Journal article
Impact of cancer on work and education among adolescent and young adult cancer survivors
Journal of clinical oncology, Vol.30(19), pp.2393-2400
07/01/2012
DOI: 10.1200/JCO.2011.39.6333
PMCID: PMC3675694
PMID: 22614977
Abstract
To examine the impact of cancer on work and education in a sample of adolescent and young adult (AYA) patients with cancer.
By using the Adolescent and Young Adult Health Outcomes and Patient Experience Study (AYA HOPE)-a cohort of 463 recently diagnosed patients age 15 to 39 years with germ cell cancer, Hodgkin's lymphoma, non-Hodgkin's lymphoma, sarcoma, and acute lymphocytic leukemia from participating Surveillance, Epidemiology, and End Results (SEER) cancer registries-we evaluated factors associated with return to work/school after cancer diagnosis, a belief that cancer had a negative impact on plans for work/school, and reported problems with work/school after diagnosis by using descriptive statistics, χ(2) tests, and multivariate logistic regression.
More than 72% (282 of 388) of patients working or in school full-time before diagnosis had returned to full-time work or school 15 to 35 months postdiagnosis compared with 34% (14 of 41) of previously part-time workers/students, 7% (one of 14) of homemakers, and 25% (five of 20) of unemployed/disabled patients (P < .001). Among full-time workers/students before diagnosis, patients who were uninsured (odds ratio [OR], 0.21; 95% CI, 0.07 to 0.67; no insurance v employer-/school-sponsored insurance) or quit working directly after diagnosis (OR, 0.15; 95% CI, 0.06 to 0.37; quit v no change) were least likely to return. Very intensive cancer treatment and quitting work/school were associated with a belief that cancer negatively influenced plans for work/school. Finally, more than 50% of full-time workers/students reported problems with work/studies after diagnosis.
Although most AYA patients with cancer return to work after cancer, treatment intensity, not having insurance, and quitting work/school directly after diagnosis can influence work/educational outcomes. Future research should investigate underlying causes for these differences and best practices for effective transition of these cancer survivors to the workplace/school after treatment.
Details
- Title: Subtitle
- Impact of cancer on work and education among adolescent and young adult cancer survivors
- Creators
- Helen M Parsons - Department of Epidemiology and Biostatistics, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Dr, Mail Code 7933, San Antonio, TX 78229-3900, USA. parsonsh@uthscsa.eduLinda C HarlanCharles F LynchAnn S HamiltonXiao-Cheng WuIkuko KatoStephen M SchwartzAshley W SmithGretchen KeelTheresa H M Keegan
- Resource Type
- Journal article
- Publication Details
- Journal of clinical oncology, Vol.30(19), pp.2393-2400
- Publisher
- United States
- DOI
- 10.1200/JCO.2011.39.6333
- PMID
- 22614977
- PMCID
- PMC3675694
- ISSN
- 0732-183X
- eISSN
- 1527-7755
- Grant note
- N01PC35142 / NCI NIH HHS N01PC54404 / NCI NIH HHS N01PC54402 / NCI NIH HHS N01-PC-35142 / NCI NIH HHS N01PC35139 / NCI NIH HHS N01PC35145 / NCI NIH HHS N01-PC-35136 / NCI NIH HHS N01PC35143 / NCI NIH HHS N01-PC-35145 / NCI NIH HHS N01-PC-35139 / NCI NIH HHS N01-PC-54404 / NCI NIH HHS N01PC35136 / NCI NIH HHS N01-PC-54402 / NCI NIH HHS N01-PC-35143 / NCI NIH HHS
- Language
- English
- Date published
- 07/01/2012
- Academic Unit
- Epidemiology
- Record Identifier
- 9983995108602771
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