Employment Changes Following Breast Cancer Diagnosis: The Effects of Race and Place

Jennifer C Spencer; Jason S Rotter; Jan M Eberth; Whitney E Zahnd; Robin C Vanderpool; Linda K Ko; Melinda M Davis; Melissa A Troester; Andrew F Olshan; Stephanie B Wheeler

doi:10.1093/jnci/djz197

Back

Employment Changes Following Breast Cancer Diagnosis: The Effects of Race and Place

Journal article

Open access

Peer reviewed

Employment Changes Following Breast Cancer Diagnosis: The Effects of Race and Place

Jennifer C Spencer, Jason S Rotter, Jan M Eberth, Whitney E Zahnd, Robin C Vanderpool, Linda K Ko, Melinda M Davis, Melissa A Troester, Andrew F Olshan and Stephanie B Wheeler

JNCI : Journal of the National Cancer Institute, Vol.112(6), pp.647-650

06/01/2020

DOI: 10.1093/jnci/djz197

PMCID: PMC7301070

PMID: 31599949

Files and links (1)

url

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7301070View

Published (Version of record) Open Access

Abstract

The financial implications of breast cancer diagnosis may be greater among rural and black women. Women with incident breast cancer were recruited as part of the Carolina Breast Cancer Study. We compared unadjusted and adjusted prevalence of cancer-related job or income loss, and a composite measure of either outcome, by rural residence and stratified by race. We included 2435 women: 11.7% were rural; 48.5% were black; and 38.0% reported employment changes after diagnosis. Rural women more often reported employment effects, including reduced household income (43.6% vs 35.4%, two-sided χ2 test P = .04). Rural white, rural black, and urban black women each more often reported income reduction (statistically significant vs. urban white women), although these groups did not meaningfully differ from each other. In multivariable regression, rural differences were mediated by socioeconomic factors, but racial differences remained. Programs and policies to reduce financial toxicity in vulnerable patients should address indirect costs of cancer, including lost wages and employment.

African Continental Ancestry Group - statistics & numerical data

Breast Neoplasms - economics

Breast Neoplasms - epidemiology

Breast Neoplasms - ethnology

Employment - economics

Employment - statistics & numerical data

European Continental Ancestry Group - statistics & numerical data

Female

Humans

North Carolina - epidemiology

Rural Population - statistics & numerical data

Social Class

Urban Population - statistics & numerical data

Details

Title: Subtitle: Employment Changes Following Breast Cancer Diagnosis: The Effects of Race and Place
Creators: Jennifer C Spencer - Lineberger Comprehensive Cancer Center
Jason S Rotter - Department of Health Policy and Management
Jan M Eberth - Rural and Minority Health Research Center
Whitney E Zahnd - Rural and Minority Health Research Center
Robin C Vanderpool - Oregon Health & Science University, Portland, OR; Department of Health, Behavior & Society, University of Kentucky, Lexington, KY
Linda K Ko - Department of Health Services, University of Washington, Seattle, WA
Melinda M Davis - Oregon Health & Science University
Melissa A Troester - Department of Epidemiology
Andrew F Olshan - Department of Epidemiology
Stephanie B Wheeler - Center for Health Promotion and Disease Prevention
Resource Type: Journal article
Publication Details: JNCI : Journal of the National Cancer Institute, Vol.112(6), pp.647-650
DOI: 10.1093/jnci/djz197
PMID: 31599949
PMCID: PMC7301070
NLM abbreviation: J Natl Cancer Inst
ISSN: 0027-8874
eISSN: 1460-2105
Publisher: Oxford University Press
Grant note: T32 CA116339 / NCI NIH HHS U48 DP005017 / NCCDPHP CDC HHS K07 CA211971 / NCI NIH HHS P01 CA151135 / NCI NIH HHS
Language: English
Date published: 06/01/2020
Academic Unit: Health Management and Policy
Record Identifier: 9984214685802771

Metrics

6 Record Views

29 Times Cited - Web of Science