老年癌症幸存者与非癌症兄弟姐妹相比的就业和退休状况。
Employment and retirement status of older cancer survivors compared to non-cancer siblings.
作者信息
Sesto Mary E, Faatin Mahpara, Wang Sijian, Tevaarwerk Amye J, Wiegmann Douglas A
机构信息
Departments of Orthopedics and Rehabilitation, University of Wisconsin-Madison, Madison, WI, USA Department of Industrial and Systems Engineering, University of Wisconsin-Madison, Madison, WI, USA.
Department of Industrial and Systems Engineering, University of Wisconsin-Madison, Madison, WI, USA.
出版信息
Work. 2013;46(4):445-53. doi: 10.3233/WOR-131680.
BACKGROUND
The effect of cancer on employment and retirement status in an older work force is not well understood. This study examines whether cancer survivors were less likely to be working than a sibling comparison group.
OBJECTIVES
To compare work-related variables between older cancer survivors and a group of non-cancer sibling controls. A secondary objective was to evaluate the effect of cancer site and time since cancer diagnosis on work-related variables.
METHODS
Data from the Wisconsin Longitudinal Study (WLS) were used to assess work outcomes in cancer survivors (+CA, n=539, mean age=65.81, SD=4.75 years) and non-cancer sibling controls (-CA, n=539, mean age=63.95, SD=5.31 years).
RESULTS
Survivors (+CA group) were more likely to report not working (61.8%) and to be completely retired (55%) than the -CA group (48.3% not employed; 42% retired). Controlling for age, gender and education, this effect persisted with the +CA group more likely to be not working (OR=1.40; 95% CI=1.08 to 1.83) and completely retired (OR=1.36; 95% CI=1.05 to 1.77) than the -CA group. Neither time since diagnosis nor cancer site affected work outcomes.
CONCLUSIONS
In this study, older +CA survivors were less likely to be working and more likely to be completely retired than -CA sibling controls. Future research should evaluate factors affecting work status among older cancer survivors.
背景
癌症对老年劳动力就业和退休状况的影响尚未得到充分了解。本研究旨在探讨癌症幸存者与同胞对照组相比，工作的可能性是否更低。
目的
比较老年癌症幸存者与一组非癌症同胞对照者之间与工作相关的变量。次要目的是评估癌症部位和癌症诊断后的时间对与工作相关变量的影响。
方法
使用来自威斯康星纵向研究（WLS）的数据来评估癌症幸存者（+CA，n = 539，平均年龄 = 65.81岁，标准差 = 4.75岁）和非癌症同胞对照者（-CA，n = 539，平均年龄 = 63.95岁，标准差 = 5.31岁）的工作结果。
结果
与 -CA组（48.3%未就业；42%退休）相比，幸存者（+CA组）更有可能报告未工作（61.8%）和完全退休（55%）。在控制年龄、性别和教育程度后，这种影响仍然存在，+CA组比 -CA组更有可能未工作（比值比 = 1.40；95%置信区间 = 1.08至1.83）和完全退休（比值比 = 1.36；95%置信区间 = 1.05至1.77）。诊断后的时间和癌症部位均未影响工作结果。
结论
在本研究中，与 -CA同胞对照者相比，老年 +CA幸存者工作的可能性更低，完全退休的可能性更高。未来的研究应评估影响老年癌症幸存者工作状态的因素。
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