Dionisi-Vici Margherita, Godono Alessandro, Castiglione Anna, Gatti Filippo, Fortunati Nicoletta, Clari Marco, Conti Alessio, Zucchetti Giulia, Biasin Eleonora, Varetto Antonella, Pira Enrico, Fagioli Franca, Brignardello Enrico, Felicetti Francesco
Transition Unit for Childhood Cancer Survivors, Città della Salute e della Scienza Hospital, 10126 Turin, Italy.
Clinical Psychology Unit, Città della Salute e della Scienza Hospital, 10126 Turin, Italy.
Cancers (Basel). 2022 Aug 18;14(16):3984. doi: 10.3390/cancers14163984.
Late effects of cancer and its treatments during childhood or adolescence can impact work placement and increase the risk of unemployment. The aim of this study is to describe the work placement and the perceived job and economic satisfaction of long-term childhood cancer survivors (CCS). Jobs have been categorized according to the International Standard Classification of Occupations version 08 (ISCO-08), and satisfaction has been evaluated through the Satisfaction Profile (SAT-P). Out of 240 CCS (female = 98) included: 53 were students, 46 were unemployed and 141 were employed. Within unemployed survivors, 89.13% were affected by late effects (n = 41). The presence of at least one severe late effect was significantly associated with the probability of unemployment (OR 3.21; 95% CI 1.13−9.12, p < 0.050), and having any late effect was inversely related to the level of satisfaction of the financial situation of unemployed CCS (b −35.47; 95% CI −59.19, −11.74, p = 0.004). Our results showed that being a survivor with severe comorbidities has a significantly negative impact on occupation and worsens the perception of satisfaction of economic situations. Routinary follow-up care of CCS should include the surveillance of socioeconomic development and provide interventions, helping them to reach jobs suitable for their health.
儿童期或青少年期癌症及其治疗的晚期效应会影响工作安置，并增加失业风险。本研究的目的是描述长期儿童癌症幸存者（CCS）的工作安置情况以及他们对工作和经济状况的满意度。工作已根据《国际职业分类标准》第08版（ISCO-08）进行分类，满意度通过满意度概况（SAT-P）进行评估。纳入的240名CCS（女性98名）中：53名是学生，46名失业，141名就业。在失业幸存者中，89.13%受到晚期效应影响（n = 41）。至少存在一种严重晚期效应与失业概率显著相关（OR 3.21；95% CI 1.13−9.12，p < 0.050），并且存在任何晚期效应与失业CCS的财务状况满意度水平呈负相关（b −35.47；95% CI −59.19，−11.74，p = 0.004）。我们的结果表明，作为患有严重合并症的幸存者对职业有显著负面影响，并会降低对经济状况的满意度认知。CCS的常规随访护理应包括对社会经济发展的监测，并提供干预措施，帮助他们找到适合其健康状况的工作。
