Christine C Ekenga1, BoRin Kim, Eunsun Kwon, Sojung Park. 1. From the Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia (Dr Ekenga); Department of Social Work, University of New Hampshire, Durham, New Hampshire (Dr Kim); MSW Program, School of Pharmacy and Health Sciences, Fairleigh Dickinson University, Florham Park, New Jersey (Dr Kwon); Brown School, Washington University in St. Louis, St. Louis, Missouri (Dr Park).
Abstract
OBJECTIVE: The objective of this study was to evaluate the relationship between multimorbidity and subsequent 2-year employment outcomes among middle-aged United States (US) cancer survivors. In addition, we examined whether the relationship differed by survivor characteristics. METHODS: Data of 633 cancer survivors (ages 51 to 64) from the 2014 Health and Retirement Study were used to identify multimorbidity profiles and evaluate associations between multimorbidity and prolonged unemployment during follow-up. RESULTS: Approximately 64% of cancer survivors met the criteria for multimorbidity. Latent class analysis revealed three distinct multimorbidity profiles distinguished by the presence or absence of psychiatric disorders. We observed a significant association between high psychiatric multimorbidity and prolonged unemployment after 2-year follow-up (relative risk = 2.78, 95% Confidence Interval = 1.28 to 6.00), with the effect more pronounced among low-income survivors. CONCLUSIONS: Psychiatric multimorbidity was associated with prolonged unemployment among middle-aged cancer survivors, particularly among low-income survivors.
OBJECTIVE: The objective of this study was to evaluate the relationship between multimorbidity and subsequent 2-year employment outcomes among middle-aged United States (US) cancer survivors. In addition, we examined whether the relationship differed by survivor characteristics. METHODS: Data of 633 cancer survivors (ages 51 to 64) from the 2014 Health and Retirement Study were used to identify multimorbidity profiles and evaluate associations between multimorbidity and prolonged unemployment during follow-up. RESULTS: Approximately 64% of cancer survivors met the criteria for multimorbidity. Latent class analysis revealed three distinct multimorbidity profiles distinguished by the presence or absence of psychiatric disorders. We observed a significant association between high psychiatric multimorbidity and prolonged unemployment after 2-year follow-up (relative risk = 2.78, 95% Confidence Interval = 1.28 to 6.00), with the effect more pronounced among low-income survivors. CONCLUSIONS: Psychiatric multimorbidity was associated with prolonged unemployment among middle-aged cancer survivors, particularly among low-income survivors.
Authors: Xuesong Han; Chun Chieh Lin; Chunyu Li; Janet S de Moor; Juan L Rodriguez; Erin E Kent; Laura P Forsythe Journal: Cancer Date: 2014-10-23 Impact factor: 6.860
Authors: Maryska L G Janssen-Heijnen; Saskia Houterman; Valery E P P Lemmens; Marieke W J Louwman; Huub A A M Maas; Jan Willem W Coebergh Journal: Crit Rev Oncol Hematol Date: 2005-09 Impact factor: 6.312
Authors: Brenda K Edwards; Anne-Michelle Noone; Angela B Mariotto; Edgar P Simard; Francis P Boscoe; S Jane Henley; Ahmedin Jemal; Hyunsoon Cho; Robert N Anderson; Betsy A Kohler; Christie R Eheman; Elizabeth M Ward Journal: Cancer Date: 2013-12-16 Impact factor: 6.860
Authors: David F Warner; Nicholas K Schiltz; Kurt C Stange; Charles W Given; Cynthia Owusu; Nathan A Berger; Siran M Koroukian Journal: Fam Med Community Health Date: 2017-07
Authors: Ryan M Fiano; Gregory S Merrick; Kim E Innes; Malcolm D Mattes; Traci J LeMasters; Chan Shen; Usha Sambamoorthi Journal: Cancer Med Date: 2020-07-06 Impact factor: 4.452
Authors: Laura Deckx; Marjan van den Akker; Job Metsemakers; André Knottnerus; François Schellevis; Frank Buntinx Journal: J Cancer Epidemiol Date: 2012-08-23