Brink Emma, Pilegaard Marc Sampedro, Nielsen Claus Vinther, Pedersen Pernille
Department of Public Health, Aarhus University, Aarhus, Denmark; DEFACTUM, Central Denmark Region, Aarhus, Denmark.
Department of Public Health, Aarhus University, Aarhus, Denmark; DEFACTUM, Central Denmark Region, Aarhus, Denmark; Department of Social Medicine and Rehabilitation, Goedstrup Hospital, Goedstrup, Denmark.
Acta Oncol. 2025 Sep 18;64:1237-1244. doi: 10.2340/1651-226X.2025.44017.
Lung cancer patients have an increased risk of adverse employment outcomes. However, limited research exists on the association between socioeconomic position (SEP) and employment status in this cancer group. This study explored the influence of SEP on employment status after a lung cancer diagnosis. Patient/material and methods: This population-based cohort study included all working-age Danish residents diagnosed with lung cancer between 2000 and 2015. Logistic regression analyses were conducted to assess the association between socioeconomic variables (education, income, sick leave, and work status before diagnosis), and working and disability pension 3 years after diagnosis.
A total of 1,946 lung cancer patients were included. High income and long education were associated with higher odds of working, odds ratio (OR) = 2.31 (1.65-3.24) and OR = 1.92 (1.15-3.21), respectively, and lower odds of disability pension, OR = 0.19 (0.11-0.33) and OR = 0.30 (0.13-0.70), respectively. Moreover, sick leave and being out of work before diagnosis were associated with lower odds of working, OR = 0.25 (0.13-0.46) and OR = 0.32 (0.24-0.43), respectively, and higher odds of disability pension, OR = 3.73 (2.14-6.50) and OR = 2.88 (2.14-3.87), respectively.
Lung cancer patients with low SEP are less likely to be employed and more likely to receive disability benefits. Therefore, rehabilitation to support socioeconomically disadvantaged lung cancer patients is needed.
肺癌患者出现不良就业结局的风险增加。然而，关于该癌症群体的社会经济地位（SEP）与就业状况之间的关联，现有研究有限。本研究探讨了SEP对肺癌诊断后就业状况的影响。患者/材料与方法：这项基于人群的队列研究纳入了2000年至2015年间被诊断为肺癌的所有工作年龄丹麦居民。进行逻辑回归分析，以评估社会经济变量（教育程度、收入、病假和诊断前工作状态）与诊断后3年的工作和残疾抚恤金之间的关联。
共纳入1946例肺癌患者。高收入和高学历与工作几率较高相关，优势比（OR）分别为2.31（1.65 - 3.24）和1.92（1.15 - 3.21），与残疾抚恤金几率较低相关，OR分别为0.19（0.11 - 0.33）和0.30（0.13 - 0.70）。此外，病假和诊断前失业与工作几率较低相关，OR分别为0.25（0.13 - 0.46）和0.32（0.24 - 0.43），与残疾抚恤金几率较高相关，OR分别为3.73（2.14 - 6.50）和2.88（2.14 - 3.87）。
社会经济地位低的肺癌患者就业可能性较小，领取残疾福利的可能性较大。因此，需要开展康复工作以支持社会经济处于不利地位的肺癌患者。
