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在乳腺癌和妇科癌症患者中辞职
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
概括
被诊断为乳腺癌或妇科癌症的妇女面临更高的辞职风险. 年龄较大,收入较低,抑郁病史进一步增加这种风险,强调需要有针对性的支持.
科学领域:
- 癌症学
- 公共卫生
- 职业健康问题
背景情况:
- 癌症诊断可能会对就业产生重大影响,但工作女性辞职的具体风险仍未得到充分研究.
- 了解导致辞职的因素对于在职人员中为癌症患者开发有效的支持系统至关重要.
研究的目的:
- 调查乳腺癌或妇科癌症诊断与后续工作女性辞职之间的联系.
- 为了确定癌症诊断后更高的辞职风险的特定亚群.
主要方法:
- 一项匹配的队列研究利用了2017年4月至2023年3月的日本健康保险协会数据.
- 15至58岁的女性被诊断为乳腺癌,宫癌,子宫癌或卵巢癌,与没有癌症的职业女性相比为10%.
- 使用分层的Cox比例风险模型,在2年的随访期间评估了辞职和辞职/死亡的复合结果.
主要成果:
- 与对照组相比,被诊断患有乳腺癌,宫癌,子宫癌或卵巢癌的妇女的全因辞职率显著提高.
- 乳腺癌的死亡危险比为1. 18 至卵巢癌的死亡危险比为1. 44.
- 在所有癌症群体中,年龄较大,收入较低,有抑郁病史的妇女中观察到更高的辞职风险.
结论:
- 在日本工作的女性中, 乳腺癌和妇科癌症的诊断与辞职的风险增加有关.
- 针对性支持干预措施推给处于辞职高风险的妇女,特别是那些年龄较大,收入较低或有抑郁病史的妇女.
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