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
Autor: | Mats Lambe, Paul C. Lambert, Sonja Eaker, Johan Ahlgren, Leif Bergkvist, Annette Wigertz |
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Jazyk: | angličtina |
Rok vydání: | 2011 |
Předmět: |
Non-Clinical Medicine
Epidemiology lcsh:Medicine Social and Behavioral Sciences Metastasis Cohort Studies Sociology Absenteeism Medical Sociology Odds Ratio Young adult lcsh:Science Social Research Multidisciplinary Obstetrics Obstetrics and Gynecology Middle Aged Surgical Oncology Oncology Insurance Disability Income Medicine Marital status Hormonal therapy Female Public Health Behavioral and Social Aspects of Health Cancer Epidemiology Research Article Adult medicine.medical_specialty Clinical Research Design Breast Neoplasms Education Young Adult Breast cancer Breast Cancer Confidence Intervals medicine Humans Gynecology Health Care Policy Marital Status business.industry lcsh:R Odds ratio medicine.disease Disability pension Relative risk Surgery lcsh:Q Disease Registries business |
Zdroj: | PLoS ONE, Vol 6, Iss 3, p e18040 (2011) PLoS ONE |
ISSN: | 1932-6203 |
Popis: | BACKGROUND: Improved cancer survival poses important questions about future life conditions of the survivor. We examined the possible influence of a breast cancer diagnosis on subsequent working and marital status, sickness absence and income. MATERIALS: We conducted a matched cohort study including 4,761 women 40-59 years of age and registered with primary breast cancer in a Swedish population-based clinical register during 1993-2003, and 2,3805 women without breast cancer. Information on socioeconomic standing was obtained from a social database 1 year prior and 3 and 5 years following the diagnosis. In Conditional Poisson Regression models, risk ratios (RRs) and 95% confidence intervals (CIs) were estimated to assess the impact of a breast cancer diagnosis. FINDINGS: Three years after diagnosis, women who had had breast cancer more often had received sickness benefits (RR = 1.49, 95% CI 1.40-1.58) or disability pension (RR = 1.47, 95% CI 1.37-1.58) than had women without breast cancer. We found no effect on income (RR = 0.99), welfare payments (RR = 0.98), or marital status (RR = 1.02). A higher use of sickness benefits and disability pension was evident in all stages of the disease, although the difference in use of sickness benefits decreased after 5 years, whereas the difference in disability pension increased. For woman with early stage breast cancer, the sickness absence was higher following diagnosis among those with low education, who had undergone mastectomy, and had received chemo- or hormonal therapy. Neither tumour size nor presence of lymph nodes metastasis was associated with sickness absence after adjustment for treatment. INTERPRETATION: Even in early stage breast cancer, a diagnosis negatively influences working capacity both 3 and 5 years after diagnosis, and it seems that the type of treatment received had the largest impact. A greater focus needs to be put on rehabilitation of breast cancer patients, work-place adaptations and research on long-term sequelae of treatment. |
Databáze: | OpenAIRE |
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