Multimorbidity and Employment Outcomes Among Middle-Aged US Cancer Survivors

Details

• Personal Author:
  Ekenga CC ; Kim B ; Kwon E ; Park S
• Description:
  Objective: The objective of this study was to evaluate the relationship between multimorbidity and subsequent two-year employment outcomes among middle-aged United States (US) cancer survivors. In addition, we examined whether the relationship differed by survivor characteristics. Methods: Data of 633 cancer survivors (ages 51-64) from the 2014 Health and Retirement Study were used to identify multimorbidity profiles and evaluate associations between multimorbidity and prolonged unemployment during follow-up. Results: Approximately 64% of cancer survivors met the criteria for multimorbidity. Latent class analysis revealed three distinct multimorbidity profiles distinguished by the presence or absence of psychiatric disorders. We observed a significant association between high psychiatric multimorbidity and prolonged unemployment after two-year follow-up (Relative Risk = 2.78, 95% Confidence Interval = 1.28-6.00), with the effect more pronounced among low-income survivors. Conclusions: Psychiatric multimorbidity was associated with prolonged unemployment among middle-aged cancer survivors, particularly among low-income survivors. [Description provided by NIOSH]
• Subjects:
  Mental Health Morbidity Nervous System Occupational Health Safety
• Keywords:
  Author Keywords: Cancer Cancer Survivors Employment Mental Health Morbidity Rates Multimorbidity Psychological Disorders Survivorship Unemployment
• ISSN:
  1076-2752
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Colorado ; Georgia ; Missouri ; New Hampshire ; New Jersey ; OSHA Region 1 ; OSHA Region 2 ; OSHA Region 4 ; OSHA Region 7 ; OSHA Region 8
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  476-481
• Volume:
  64
• Issue:
  6
• NIOSHTIC Number:
  nn:20064270
• Citation:
  J Occup Environ Med 2022 Jun; 64(6):476-481
• Contact Point Address:
  Christine C. Ekenga, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA 30322
• Email:
  cekenga@emory.edu
• Federal Fiscal Year:
  2022
• Performing Organization:
  University of Colorado Denver, Aurora
• Peer Reviewed:
  True
• Start Date:
  20160901
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• End Date:
  20260831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:8878791a9a2c0a988268d37735d97076117ff1864fd64e5772e8ce178031cae744154a48a3402952b63998ef324c886811caf8db364e1c6d05bca46065533ea0
• Download URL:
  https://stacks.cdc.gov/view/cdc/222769/cdc_222769_DS1.pdf
• File Type:
  [PDF - 455.48 KB ]