Ito H, Hozawa A, Yamashita H, Kubota I, Nemoto K, Yoshioka T, Kayama T, Murakami M
Department of Health Policy Science, Graduate School of Medical Science, Yamagata University, Yamagata, Japan.
Department of Preventive Medicine and Epidemiology, Tohoku Medical Megabank Organization, Tohoku University, Sendai, Japan.
Eur J Cancer Care (Engl). 2015 Sep;24(5):718-23. doi: 10.1111/ecc.12304. Epub 2015 Mar 6.
Employed cancer patients confront some challenges as they attempt to return to work after treatment. We aimed to identify correlates of return to work for cancer survivors in Japan, with an emphasis on employment status. Participants were 260 patients (aged <65 years) who had received a cancer diagnosis ≥ 1 year previously and who were employed at the time of diagnosis. Participants completed questionnaires at consultations at any Regional Cancer Center Hospitals in Yamagata, Japan between 28 November 2011 and 9 December 2011. Logistic regression analysis was used to identify correlates of return to work. Data cross-tabulation was used to evaluate relationships to workplace and income-changes by employment status. A high proportion of patients (75.8%) had returned to work. Non-regularly employed survivors were less likely to return to work (odds ratio = 5.03; 95% confidence interval, 1.18-21.35). Individuals with poor health, advanced-stage tumours, of advanced age and women were significantly less likely to return to work. Only 52.8% of non-regular employees continued to be employed, and their income decreased by as much as 61.1%. Social and financial support policies should be organised based on more intensive study of employment circumstances.
在职癌症患者在治疗后试图重返工作岗位时面临一些挑战。我们旨在确定日本癌症幸存者重返工作岗位的相关因素，重点关注就业状况。研究对象为260名患者（年龄<65岁），他们在≥1年前被诊断为癌症，且在诊断时处于就业状态。研究对象于2011年11月28日至2011年12月9日期间在日本山形县的任何一家地区癌症中心医院进行咨询时填写了问卷。采用逻辑回归分析来确定重返工作岗位的相关因素。使用数据交叉表来评估就业状况与工作场所和收入变化之间的关系。很大一部分患者（75.8%）已重返工作岗位。非正规就业的幸存者重返工作岗位的可能性较小（优势比=5.03；95%置信区间，1.18 - 21.35）。健康状况不佳、肿瘤处于晚期、年龄较大的个体以及女性重返工作岗位的可能性显著较小。非正规雇员中只有52.8%继续就业，他们的收入减少了多达61.1%。应在对就业情况进行更深入研究的基础上制定社会和财政支持政策。
