Center for Research in Occupational Health (CiSAL), Universitat Pompeu Fabra, Barcelona, Spain.
CIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain.
Sci Rep. 2021 Dec 14;11(1):23953. doi: 10.1038/s41598-021-03368-8.
Cancer incidence and survival rates have increased in the last decades and as a result, the number of working age people diagnosed with cancer who return to work. In this study the probability of accumulating days of employment and employment participation trajectories (EPTs) in a sample of salaried workers in Catalonia (Spain) who had a sickness absence (SA) due to cancer were compared to salaried workers with SA due to other diagnoses or without SA. Each individual with SA due to cancer between 2012 and 2015 was matched by age, sex, and onset of time at risk to a worker with SA due to other diagnoses and another worker without SA. Accumulated days of employment were measured, and negative binomial models were applied to assess differences between comparison groups. Latent class models were applied to identify EPTs and multinomial regression models to analyse the probability of belonging to one EPT of each group. Men and women without SA or with SA due to other diagnoses had at least a 9% higher probability of continuing in employment compared to workers who had a SA due to cancer, especially among men without SA (adjusted IRR 1.27, 95% CI 1.06‒1.53). Men without SA had the highest probability of having high stable EPT compared to workers who had a SA due to cancer (adjusted RRR 3.21, 95% CI 1.87‒5.50). Even though workers with SA due to cancer continue working afterwards, they do it less often than matched controls and with a less stable employment trajectory. Health and social protection systems should guaranty cancer survivors the opportunity to continue voluntary participation in the labour market.
在过去几十年中，癌症的发病率和存活率有所上升，因此，越来越多的处于工作年龄的癌症患者重返工作岗位。在这项研究中，我们比较了在加泰罗尼亚（西班牙）有因癌症而请病假（SA）的受薪工人样本中，积累就业天数和就业参与轨迹（EPT）的可能性，与因其他诊断或无 SA 的受薪工人相比。2012 年至 2015 年间，每位因癌症而请 SA 的个体均按年龄、性别和发病风险期与因其他诊断而请 SA 的工人和无 SA 的工人相匹配。测量了积累的就业天数，并应用负二项式模型来评估比较组之间的差异。应用潜在类别模型来确定 EPT，并应用多项回归模型来分析每个组中属于一个 EPT 的概率。与因癌症而请 SA 的工人相比，无 SA 或因其他诊断而请 SA 的男性和女性继续就业的可能性至少高 9%，尤其是无 SA 的男性（调整后的 IRR 1.27，95%CI 1.06-1.53）。与因癌症而请 SA 的工人相比，无 SA 的男性具有最高的可能性具有高稳定的 EPT（调整后的 RRR 3.21，95%CI 1.87-5.50）。尽管因癌症而请 SA 的工人随后继续工作，但他们的工作频率不如匹配的对照组高，且就业轨迹也不太稳定。健康和社会保护系统应保障癌症幸存者继续自愿参与劳动力市场的机会。
