From the Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia (Dr Ekenga); Department of Social Work, University of New Hampshire, Durham, New Hampshire (Dr Kim); MSW Program, School of Pharmacy and Health Sciences, Fairleigh Dickinson University, Florham Park, New Jersey (Dr Kwon); Brown School, Washington University in St. Louis, St. Louis, Missouri (Dr Park).
J Occup Environ Med. 2022 Jun 1;64(6):476-481. doi: 10.1097/JOM.0000000000002473.
The objective of this study was to evaluate the relationship between multimorbidity and subsequent 2-year employment outcomes among middle-aged United States (US) cancer survivors. In addition, we examined whether the relationship differed by survivor characteristics.
Data of 633 cancer survivors (ages 51 to 64) from the 2014 Health and Retirement Study were used to identify multimorbidity profiles and evaluate associations between multimorbidity and prolonged unemployment during follow-up.
Approximately 64% of cancer survivors met the criteria for multimorbidity. Latent class analysis revealed three distinct multimorbidity profiles distinguished by the presence or absence of psychiatric disorders. We observed a significant association between high psychiatric multimorbidity and prolonged unemployment after 2-year follow-up (relative risk = 2.78, 95% Confidence Interval = 1.28 to 6.00), with the effect more pronounced among low-income survivors.
Psychiatric multimorbidity was associated with prolonged unemployment among middle-aged cancer survivors, particularly among low-income survivors.
本研究旨在评估美国中年癌症幸存者的多种合并症与随后 2 年就业结果之间的关系。此外，我们还研究了这种关系是否因幸存者特征而异。
使用来自 2014 年健康与退休研究的 633 名癌症幸存者（年龄在 51 至 64 岁之间）的数据来确定多种合并症的特征，并评估多种合并症与随访期间延长失业之间的关系。
约 64%的癌症幸存者符合多种合并症的标准。潜在类别分析揭示了三种不同的多种合并症特征，区别在于是否存在精神障碍。我们观察到高精神障碍多种合并症与 2 年后延长失业之间存在显著关联（相对风险=2.78，95%置信区间=1.28 至 6.00），对于低收入幸存者来说，这种影响更为明显。
精神障碍多种合并症与中年癌症幸存者的延长失业有关，尤其是对于低收入幸存者。
