Tunceli Kaan, Short Pamela Farley, Moran John R, Tunceli Ozgur
Center for Health Services Research, Henry Ford Health Systems, USA.
Inquiry. 2009 Spring;46(1):17-32. doi: 10.5034/inquiryjrnl_46.01.17.
This study examined the effect of job-related health insurance on employment transitions (labor force exits, reductions in hours, and job changes) of older working cancer survivors. Using multivariate models, we compared longitudinal data for the period 1997-2002 from the Penn State Cancer Survivor Study to similar data for workers with no cancer history in the Health and Retirement Study, who were also ages 55 to 64 at follow-up. The interaction of cancer survivorship with health insurance at diagnosis was negative and significant in predicting labor force exits, job changes, and transitions to part-time employment for both genders. The differential effect of job-related health insurance on the labor market dynamics of cancer survivors represents an additional component of the economic and psychosocial burden of cancer on survivors.
本研究考察了与工作相关的健康保险对老年在职癌症幸存者就业转变(退出劳动力市场、减少工作时长和更换工作)的影响。我们使用多变量模型,将宾夕法尼亚州立大学癌症幸存者研究中1997 - 2002年期间的纵向数据,与健康与退休研究中无癌症病史的工作者(随访时年龄也为55至64岁)的类似数据进行了比较。癌症幸存者身份与诊断时健康保险之间的交互作用,在预测两性的劳动力退出、工作变动以及向兼职工作的转变方面呈负向且显著。与工作相关的健康保险对癌症幸存者劳动力市场动态的差异影响,代表了癌症给幸存者带来的经济和心理社会负担的一个额外组成部分。