Department of Public Health, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi, 470-1192, Japan.
Department of Public Health and Health Systems, Nagoya University Graduate School of Medicine, Nagoya, Japan.
J Cancer Surviv. 2021 Dec;15(6):912-921. doi: 10.1007/s11764-020-00984-7. Epub 2021 Jan 12.
This study compared working cancer survivors' self-rated health status (SRHS), physical functional capacity, depressive symptoms, and happiness to those of cancer-free workers.
A nationwide general population-based cross-sectional study on a sample of Japanese was conducted. Prevalence of deteriorated SRHS, restricted physical functional capacity, depressive symptoms, and perceived happiness were compared between working cancer survivors and cancer-free workers with multivariable logistic regression analysis adjusted for age and sociodemographic and health-related backgrounds.
Of the 28,311 male and 26,068 female workers, 977 (3.5%) and 1267 (4.9%) were cancer survivors, respectively. Working cancer survivors reported deteriorated SRHS more frequently than cancer-free workers: 21.3% vs. 13.8%, multivariable-adjusted odds ratio (95% confidence interval), 1.64 (1.39-1.95) for men, 23.8% vs. 17.5%, 1.34 (1.16-1.54) for women. Restricted physical functional capacity was reported more frequently in working cancer survivors than cancer-free workers: 6.8% vs. 2.6%, 1.76 (1.34-2.32) for men, 4.9% vs. 2.0%, 2.06 (1.56-2.71) for women. No significant difference was found for depressive symptoms: 21.6% vs. 22.9% in men, 30.0% vs. 28.5% in women. Working cancer survivors felt happiness more frequently than cancer-free survivors in men (77.3% vs. 71.7%, 1.21 (1.01-1.45)) but not in women (76.1% vs. 74.9%).
Working cancer survivors had worse SRHS and more restricted physical functional capacity than cancer-free workers. In men, working cancer survivors felt happiness more frequently than cancer-free workers.
Continuous support to improve cancer survivors' SRHS and physical functional capacity would be necessary even while they are working.
本研究比较了癌症幸存者和无癌症工人的自我报告健康状况（SRHS）、身体功能能力、抑郁症状和幸福感。
对日本进行了一项基于全国普通人群的横断面研究。使用多变量逻辑回归分析，调整年龄和社会人口学及健康相关背景因素后，比较了癌症幸存者和无癌症工人中 SRHS 恶化、身体功能受限、抑郁症状和感知幸福的发生率。
在 28311 名男性和 26068 名女性工人中，分别有 977（3.5%）和 1267（4.9%）名癌症幸存者。癌症幸存者报告的 SRHS 恶化发生率高于无癌症工人：男性为 21.3% vs. 13.8%，多变量调整后的优势比（95%置信区间）为 1.64（1.39-1.95）；女性为 23.8% vs. 17.5%，1.34（1.16-1.54）。癌症幸存者报告的身体功能受限发生率高于无癌症工人：男性为 6.8% vs. 2.6%，1.76（1.34-2.32）；女性为 4.9% vs. 2.0%，2.06（1.56-2.71）。抑郁症状无显著差异：男性为 21.6% vs. 22.9%，女性为 30.0% vs. 28.5%。男性癌症幸存者感到幸福的比例高于无癌症幸存者（77.3% vs. 71.7%，1.21（1.01-1.45）），但女性则无显著差异（76.1% vs. 74.9%）。
癌症幸存者的 SRHS 和身体功能受限比无癌症工人更差。在男性中，癌症幸存者比无癌症幸存者感到更幸福。
即使在工作期间，也需要为癌症幸存者提供持续支持，以改善他们的 SRHS 和身体功能能力。
