Eguchi Hisashi, Wada Koji, Higuchi Yoshiyuki, Smith Derek R
Department of Public Health, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami-ku, Sagamihara, Kanagawa, 252-0374, Japan.
National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo, 162-8655, Japan.
Psychooncology. 2017 Mar;26(3):309-315. doi: 10.1002/pon.4130. Epub 2016 Apr 13.
This study examined workplace factors and perceptions of Return-to-Work (RTW) opportunities for colleagues with cancer-related symptoms and/or treatment side effects in Japan.
We conducted an online, cross-sectional survey of 3710 employed Japanese individuals of working age. Colleagues' perceptions of RTW opportunities for cancer survivors were examined (using a Japanese questionnaire), along with workplace factors such as job demand, job control and workplace social support (using the Brief Job Stress Questionnaire). Associations between workplace factors and RTW opportunities were evaluated using multiple logistic regression analysis, with participants stratified in tertiles (low, middle and high) according to their levels of workplace social support and job control.
Colleagues' perceptions of inadequate RTW opportunities were associated with low workplace social support (middle tertile: Odds Ratio [OR] 1.22, 95% Confidence Interval [CI]: 1.08-1.36; low tertile: OR 1.43, 95%CI: 1.30-1.57; p for trend <0.01); low levels of job control (middle tertile: OR 1.27, 95%CI: 1.06-1.50; low tertile: OR 1.91, 95%CI: 1.64-2.21; p for trend <0.01); and no prior experience working with a cancer survivor (OR 2.08, 95%CI: 1.83-2.31).
This study suggests that workplace factors and prior experience of working with a cancer survivor may affect a colleagues' perception of RTW opportunities in Japanese workplaces. Consideration of workplace social factors (workplace support and job control), as well as increased openness and awareness of the particular needs of cancer survivors, is therefore essential to facilitate successful RTW in Japan, as elsewhere.Copyright © 2016 John Wiley & Sons, Ltd.
本研究调查了日本职场中与癌症相关症状和/或治疗副作用的同事的工作场所因素以及对重返工作岗位（RTW）机会的看法。
我们对3710名在职适龄日本员工进行了一项在线横断面调查。研究调查了同事对癌症幸存者重返工作岗位机会的看法（使用日语问卷），以及工作需求、工作控制和工作场所社会支持等工作场所因素（使用简短工作压力问卷）。使用多元逻辑回归分析评估工作场所因素与重返工作岗位机会之间的关联，参与者根据其工作场所社会支持和工作控制水平分为三个三分位数（低、中、高）。
同事认为重返工作岗位机会不足与工作场所社会支持低（中间三分位数：优势比[OR]1.22，95%置信区间[CI]：1.08 - 1.36；低三分位数：OR 1.43，95%CI：1.30 - 1.57；趋势p<0.01）、工作控制水平低（中间三分位数：OR 1.27，95%CI：1.06 - 1.50；低三分位数：OR 1.91，95%CI：1.64 - 2.21；趋势p<0.01）以及之前没有与癌症幸存者共事的经历（OR 2.08，95%CI：1.83 - 2.31）有关。
本研究表明，工作场所因素以及与癌症幸存者共事的先前经历可能会影响日本职场中同事对重返工作岗位机会的看法。因此，与其他地方一样，考虑工作场所社会因素（工作场所支持和工作控制）以及提高对癌症幸存者特殊需求的开放性和认识，对于促进日本成功的重返工作岗位至关重要。版权所有©2016约翰威立父子有限公司。
