Department of Health Promotion, Faculty of Health Sciences, Vestfold University College, Norway.
Scand J Public Health. 2011 Mar;39(6 Suppl):33-42. doi: 10.1177/1403494810395827.
To investigate how cancer survivors (CSs) experience the cancer-related support they get at the workplace, the proportion of CSs who change work due to cancer and the sociodemographic and work-related factors associated with CSs' work changes.
CSs of the 10 most common invasive types of cancer for men and women in Norway completed a mailed questionnaire 15-39 months after primary treatment. All CSs who were working when diagnosed were included in the analyses (n = 1115). Leaving the workforce and making other important changes in paid work were regarded as work changes.
When diagnosed with cancer, 84% of the CSs experienced their supervisor as caring vs. 90% for colleagues. At the time of the survey, 84% were still working; 24% had made changes in work due to the cancer. Work changes due to cancer were most common among CSs who reported low supervisor support related to the cancer (odds ratio (OR) 0.78) and high physical (OR 2.48) and psychological job demands (OR 1.39) at the time of diagnosis. Work changes were more common among self-employed CSs than among employees (OR 2.03). CSs with high education (OR 0.59) and medium income (OR 0.66) made fewer work changes than other CSs, but these differences were not significant when controlled for the work factors.
Close follow-up by supervisors should be a key element in workplace health promotion programmes for CSs. Further, the programmes should target both physical and psychosocial work factors.
调查癌症幸存者（CSs）在工作场所获得癌症相关支持的体验，因癌症而改变工作的 CSs 的比例，以及与 CSs 工作变化相关的社会人口学和工作相关因素。
挪威十种最常见的男性和女性侵袭性癌症的 CSs 在初次治疗后 15-39 个月完成了邮寄问卷。所有诊断时正在工作的 CSs 都包括在分析中（n=1115）。离开劳动力市场和在有偿工作中做出其他重要改变被视为工作改变。
在诊断出癌症时，84%的 CSs 感到他们的主管关心他们，而 90%的同事关心他们。在调查时，84%的人仍在工作；24%的人因癌症改变了工作。由于癌症，CSs 报告主管对癌症的支持低（比值比（OR）0.78），物理（OR 2.48）和心理工作要求（OR 1.39）高时，工作变化最常见。与员工相比，个体经营者的工作变化更为常见（OR 2.03）。与其他 CSs 相比，高学历（OR 0.59）和中等收入（OR 0.66）的 CSs 工作变化较少，但在控制工作因素后，这些差异并不显著。
主管的密切随访应该是 CSs 工作场所健康促进计划的关键要素。此外，该计划应针对身体和心理社会工作因素。
