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Explaining educational differences in return to work after early breast cancer: a mediation analysis
Garazi Ruiz de Azua1, Idlir Licaj1,2, Koketso Ntobeng1
1Université Paris-Saclay, UVSQ, Gustave Roussy, Inserm, CESP, F-94805, Villejuif, France.
Background:
The mechanisms behind the effect of education on the return to work (RTW) of survivors of breast cancer (BCS) are unknown.
Methods:
We used data from 2461 BCS from the prospective cohort CANTO. Using inverse odds weights we studied the mediating effect of pre-existing comorbidities, clinical factors, post-treatment health related quality of life, working conditions and household composition in the association between education and non-RTW. We used education in three categories. All models were adjusted for age at diagnosis.
Results:
Non-RTW increased at lower levels of education. Compared to high educated women, women with
Conclusions:
Individuals with lower education are less likely to return to work. Poorer working conditions account for a large part of this association.
Clinical Trial:
Registration: NCT01993498.
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