返回工作或离开工作? 乳腺癌患者与普通人群之间恢复工作的差异和恢复工作的决定因素
Siegfried Geyer1, Stefanie Sperlich2, Eranda Sahiti2
1Department of Medical Sociology, Hannover Medical School, Carl-Neuberg-Strasse 1, 30623, Hannover, Germany. geyer.siegfried@mh-hannover.de.
概括
乳腺癌幸存者就业率低于一般人群. 影响返回工作的因素随着时间的推移而变化,职业自主和教育成为重要的长期预测因素.
科学领域:
- 在瘤学瘤学.
- 职业健康 职业健康 职业健康
- 社会经济学 社会经济学
背景情况:
- 就业是癌症幸存者的生活质量的关键方面.
- 了解影响就业的因素 乳腺癌后治疗对于支持性护理至关重要.
- 以前的研究还没有完全阐明乳腺癌幸存者的长期就业轨迹和影响因素.
研究的目的:
- 为了比较乳腺癌幸存者的就业率与外科手术后4-6年的普通人口.
- 调查疾病严重程度,术后治疗以及社会/工作场所因素对就业的影响.
- 确定手术后的时间是否影响这些因素对就业的影响.
主要方法:
- 这是一项多中心观测研究,涉及4个调查波的372名乳腺癌幸存者.
- 通过邮寄调查和患者记录收集数据,包括人口和临床信息.
- 与普通人口的比较,使用德国社会经济小组的对照.
主要成果:
- 与一般人口相比,乳腺癌幸存者的就业率明显较低 (OR=0.59).
- 瘤阶段仅在长期 (4-6年) 的晚期 (OR=0.16) 影响就业.
- 职业自主性 (OR=4.56) 和高等教育水平 (OR=2.23) 对长期就业产生了积极的影响,而手术前的职业困境对短期返回工作产生了负面影响 (OR=0.13).
结论:
- 手术和评估之间的时间显著影响着各种因素对就业的影响.
- 疾病的严重程度和手术后的立即治疗对就业的长期影响很小.
- 与工作相关的因素,如职业自主和社会人口因素,如教育,是乳腺癌幸存者长期就业的关键决定因素.
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