Not working 3 years after breast cancer: predictors in a population-based study
- PMID: 16219927
- DOI: 10.1200/JCO.2005.09.500
Not working 3 years after breast cancer: predictors in a population-based study
Abstract
Purpose: Little is known about factors increasing likelihood of not working among breast cancer survivors compared with women in the general population.
Patients and methods: A population-based retrospective cohort study was conducted in Quebec, Canada, based on the consecutive series of working women aged younger than 60 years when first treated for breast cancer (identified through the Quebec Tumor Registry), and on a group of randomly selected similar women, living in Quebec, who were working at the time of survivors' diagnoses, but who were without cancer (identified through provincial health care files). Data came from a telephone interview, 3 years after diagnosis for 646 survivors (73% of those eligible) or during a similar period for 890 comparison women (51%).
Results: Slightly more survivors were not working 3 years after diagnosis compared with women never diagnosed with cancer (21% and 15%, respectively). Older age (for survivors and comparison women, relative risk [RR] = 4.62, P < .0001 and RR = 4.98, P < .0001, respectively) and union membership (RR = 1.88, P = .0003 and RR = 1.40, P = .06, respectively) increased the likelihood of not working at the end of follow-up. In addition, income less than 20,000 dollars compared with > or = 50,000 dollars was associated with not working only among survivors (RR = 3.18; P = .0008). Adjuvant treatments did not predict work cessation, but any new cancer event during follow-up did (RR = 2.14; P < .0001).
Conclusion: Although reassuring that adjuvant treatments did not appear to play a role in survivors' not working, other aspects of the cancer experience might nonetheless have influenced the decision to reduce work effort after breast cancer.
Similar articles
-
Work situation after breast cancer: results from a population-based study.J Natl Cancer Inst. 2004 Dec 15;96(24):1813-22. doi: 10.1093/jnci/djh335. J Natl Cancer Inst. 2004. PMID: 15601637
-
Work absence after breast cancer diagnosis: a population-based study.CMAJ. 2005 Sep 27;173(7):765-71. doi: 10.1503/cmaj.050178. CMAJ. 2005. PMID: 16186583 Free PMC article.
-
Breast cancer risk factors and second primary malignancies among women with breast cancer.Breast Cancer Res Treat. 2007 Oct;105(2):195-207. doi: 10.1007/s10549-006-9446-y. Epub 2006 Dec 21. Breast Cancer Res Treat. 2007. PMID: 17186360
-
Increased risk of recurrence after hormone replacement therapy in breast cancer survivors.J Natl Cancer Inst. 2008 Apr 2;100(7):475-82. doi: 10.1093/jnci/djn058. Epub 2008 Mar 25. J Natl Cancer Inst. 2008. PMID: 18364505 Clinical Trial.
-
Ovarian function and childbearing issues in breast cancer survivors.Gynecol Endocrinol. 2007 Nov;23(11):625-31. doi: 10.1080/09513590701582406. Gynecol Endocrinol. 2007. PMID: 17926162 Review.
Cited by
-
Breast cancer, sickness absence, income and marital status. A study on life situation 1 year prior diagnosis compared to 3 and 5 years after diagnosis.PLoS One. 2011 Mar 30;6(3):e18040. doi: 10.1371/journal.pone.0018040. PLoS One. 2011. PMID: 21479209 Free PMC article.
-
Employment status and work-related difficulties in stomach cancer survivors compared with the general population.Br J Cancer. 2008 Feb 26;98(4):708-15. doi: 10.1038/sj.bjc.6604236. Epub 2008 Feb 19. Br J Cancer. 2008. PMID: 18283298 Free PMC article.
-
Three-Year Prospective Cohort Study of Factors Associated with Return to Work After Breast Cancer Diagnosis.J Occup Rehabil. 2017 Dec;27(4):547-558. doi: 10.1007/s10926-016-9685-7. J Occup Rehabil. 2017. PMID: 27858198
-
The role of socioeconomic status in adjustment after ductal carcinoma in situ.Cancer. 2010 Mar 1;116(5):1218-25. doi: 10.1002/cncr.24832. Cancer. 2010. PMID: 20143325 Free PMC article.
-
Return to work after treatment for primary breast cancer over a 6-year period: results from a prospective study comparing patients with the general population.Support Care Cancer. 2013 Jul;21(7):1901-9. doi: 10.1007/s00520-013-1739-1. Epub 2013 Feb 16. Support Care Cancer. 2013. PMID: 23417517
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical