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Work disability among cancer patients.

H P Greenwald1, S J Dirks, E F Borgatta

  • 1University of Southern California, Los Angeles 90089-0041.

Social Science & Medicine (1982)
|January 1, 1989
PubMed
Summary

Physical health issues and disease stage significantly impact cancer patients' ability to work. Job flexibility can help cancer survivors remain employed, but employer accommodation is crucial.

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Area of Science:

  • Oncology
  • Occupational Health
  • Health Services Research

Background:

  • Cancer diagnosis presents challenges for individuals maintaining employment and work performance.
  • Understanding factors influencing labor force participation is vital for supporting cancer survivors.

Purpose of the Study:

  • To identify factors affecting labor force retention and work performance in cancer patients.
  • To explore the relationship between disease-related factors, social background, job characteristics, and work disability.

Main Methods:

  • Analysis of data from 247 individuals with lung, pancreatic, prostatic, or cervical cancer.
  • Utilized Pearson correlations, ordinary least squares multiple regression, and logistic analysis.
  • Measured physical dysfunction using the Sickness Impact Profile (SIP).

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Main Results:

  • Physical dysfunction (SIP) and disease stage were the strongest predictors of work disability.
  • Social background factors (age, sex, income, education) were not significant predictors.
  • Job characteristics, particularly discretion over work hours, helped prevent work disability.

Conclusions:

  • Disease-related physical factors are key predictors of work disability in cancer patients.
  • Increased flexibility in working hours and work pace can aid cancer survivors' employment.
  • Employer unwillingness to accommodate may represent discrimination against cancer patients.