Department of Health Policy and Management, Winship Cancer Center, Emory University, Atlanta, Georgia.
Epidemiology and Applied Research Branch, Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Urol Pract. 2023 Mar;10(2):179-185. doi: 10.1097/UPJ.0000000000000380. Epub 2023 Jan 24.
Diagnosis and treatment of cancer may impair patients' ability to continue to work. We assessed the impact of a prior prostate cancer diagnosis on employment and labor force participation.
Using the National Health Interview Surveys for 2010 to 2018, we identified sample adults previously diagnosed with prostate cancer aged <65 years (prostate cancer survivors) who were currently or previously employed. We matched each prostate survivor to comparison sample adults based on age, race/ethnicity, education level, and survey year. We compared employment-related outcomes between prostate cancer survivors and comparison males, overall and as a function of time since diagnosis, and other respondent characteristics.
The final sample had 571 prostate cancer survivors and 2,849 matched comparison males. The proportions of survivors and comparison males who were employed (ie, worked for pay in the week prior to the survey) were similar (60.4% and 60.6%; adjusted difference 0.6 [95% CI: -5.2 to 6.3]), as were labor force participation rates (67.3% vs 67.3%; adjusted difference 0.7 [95% CI: -4.7 to 6.1]). Survivors were slightly more likely to be not working due to disability (16.7% vs 13.3%; adjusted difference 2.7 [95% CI: -1.2 to 6.5]), though the difference was not significant. Survivors had more bed days than comparison males (8.0 vs 5.7; adjusted difference 2.8 [95% CI: 2.0 to 3.6]) and missed more workdays (7.4 vs 3.3; adjusted difference 4.5 [95% CI: 3.6 to 5.3]).
Employment rates were similar between prostate cancer survivors and matched comparison males, though survivors missed work more often.
癌症的诊断和治疗可能会影响患者继续工作的能力。我们评估了先前前列腺癌诊断对就业和劳动力参与的影响。
我们使用 2010 年至 2018 年的全国健康访谈调查，确定了年龄<65 岁（前列腺癌幸存者）且目前或曾经有工作的患有前列腺癌的样本成年人。我们根据年龄、种族/族裔、教育水平和调查年份，将每位前列腺幸存者与匹配的对照男性进行匹配。我们比较了前列腺癌幸存者和对照男性的就业相关结果，包括总体结果和随诊断后时间的变化情况，以及其他受访者特征。
最终样本包括 571 名前列腺癌幸存者和 2849 名匹配的对照男性。幸存者和对照男性的就业比例（即在调查前一周内有报酬工作的人）相似（60.4%和 60.6%；调整差异 0.6 [95%CI：-5.2 至 6.3]），劳动力参与率也相似（67.3%与 67.3%；调整差异 0.7 [95%CI：-4.7 至 6.1]）。幸存者因残疾而不工作的可能性略高（16.7%比 13.3%；调整差异 2.7 [95%CI：-1.2 至 6.5]），但差异无统计学意义。幸存者的卧床天数多于对照男性（8.0 比 5.7；调整差异 2.8 [95%CI：2.0 至 3.6]），工作缺勤天数也多于对照男性（7.4 比 3.3；调整差异 4.5 [95%CI：3.6 至 5.3]）。
前列腺癌幸存者和匹配的对照男性的就业率相似，但幸存者工作缺勤更频繁。
