癌症患者在诊断后的前五年就业状况 - - 基于登记的研究
E Brink1,2, M S Pilegaard3,4, T G Bonnesen4
1Department of Public Health, Aarhus University, Aarhus, Denmark. EMMAHE@rm.dk.
Journal of cancer survivorship : research and practice
|April 8, 2024
概括
癌症幸存者经常面临就业挑战,大多数癌症类型影响到诊断后五年的工作状态. 一些诊断存在持续的工作困难,需要针对癌症患者返回工作的有针对性的支持.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 职业健康 职业健康 职业健康
背景情况:
- 工作对于身份,社会地位和经济独立至关重要.
- 现有的关于癌症幸存率和就业的研究是有限的,没有对所有癌症类型进行全面分析.
研究的目的:
- 调查所有癌症诊断对就业状况的影响.
- 为了比较癌症患者和无癌症个体之间的就业结果.
主要方法:
- 一项队列研究包括111,770名丹麦癌症患者 (年龄在20-60岁),这些患者在2000-2015年间被诊断出患有癌症.
- 患者与507,003名无癌症对照进行1:5匹配.
- 逻辑和线性回归分析了11种癌症类型的诊断后的一年,三年和五年的工作状态和参与.
主要成果:
- 所有癌症类型的患者在诊断后的一年就有较低的就业机会 (ORs 0.05-0.76).
- 肺癌,结肠直肠癌,胃肠道上部癌症和血液癌症的就业率最低.
- 三年后,11种癌症中的10种癌症的就业机会较低 (ORs 0.39-0.84);五年后,大多数类型的差异是最小的 (ORs 0.75-1.36).
结论:
- 大多数癌症患者在诊断后的五年内就业机会减少.
- 某些癌症类型与持续下降的就业机会有关,尽管逐渐改善.
- 调查结果强调需要提高癌症幸存者的意识和有针对性的职业康复.
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