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山东大学学报（医学版） ›› 2017, Vol. 55 ›› Issue (4): 96-100.doi: 10.6040/j.issn.1671-7554.0.2016.1007

• 公共卫生与管理学 • 上一篇    下一篇

山东省5县癌症幸存者工作状况及影响因素

蔡远楚1,王家林2,张军3,姚能亮4,孙晓杰1   

  1. 1.山东大学医药卫生管理学院 卫计委卫生经济与政策研究重点实验室, 山东 济南 250012;2.山东大学附属山东省肿瘤医院, 山东省医学科学院, 山东 济南 250117;3.山东省济南市疾病预防控制中心, 山东 济南 250021;4.弗吉尼亚大学公共卫生科学系, 美国弗吉尼亚州 夏洛茨维尔 22908
  • 收稿日期:2016-08-17 出版日期:2017-04-10 发布日期:2017-04-10
  • 通讯作者: 孙晓杰. E-mail:xiaojiesun@sdu.edu.cn E-mail:xiaojiesun@sdu.edu.cn
  • 基金资助:
    美国中华医学基金会资助项目(13-160)

Work status of cancer survivors from 5 counties in Shandong Province and the influence factors

CAI Yuanchu1, WANG Jialin2, ZHANG Jun3, YAO Nengliang4, SUN Xiaojie1   

  1. 1. School of Medicine and Health Management;
    Key Laboratory for Health Economic and Policy of National Health and Family Planning Commission, Shandong University, Jinan 250012, Shandong, China;
    2. Shandong Cancer Hospital Affiliated to Shandong University, Shandong Academy of Medical Sciences, Jinan 250117, Shandong, China;
    3. Jinan Center for Disease Control and Prevention, Jinan 250117, Shandong, China;
    4. Department of Public Health Sciences, University of Virginia, Charlottesville, Virginia 22908, USA
  • Received:2016-08-17 Online:2017-04-10 Published:2017-04-10

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摘要： 目的 了解山东省5个县结束治疗1年以上的癌症幸存者的工作状况,探索影响其继续工作的因素。 方法 从山东省不同地区的5个县癌症登记报告数据中随机抽取2011~2013年确诊的乳腺癌(女)、肺癌、肠癌和胃癌4种癌症幸存者1 003例进行问卷调查。 结果 最终符合本研究要求的样本为664例。24.7%的幸存者仍能继续保持原来的工作,34.3%减少了工作时间,41.0%完全不能工作;多因素Logistic回归分析结果显示,65岁以上老年人(P=0.022)、文化程度较低(P<0.05)、中晚期(P=0.016)、确诊前家庭年收入在5万元以上(P=0.005)的幸存者更可能完全不工作。 结论 本研究中41.0%的癌症幸存者无法继续工作,主要影响因素包括年龄、疾病分期、家庭收入、文化程度。

关键词: 工作状况, 重返工作, 影响因素, 癌症幸存者

Abstract: Objective To investigate the work status among the survivors who have completed their main treatments for over one year, and to explore the factors which are associated with their work changes. Methods We randomly selected 1003 cancer survivors who were diagnosed with breast cancer, lung cancer, intestine cancer and gastric cancer between 2011 and 2013 from the local cancer registry files of five counties in Shandong Province. Results According to the selection criterion, 664 survivors were included. Of all the survivors, 24.7% of the survivors did not change their work time; 34.3% had to reduce their work time; and 41.0% stopped working. Multivariate Logistic regression results showed that, those above 65 year-old(P=0.022), with lower education levels(P<0.05), in advanced stage(P=0.016), and having an annual family income of above 50 000 RMB(P=0.005)were more likely to stop working. Conclusion About 40% of cancer survivors had to stop their work. The main influence factors included age, cancer stage, family income, and education level.

Key words: Cancer survivors, Factors, Work status, Return to work

中图分类号: 

  • R195
[1] Zheng R, Zeng H, Zhang S, et al. National estimates of cancer prevalence in China, 2011[J]. Cancer Lett, 2016, 370(1): 33-38.
[2] Kiasuwa MR, Otter R, Mortelmans K, et al. Barriers and opportunities for return-to-work of cancer survivors: time for action—rapid review and expert consultation[J]. Syst Rev, 2016, 5: 35. doi:10.1186/s13643-016-0210-2.
[3] Lee MK, Lee KM, Bae JM, et al. Employment status and work-related difficulties in stomach cancer survivors compared with the general population[J]. Br J Cancer, 2008, 98(4): 708-715.
[4] Moran JR, Short PF, Hollenbeak CS. Long-term employment effects of surviving cancer[J]. J Health Econ, 2011, 30(3): 505-514.
[5] Mols F, Thong MS, Vreugdenhil G, et al. Long-term cancer survivors experience work changes after diagnosis: results of a population-based study[J]. Psychooncology, 2009, 18(12): 1252-1260.
[6] Mehnert A. Employment and work-related issues in the cancer survivors[J]. Crit Rev Oncol Hematol, 2011, 77(2): 109-130.
[7] Mehnert A, Koch U. Predictors of employment among cancer survivors after medical rehabilation—a prospective study[J]. Scand J Work Environ Health, 2013, 39(1): 76-87.
[8] Amir Z, Moran T, Walsh L, et al. Return to paid work after cancer: a British experience[J]. J Cancer Surviv, 2007, 1(2): 129-136.
[9] Park JH, Park EC, Park JH, et al. Job loss and re-employment of cancer patients in Korean employees: a nationwide retrospective cohort study[J]. J Clin Oncol, 2008, 26(8): 1302-1309.
[10] 徐艳文, Chow S. Lam, 唐丹. 脊髓损伤患者再就业影响因素分析[J]. 中国康复理论与实践, 2010, 16(7): 678-682. XU Yanwen, Chow S. Lam, TANG Dan. Contributors of return to work for a cohort of spinal cord injured workers[J]. Chin J Rehabil Theory Pract, 2010, 16(7): 678-682.
[11] 李东文, 王红梅, 孙瑛, 等. 重返工作岗位对重度烧伤患者身心健康的影响[J]. 解放军护理杂志, 2014, 31(12): 20-22. LI Dongwen, WANG Hongmei, SUN Ying, et al. Influence of returning to work on health-related quality of life on patients after severe burn injury[J]. Nurs J Chin PLA, 2014, 31(12): 20-22.
[12] 罗世香, 刘均娥, 肖树芹. 乳腺癌康复者重返工作岗位相关研究现状[J]. 中国护理管理, 2016, 16(2): 199-202. LUO Shixiang, LIU June, XIAO Shuqin. Research status of returning to work of breast cancer survivors[J]. Chin Nurs Manag, 2016, 16(2): 199-202.
[13] de Boer AG, Verbeek JH, Spelten ER, et al. Work ability and return-to-work in cancer patients[J]. Br J Cancer, 2008, 98(8): 1342-1347.
[14] Bieri S, Roosnek E, Helg C, et al. Quality of life and social integration after allogeneic hematopoietic SCT[J]. Bone Marrow Transplant, 2008, 42(12): 819-827.
[15] Carlsen K, Dalton SO, Diderichsen F, et al. Risk for unemployment of cancer survivors: a Danish cohort study[J]. Eur J Cancer, 2008, 44(13): 1866-1874.
[16] 袁永熙, 袁正平, 施浩, 等. 乳腺癌患者整体康复情况调查[J]. 中国肿瘤临床与康复, 2005, 12(5):473-476. YUAN Yongxi, YUAN Zhengping, SHI Hao, et al. Investigation of general rehabilitation condition in breast cancer patients[J]. Chin J Clin Oncol Rehabil, 2005, 12(5): 473-476.
[17] Wang ML, Liu JE, Wang HY, et al. Posttraumatic growth and associated socio-demographic and clinical factors in Chinese breast cancer survivors[J]. Eur J Oncol Nurs, 2014, 18(5): 478-483.
[18] Noeres D, Park-Simon TW, Grabow J, et al. Return to work after treatment for primary breast cancer over a 6-year period: results from a prospective study comparing patients with the general population [J]. Support Care Cancer, 2013, 21(7): 1901-1909.
[19] Roelen CA, Koopmans PC, Groothoff JW, et al. Sickness absence and full return to work after cancer: 2-year follow-up of register data for different cancer sites[J]. Psychooncology, 2011, 20(9): 1001-1006.
[20] Choi KS, Kim EJ, Lim JH, et al. Job loss and reemployment after a cancer diagnosis in Koreans-a prospective cohort study[J]. Psychooncology, 2007, 16(3): 205-213.
[21] Amir Z, Brocky J. Cancer survivorship and employment: epidemiology[J]. Occup Med(Lond), 2009, 59(6): 373-377.
[22] Bouknight RR, Bradley CJ, Luo Z. Correlates of return to work for breast cancer survivors[J]. J Clin Oncol, 2006, 24(3): 345-353.
[23] Tevaarwerk AJ, Lee JW, Terhaar A, et al. Working after a metastatic cancer diagnosis: Factors affecting employment in the metastatic setting from ECOG-ACRINs Symptom Outcomes and Practice Patterns study[J]. Cancer, 2016, 122(3): 438-446.
[24] Lundh MH, Lampic C, Nordin K, et al. Changes in health-related quality of life by occupational status among women diagnosed with breast cancer—a population-based cohort study[J]. Psychooncology, 2013, 22(10): 2321-2331.
[25] 中国网. 8成以上癌症患者希望能够继续工作[EB/OL].(2016-08-15)[2016-07-26]. http://news.china.com.cn/world/2014-06/17/content_32686409.htm.
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