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乳がんや婦人科がんを患っている働く女性の辞任
Masahiro Iwakura1, Kengo Nagashima2, Kisho Shimizu3
1Department of Environmental Health Science and Public Health, Akita University Graduate School of Medicine, Akita, Japan.
JAMA network open
|August 25, 2025
まとめ
乳がんや婦人科がんと診断された働く女性は 辞職するリスクが高くなります 高齢化,低所得,うつ病歴は このリスクをさらに高め, 標的型支援の必要性を強調しています.
科学分野:
- 腫瘍学
- 公衆衛生
- 労働衛生について
背景:
- 癌の診断は雇用に大きな影響を及ぼしますが 働く女性の辞職のリスクについては まだ十分に研究されていません
- 辞職に寄与する要因を理解することは 癌患者のための効果的な支援システムの開発に不可欠です
研究 の 目的:
- 乳がんや婦人科がんの診断と,その後働く女性の辞職との関連を調査する.
- 癌の診断を受けた後に辞任するリスクが高い女性の特定のサブ集団を特定する.
主な方法:
- 対応したコホート研究では,2017年4月から2023年3月の日本健康保険協会のデータを使用した.
- 乳がん,子宮頸がん,子宮がん,卵巣がんと診断された15歳から58歳の女性は,がんのない働く女性と1:10の比率で比較されました.
- 辞退と辞退/死亡の複合は2年間のフォローアップで階層化されたコックス比例リスクモデルを使用して評価されました.
主要な成果:
- 乳がん,子宮頸がん,子宮がん,卵巣がんと診断された女性は,対照群と比較して,全因離脱率が著しく高かった.
- 乳がんのリスク比率は1. 18から卵巣がんのリスク比率は1. 44であった.
- 高齢,低所得,うつ病歴のある女性では,全がん群で辞退のリスクが高く見られた.
結論:
- 乳がんと婦人科がんの診断は,日本における働く女性の辞職リスクの増加と関連しています.
- ターゲットを絞った支援の介入は,特に高齢者,低所得者,うつ病歴のある女性に推奨されます.
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