Breast Cancer–Related Employment Disruption and Financial Hardship in the Sister Study
| Autor: | Lucy A. Peipins, Victoria S. Blinder, Stephanie B. Wheeler, M. Elizabeth Hodgson, Hazel B. Nichols, Dale P. Sandler, Clare Meernik |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Employment Cancer Research media_common.quotation_subject Breast Neoplasms Financial Stress Survivorship Sister Article symbols.namesake Breast cancer Survivorship curve Debt Surveys and Questionnaires medicine Prevalence Humans Poisson regression Poisson Distribution health care economics and organizations media_common Aged Finance Bankruptcy business.industry Cancer Middle Aged medicine.disease Confidence interval United States Oncology Unemployment symbols Income Educational Status Female Health Expenditures business AcademicSubjects/MED00010 |
| Zdroj: | JNCI Cancer Spectrum |
| ISSN: | 2515-5091 |
| Popis: | Background More than one-half of breast cancer cases are diagnosed among women aged younger than 62 years, which may result in employment challenges. This study examined whether cancer-related employment disruption was associated with increased financial hardship in a national US study of women with breast cancer. Methods Women with breast cancer who were enrolled in the Sister or Two Sister Studies completed a survivorship survey in 2012. Employment disruption was defined as stopping work completely or working fewer hours after diagnosis. Financial hardship was defined as: 1) experiencing financial problems paying for cancer care, 2) borrowing money or incurring debt, or 3) filing for bankruptcy because of cancer. Prevalence ratios and 95% confidence intervals for the association between employment disruption and financial hardship were estimated using multivariable Poisson regression with robust variance. Results We analyzed data from women employed at diagnosis (n = 1628). Women were a median age of 48 years at diagnosis and 5.6 years from diagnosis at survey completion. Overall, 27.3% of women reported employment disruption (15.4% stopped working; 11.9% reduced hours), and 21.0% experienced financial hardship (16.0% had difficulty paying for care; 12.6% borrowed money or incurred debt; 1.8% filed for bankruptcy). In adjusted analysis, employment disruption was associated with nearly twice the prevalence of financial hardship (prevalence ratio = 1.93, 95% confidence interval = 1.58 to 2.35). Conclusions Women experiencing employment disruptions after breast cancer may be more vulnerable to financial hardship. Findings highlight the need to target risk factors for employment disruption, facilitate return to work or ongoing employment, and mitigate financial consequences after cancer. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|