12ffdfa20e5b75f4c4d6eb128a2ed96e0063eb050969e37a03b91
• Download URL:
  https://stacks.cdc.gov/view/cdc/208120/cdc_208120_DS1.pdf
• File Type:
  [PDF - 674.33 KB ]