Taskila-Brandt Taina, Martikainen Rami, Virtanen Simo V, Pukkala Eero, Hietanen Päivi, Lindbohm Marja-Liisa
Department of Epidemiology and Biostatistics, Finnish Institute of Occupational Health, Topeliuksenkatu 41 a A, FI-00250 Helsinki, Finland.
Eur J Cancer. 2004 Nov;40(16):2488-93. doi: 10.1016/j.ejca.2004.06.031.
We explored the effect of a diagnosis of cancer on employment according to cancer type, education, occupation, age, gender, mother tongue (Swedish or Finnish), calendar time and hospital district. All 12,542 new cancer cases diagnosed in 1987-1988 and 1992-1993, aged 15-60 years at the time of the diagnosis were identified from the Finnish Cancer Registry. The employment rate of the cancer survivors 2-3 years after the diagnosis was only 9% lower than their gender- and age-matched referents. However, we found that education and occupation modified the effect of cancer on the employment; the difference between cancer survivors and their referents in the probability of being employed was greater in the lower than in the higher educational groups. A modifying effect of education on the probability of employment was found among people with cancer of the lung, stomach, rectum and cervix uteri and those with cancers of the nervous system.
我们根据癌症类型、教育程度、职业、年龄、性别、母语（瑞典语或芬兰语）、日历时间和医院辖区，探讨了癌症诊断对就业的影响。从芬兰癌症登记处识别出了1987 - 1988年和1992 - 1993年诊断出的所有12542例新癌症病例，这些病例在诊断时年龄为15 - 60岁。癌症幸存者在诊断后2至3年的就业率仅比与其性别和年龄匹配的对照者低9%。然而，我们发现教育程度和职业改变了癌症对就业的影响；在低教育组中，癌症幸存者与其对照者在就业概率上的差异大于高教育组。在患有肺癌、胃癌、直肠癌、子宫颈癌以及神经系统癌症的人群中，发现了教育程度对就业概率的调节作用。
