Hotoge Shuko, Abe Mieko, Monma Takafumi, Ozawa Sakiko, Takeda Fumi
Institute of Health and Sport Sciences, University of Tsukuba, Tsukuba, JPN.
Cureus. 2025 Mar 31;17(3):e81502. doi: 10.7759/cureus.81502. eCollection 2025 Mar.
With an increase in employees with cancer, employers are making efforts to ensure that employees with cancer can continue to work while maintaining and improving their physical and mental health, just as those without cancer. However, little is known about how the health conditions of employees undergoing cancer treatment differ from those of employees without cancer. This study aimed to examine health problems other than cancer in employees with cancer compared to those without cancer, stratified based on sex and cancer type.
This study was conducted using data from the Stress Check Program and health insurance claims for Japanese corporate employees in 2015 and 2016. Stratified based on sex and cancer type, 19 health problems such as depressive symptoms, anxiety, indefinite complaints, and diseases in 219 employees with cancer (56 males with gastrointestinal cancer, 96 females with cervical cancer, and 67 females with breast cancer) and 14,017 employees without cancer were compared. Logistic regression analyses were performed with each health problem as the objective variable, cancer as the explanatory variable, and age, job position, and department as the adjusted variables.
Male employees with gastrointestinal cancer had lower odds ratios (ORs) for eyestrain and lower back pain than those without cancer. Female employees with cervical cancer had higher ORs for heart diseases and hypertension, and those with breast cancer had higher ORs for musculoskeletal diseases than those without cancer.
Male employees with gastrointestinal cancer had less eyestrain and lower back pain than those without cancer. Female employees with cervical cancer had more heart diseases and hypertension than those without cancer, whereas those with breast cancer had more musculoskeletal diseases than those without cancer. Therefore, workplace support measures for these health problems among female employees with cervical or breast cancer are needed.
随着患癌员工数量的增加，雇主们正在努力确保患癌员工能够像未患癌员工一样，在维持和改善身心健康的同时继续工作。然而，对于正在接受癌症治疗的员工的健康状况与未患癌员工的健康状况有何不同，人们知之甚少。本研究旨在比较患癌员工与未患癌员工除癌症之外的健康问题，并按性别和癌症类型进行分层。
本研究使用了2015年和2016年日本企业员工压力检查项目及健康保险理赔数据。按性别和癌症类型分层，比较了219名患癌员工（56名患胃肠道癌的男性、96名患宫颈癌的女性和67名患乳腺癌的女性）和14,017名未患癌员工的19种健康问题，如抑郁症状、焦虑、不明原因的不适和疾病。以每种健康问题为目标变量，癌症为解释变量，年龄、工作职位和部门为调整变量进行逻辑回归分析。
患胃肠道癌的男性员工患眼疲劳和腰痛的比值比（OR）低于未患癌员工。患宫颈癌的女性员工患心脏病和高血压的OR高于未患癌员工，患乳腺癌的女性员工患肌肉骨骼疾病的OR高于未患癌员工。
患胃肠道癌的男性员工比未患癌员工的眼疲劳和腰痛更少。患宫颈癌的女性员工比未患癌员工患心脏病和高血压的情况更多，而患乳腺癌的女性员工比未患癌员工患肌肉骨骼疾病的情况更多。因此，需要针对患宫颈癌或乳腺癌的女性员工的这些健康问题采取工作场所支持措施。
