Occupational Outcomes of Adult Childhood Cancer Survivors: A Report from the Childhood Cancer Survivor Study

Details

• Personal Author:
  Hudson MM ; Kirchhoff AC ; Krull KR ; Leisenring W ; Ness KK ; Oeffinger KC ; Park ER ; Robison LL ; Stovall M ; Wickizer T
• Description:
  BACKGROUND: The authors examined whether survivors from the Childhood Cancer Survivor Study were less likely to be in higher-skill occupations than a sibling comparison and whether certain survivors were at higher risk for lower-skill jobs. METHODS: The authors created 3 mutually exclusive occupational categories for participants aged >/=25 years: Managerial/Professional, Nonphysical Service/Blue Collar, and Physical Service/Blue Collar. The authors examined currently employed survivors (4845) and their siblings (1727) in multivariable generalized linear models to evaluate the likelihood of being in 1 of the 3 occupational categories. Multinomial logistic regression was used among all participants to examine the likelihood of these outcomes compared to being unemployed (survivors, 6671; siblings, 2129). Multivariable linear models were used to assess survivor occupational differences by cancer-? and treatment-related variables. Personal income was compared by occupation. RESULTS: Employed survivors were less often in higher-skilled Managerial/Professional occupations (relative risk, 0.93; 95% confidence interval 0.89-0.98) than their siblings. Survivors who were black, were diagnosed at a younger age, or had high-dose cranial radiation were less likely to hold Managerial/Professional occupations than other survivors. In multinomial models, female survivors' likelihood of being in full-time Managerial/Professional occupations (27%) was lower than male survivors (42%) and female (41%) and male (50%) siblings. Survivors' personal income was lower than siblings within each of the 3 occupational categories in models adjusted for sociodemographic variables. CONCLUSIONS: Adult childhood cancer survivors are employed in lower-skill jobs than siblings. Survivors with certain treatment histories are at higher risk for lower-skill jobs and may require vocational assistance throughout adulthood. [Description provided by NIOSH]
• Subjects:
  Age Factors Occupational Health Race Factors Safety Sex Characteristics
• Keywords:
  Age Factors Author Keywords: Neoplasms Cancer Survivors Children Female Late Effects Occupations Racial Factors Sex Factors Socioeconomic Factors Socioeconomics Survivors

  More +
• ISSN:
  0008-543X
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Massachusetts ; New York ; Ohio ; OSHA Region 1 ; OSHA Region 10 ; OSHA Region 2 ; OSHA Region 4 ; OSHA Region 5 ; OSHA Region 6 ; Tennessee ; Texas ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  117
• Issue:
  13
• NIOSHTIC Number:
  nn:20056802
• Citation:
  Cancer 2011 Jul; 117(13):3033-3044
• Contact Point Address:
  Anne C. Kirchhoff, PhD, MPH, 1100 Fairview Avenue North, M3-B232, Seattle, WA 98109
• Email:
  akirchho@fhcrc.org
• Federal Fiscal Year:
  2011
• Performing Organization:
  University of Washington
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Cancer
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:8822fe7e766f1b97b00a7bc077e491543fe7d6246c95e239331a24c0282341e6d7287fc05aff9f727b1472b4a50e0e2b3506317b3c60320edd03cdf62891c57c
• Download URL:
  https://stacks.cdc.gov/view/cdc/214318/cdc_214318_DS1.pdf
• File Type:
  [PDF - 355.00 KB ]