Long-term workforce participation patterns following head and neck cancer

Pearce, A; Timmons, A; O’Sullivan, E; Gallagher, P; Gooberman-Hill, R; Thomas, AA; Molcho, M; Butow, P; Sharp, L

Long-term workforce participation patterns following head and neck cancer

Pearce, A

Timmons, A O’Sullivan, E Gallagher, P Gooberman-Hill, R Thomas, AA Molcho, M Butow, P Sharp, L

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Publication Type:: Journal Article
Citation:: Journal of Cancer Survivorship, 2015, 9 (1), pp. 30 - 39
Issue Date:: 2015-02-26

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Field	Value	Language
dc.contributor.author	Pearce, A https://orcid.org/0000-0002-5690-9542	en_US
dc.contributor.author	Timmons, A	en_US
dc.contributor.author	O’Sullivan, E	en_US
dc.contributor.author	Gallagher, P	en_US
dc.contributor.author	Gooberman-Hill, R	en_US
dc.contributor.author	Thomas, AA	en_US
dc.contributor.author	Molcho, M	en_US
dc.contributor.author	Butow, P	en_US
dc.contributor.author	Sharp, L	en_US
dc.date.available	2014-06-30	en_US
dc.date.issued	2015-02-26	en_US
dc.identifier.citation	Journal of Cancer Survivorship, 2015, 9 (1), pp. 30 - 39	en_US
dc.identifier.issn	1932-2259	en_US
dc.identifier.uri	http://hdl.handle.net/10453/117230
dc.description.abstract	© 2014, Springer Science+Business Media New York. Purpose: This analysis describes the long-term workforce participation patterns of individuals diagnosed with head and neck cancer (HNC). Methods: Survivors of HNC (ICD10 C00-C14, C32) diagnosed at least 8 months previously were identified from the National Cancer Registry Ireland and sent a survey including questions about working arrangements before and since diagnosis. Descriptive statistics and multivariate logistic regression were used to examine the factors that influence workforce participation at 0, 1 and 5 years after diagnosis. Results: Two hundred sixty-four individuals employed at the time of diagnosis responded to the survey, an average 6 years post-diagnosis. Seventy-seven percent took time off work after diagnosis, with a mean work absence of 9 months (range 0–65 months). Fifty-two percent of participants reduced their working hours (mean reduction 15 h/week). The odds of workforce participation following HNC were increased by not being eligible for free medical care (OR 2.61, 95 % CI 1.15–5.94), having lip, mouth or salivary gland cancer (compared to cancer of the pharynx or cancer of the larynx, OR 2.79, 1.20–6.46), being self-employed (OR 2.01, 1.07–3.80), having private health insurance (OR 2.06, 1.11–3.85) and not receiving chemotherapy (OR 2.82, 1.31–6.06). After 5 years, only the effect of medical card remained (i.e., medical insurance) (OR 4.03, 1.69–9.62). Conclusions: Workforce participation patterns after HNC are complex and are influenced by cancer, treatment and employment factors. Implications for Cancer Survivors: Patients should be informed of the potential impacts of HNC on workforce participation, and clinicians, policy makers and employers should be aware of these potential longer-term effects and related variables.	en_US
dc.relation.ispartof	Journal of Cancer Survivorship	en_US
dc.relation.isbasedon	10.1007/s11764-014-0382-2	en_US
dc.subject.classification	Oncology & Carcinogenesis	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Head and Neck Neoplasms	en_US
dc.subject.mesh	Quality of Life	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Survivors	en_US
dc.subject.mesh	Employment	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.title	Long-term workforce participation patterns following head and neck cancer	en_US
dc.type	Journal Article
utslib.citation.volume	1	en_US
utslib.citation.volume	9	en_US
utslib.for	1402 Applied Economics	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	1112 Oncology and Carcinogenesis	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
utslib.copyright.status	open_access
pubs.issue	1	en_US
pubs.publication-status	Published	en_US
pubs.volume	9	en_US

Abstract:

© 2014, Springer Science+Business Media New York. Purpose: This analysis describes the long-term workforce participation patterns of individuals diagnosed with head and neck cancer (HNC). Methods: Survivors of HNC (ICD10 C00-C14, C32) diagnosed at least 8 months previously were identified from the National Cancer Registry Ireland and sent a survey including questions about working arrangements before and since diagnosis. Descriptive statistics and multivariate logistic regression were used to examine the factors that influence workforce participation at 0, 1 and 5 years after diagnosis. Results: Two hundred sixty-four individuals employed at the time of diagnosis responded to the survey, an average 6 years post-diagnosis. Seventy-seven percent took time off work after diagnosis, with a mean work absence of 9 months (range 0–65 months). Fifty-two percent of participants reduced their working hours (mean reduction 15 h/week). The odds of workforce participation following HNC were increased by not being eligible for free medical care (OR 2.61, 95 % CI 1.15–5.94), having lip, mouth or salivary gland cancer (compared to cancer of the pharynx or cancer of the larynx, OR 2.79, 1.20–6.46), being self-employed (OR 2.01, 1.07–3.80), having private health insurance (OR 2.06, 1.11–3.85) and not receiving chemotherapy (OR 2.82, 1.31–6.06). After 5 years, only the effect of medical card remained (i.e., medical insurance) (OR 4.03, 1.69–9.62). Conclusions: Workforce participation patterns after HNC are complex and are influenced by cancer, treatment and employment factors. Implications for Cancer Survivors: Patients should be informed of the potential impacts of HNC on workforce participation, and clinicians, policy makers and employers should be aware of these potential longer-term effects and related variables.

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http://hdl.handle.net/10453/117230