失去患有癌症的孩子的与工作有关的后果:一项基于全国人口的队列研究
Nanna Maria Hammer1,2,3,4, Marianne Olsen2,5, Hanne Baekgaard Larsen2,3
1Department of Paediatrics and Adolescent Medicine, Copenhagen Palliative Team for Children and Adolescents, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Pediatric blood & cancer
|October 14, 2023
概括
由于癌症而失去孩子的父母面临着更高的劳动能力下降的风险,包括病假和失业. 年龄较小,教育程度较低,单亲家庭增加了这种风险,突出了有针对性的支持的需要.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 儿童癌症存活率有所改善,但父母丧生仍然是一个重大的公共卫生问题.
- 孩子去世后的悲伤会导致心理健康问题,影响父母就业能力.
- 了解悲伤父母的长期社会经济后果对于开发有效的支持系统至关重要.
研究的目的:
- 研究父母因癌症失去孩子的劳动力市场归属性降低的风险.
- 为了比较患有癌症的父母的劳动力市场参与率与孩子没有癌症的父母相匹配的队列.
- 为了确定与减少劳动力市场隶属关系相关的因素,在父母悲伤失去孩子的癌症.
主要方法:
- 一个全国性的基于人口的队列研究,利用丹麦注册数据.
- 包括1609名因癌症失去30岁以下儿童的父母 (1992-2020年) 和15188名与无癌症儿童的父母相匹配的父母.
- 使用Cox比例危险模型和分数逻辑模型进行分析,按父母的性别分层.
主要成果:
- 癌症丧生的母亲患长期病假 (HR=1.62) 和失业 (HR=1.53) 的风险增加,在丧生的最初两年内工作的几率较低 (OR=0.44).
- 丧亲的父亲工作的几率较低 (OR=0.65),工作能力永久减少的风险增加 (HR=1.29).
- 较年轻的父母年龄,较低的教育程度和单亲父母身份是减少劳动力市场隶属性的重要决定因素.
结论:
- 与没有癌症的孩子的父母相比,因孩子的癌症诊断而丧生的父母面临着明显增加的劳动力市场归属性降低的风险.
- 丧亲父母的特定子组,特别是年龄较小,教育程度较低或单亲父母身份较低的子组,风险较高.
- 这些发现强调了有针对性的丧亲干预和支持服务的必要性,以帮助父母保持或恢复劳动力市场参与.
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