Working with cancer: health and employment among cancer survivors

Annals of Epidemiology
Tainya C ClarkeL E Fleming

Abstract

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. 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. The overall model for cancer survivors fit the data well (χ(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 e...Continue Reading

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Citations

Jan 27, 2017·Journal of Managed Care & Specialty Pharmacy·Khalid M KamalChristopher Zacker
Oct 13, 2017·European Journal of Cancer Care·Anne-Claire G N M ZamanMonique H W Frings-Dresen
Nov 23, 2017·Osong Public Health and Research Perspectives·Hyun-Ju Lee, Sung-Soo Kim
Mar 11, 2018·Journal of Cancer Survivorship : Research and Practice·Amanda GehrkeMichael Feuerstein
Jun 27, 2019·International Quarterly of Community Health Education·Matthew AsareCharles S Kamen
Nov 14, 2019·Journal of Cancer Survivorship : Research and Practice·Motoki EndoKazuhiko Hayashi
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Jan 4, 2019·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Joan C Lo
Jan 7, 2021·Journal of Cancer Survivorship : Research and Practice·Alicia G DuganAndrew L Salner

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