Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA 30341-3717, USA.
J Occup Environ Med. 2013 Sep;55(9):1015-20. doi: 10.1097/JOM.0b013e3182a2a467.
Cancer is one of the top five most costly diseases in the United States and leads to substantial work loss. Nevertheless, limited state-level estimates of cancer absenteeism costs have been published.
In analyses of data from the 2004-2008 Medical Expenditure Panel Survey, the 2004 National Nursing Home Survey, the U.S. Census Bureau for 2008, and the 2009 Current Population Survey, we used regression modeling to estimate annual state-level absenteeism costs attributable to cancer from 2004 to 2008.
We estimated that the state-level median number of days of absenteeism per year among employed cancer patients was 6.1 days and that annual state-level cancer absenteeism costs ranged from $14.9 million to $915.9 million (median = $115.9 million) across states in 2010 dollars. Absenteeism costs are approximately 6.5% of the costs of premature cancer mortality.
The results from this study suggest that lost productivity attributable to cancer is a substantial cost to employees and employers and contributes to estimates of the overall impact of cancer in a state population.
癌症是美国五大最昂贵疾病之一，会导致大量工作损失。然而，关于癌症旷工成本的州级估计数据有限。
我们分析了 2004-2008 年医疗支出调查、2004 年全国养老院调查、2008 年美国人口普查局和 2009 年当前人口调查的数据，使用回归模型估算了 2004 年至 2008 年癌症导致的州级旷工年度成本。
我们估计，在 2010 年美元中，每年每 1000 名癌症患者的州级平均旷工天数为 6.1 天，每年州级癌症旷工成本范围从 1490 万美元到 9.159 亿美元（中位数为 1.159 亿美元）。旷工成本约占癌症过早死亡成本的 6.5%。
这项研究的结果表明，癌症导致的生产力损失是员工和雇主的一项重大成本，并有助于估计癌症对州级人口的总体影响。
