Barriers to employment of Australian cancer survivors living with geographic or socio-economic disadvantage: a qualitative study
| Autor: | Vikki Knott, Ian N. Olver, Emma Kemp, Jon Emery, Bogda Koczwara, Monique Bareham, Julia Fallon-Ferguson, Paul Ward, Suzana Freegard, Chris Christensen |
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| Přispěvatelé: | Kemp, Emma, Knott, Vikki, Ward, Paul, Freegard, Suzana, Olver, Ian, Fallon-Ferguson, Julia, Emery, Jon, Christensen, Chris, Bareham, Monique, Koczwara, Bogda |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Gerontology
Employment Medicine (General) media_common.quotation_subject Context (language use) 03 medical and health sciences R5-920 0302 clinical medicine Promotion (rank) Cancer Survivors Neoplasms Humans cancer survivors 030212 general & internal medicine Social determinants of health Survivors Disadvantage media_common 030503 health policy & services Public Health Environmental and Occupational Health Australia return to work Focus group Health equity humanities Original Research Paper social determinants of health Unemployment employment Public aspects of medicine RA1-1270 0305 other medical science Psychology Original Research Papers Qualitative research vulnerable populations |
| Zdroj: | Health Expectations : An International Journal of Public Participation in Health Care and Health Policy Health Expectations, Vol 24, Iss 3, Pp 951-966 (2021) |
| Popis: | Background Opportunities for cancer survivors' employment can both reflect and perpetuate health inequities, as employment is an important social determinant of health. Socio-economic and geographic disadvantage is associated with greater difficulty finding work, but little is known about work needs of Australian cancer survivors living with disadvantage. Objective This study examined survivor and health-care professional (HCP) perspectives on barriers experienced by Australian cancer survivors experiencing disadvantage when attempting to remain at or return to work. Method Focus groups and individual interviews were held with cancer survivors (N = 15) and oncology and primary HCPs (N = 41), focusing on communities at risk of disadvantage. Participants were asked about employment barriers and facilitators in general and in the context of disadvantage. Themes were identified using framework analysis. Results Geographic and socio-economic disadvantage resulted in specific individual- and system-level barriers. These related to distance from treatment and support services and limited availability and suitability of work for survivors living with geographic disadvantage, and limited availability, security, and flexibility of work and previous unemployment for survivors living with socio-economic disadvantage. Identified needs included system-level changes such as public and workplace-level education, legislative and policy changes, and better access to resources. Conclusions Cancer survivors living with disadvantage experience limited access to flexible employment opportunities and resources, further perpetuating their disadvantage. Promotion of health equity for cancer survivors living with disadvantage requires systemic changes to support attempts to remain at/return to work. Patient or public contribution This study included cancer survivors and HCPs as investigators, authors and participants. |
| Databáze: | OpenAIRE |
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