INSERM, U912 (SE4S), Marseille, France.
Health Policy. 2010 Dec;98(2-3):144-55. doi: 10.1016/j.healthpol.2010.06.013.
To assess the risk of leaving employment for cancer survivors 2 years after diagnosis and the role of workplace discrimination in this risk.
A representative sample of 4270 French individuals older than 17 and younger than 58 years when diagnosed with cancer in 2002 were interviewed 2 years later. Their occupational status was analyzed with the help of Probit and IV-Probit models.
Overall, 66% of the cancer survivors who were working at the time of diagnosis were still employed 2 years later. Age, education level, income at diagnosis, work contract, professional status, affective support, relative prognosis at diagnosis, tumor site and treatment have contrasting impacts upon the probability of job loss across gender. Even after having controlled for these variables, self-reported workplace discrimination increases the probability of job loss by 15%.
Despite protective labor law and favorable health insurance arrangements, French cancer survivors continue to experience problems to stay in or to return to the labor force. Measures targeting only the employment protection of cancer survivors do not seem to be sufficient to end prior social inequalities in job attainment. Intervention for specific populations particularly exposed to job-loss risks would also be needed.
评估癌症幸存者在诊断后 2 年内离职的风险，以及工作场所歧视在这种风险中的作用。
对 2002 年诊断为癌症的 4270 名年龄在 17 岁至 58 岁之间的法国个体进行了代表性抽样调查，并在诊断后 2 年对其职业状况进行了访谈。采用 Probit 和 IV-Probit 模型对其职业状况进行了分析。
总体而言，66%的癌症幸存者在诊断时正在工作，2 年后仍在工作。年龄、教育程度、诊断时的收入、工作合同、职业地位、情感支持、相对诊断预后、肿瘤部位和治疗对不同性别失业的概率都有相反的影响。即使在控制了这些变量后，自我报告的工作场所歧视仍会使失业的可能性增加 15%。
尽管有保护性劳动法和有利的健康保险安排，法国癌症幸存者在重返或留在劳动力市场方面仍面临问题。仅针对癌症幸存者就业保护的措施似乎不足以消除先前在获得工作方面的社会不平等。还需要针对特别容易失业的特定人群采取干预措施。
