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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
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