Sheikhy-Chaman Mohammadreza, Daroudi Rajabali, Rashidian Hamideh, Seyyedsalehi Monireh Sadat, Nahvijou Azin, Hadji Maryam, Zendehdel Kazem
Health Economics Policy Research Center, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
Department of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
J Cancer Policy. 2025 Mar;43:100558. doi: 10.1016/j.jcpo.2025.100558. Epub 2025 Jan 10.
Cancer is the second leading cause of mortality in Iran, significantly impacting patients' lives and the public health system. This study aims to investigate changes in employment status and income and workplace organizational support among Iranian cancer survivors following their diagnosis.
This study was conducted at the Cancer Institute of Imam Khomeini Hospital complex in Tehran, Iran, in 2019. A total of 250 cancer survivors who were employed prior to their diagnosis and more than a year had passed since their diagnosis were selected from the IROPICAN study and participated in this research. Data collection was performed through telephone interviews using a validated researcher-made questionnaire. Statistical analyses were carried out using SPSS v.18 software.
Cancer diagnosis led to changes in the employment status of 75 % (N = 188) of participants, with nearly half (N = 122) becoming unemployed. Financial necessity was the primary reason survivors continued working after treatment. Additionally, 76 % experienced income changes, with 85 individuals facing a complete loss of income. Only half of the 115 patients requiring organizational support in the workplace received assistance, while the rest primarily benefited from approved leave applications.
Iranian cancer patients face significant socioeconomic challenges, including unemployment, reduced income, and inadequate organizational support in the workplace.
癌症是伊朗第二大死因，对患者生活和公共卫生系统产生重大影响。本研究旨在调查伊朗癌症幸存者确诊后就业状况、收入及工作场所组织支持的变化。
本研究于2019年在伊朗德黑兰伊玛目霍梅尼医院综合癌症研究所开展。从IROPICAN研究中选取了250名确诊前就业且确诊已过去一年多的癌症幸存者参与本研究。通过电话访谈使用经过验证的研究者自制问卷进行数据收集。使用SPSS v.18软件进行统计分析。
癌症诊断导致75%（N = 188）的参与者就业状况发生变化，近一半（N = 122）失业。经济需求是幸存者治疗后继续工作的主要原因。此外，76%的人经历了收入变化，85人面临收入完全损失。在115名需要工作场所组织支持的患者中，只有一半得到了帮助，其余主要受益于获批的请假申请。
伊朗癌症患者面临重大的社会经济挑战，包括失业、收入减少以及工作场所组织支持不足。
