Employment status and occupational positions of childhood cancer survivors from Denmark, Finland and Sweden: A Nordic register-based cohort study from the SALiCCS research programme

Summary: Background: A childhood cancer diagnosis and late effects of treatment may affect survivors’ possibilities of employment or highly skilled occupations later in life. In this study, we compared the employment and occupational status of childhood cancer survivors with population comparisons...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Line Elmerdahl Frederiksen, Camilla Pedersen, Hanna Mogensen, Luzius Mader, Andrea Bautz, Mats Talbäck, Elli Hirvonen, Filippa Nyboe Norsker, Henrik Hasle, Nea Malila, Laura Madanat-Harjuoja, Maria Feychting, Friederike Erdmann, Jeanette Falck Winther
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Childhood cancer Survivorship Employment status Occupation Population-based cohort study Nordic register study Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/b3aa662610b244f4852208b90f6ae84c
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:b3aa662610b244f4852208b90f6ae84c
record_format	dspace
spelling	oai:doaj.org-article:b3aa662610b244f4852208b90f6ae84c2021-12-02T05:04:23ZEmployment status and occupational positions of childhood cancer survivors from Denmark, Finland and Sweden: A Nordic register-based cohort study from the SALiCCS research programme2666-776210.1016/j.lanepe.2021.100258https://doaj.org/article/b3aa662610b244f4852208b90f6ae84c2022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666776221002441https://doaj.org/toc/2666-7762Summary: Background: A childhood cancer diagnosis and late effects of treatment may affect survivors’ possibilities of employment or highly skilled occupations later in life. In this study, we compared the employment and occupational status of childhood cancer survivors with population comparisons and siblings. Methods: In a cohort study based on Nordic registers, we identified 10 461 survivors of childhood cancer diagnosed before age 20 years in Denmark, Finland and Sweden since 1971. Survivors were compared with 48 928 population comparisons matched to survivors by age, sex and geographical region and 12 605 siblings of survivors. Annual outcome information on employment, unemployment, health-related unemployment and occupational position was obtained from the statistical institutes between 1980-2017 and assessed in multivariate logistic regression analyses from age 30 onwards. Findings: By 30 years of age, 9.2% (95% CI, 8.6-9.9%) of survivors were unemployed for health reasons. Childhood cancer survivors had considerably higher odds of health-related unemployment at ages 30, 40 and 50 than population comparisons (ORage30, 2.57; 95% CI, 2.35-2.81) and siblings (ORage30, 2.50; 95% CI, 2.15-2.90). We observed no large difference in unemployment unrelated to health or in occupational position. Health-related unemployment was particularly pronounced among survivors of central nervous system tumours and survivors diagnosed below 15 years of age. Interpretation: Survivors at risk of health-related unemployment should be offered comprehensive survivorship care and interventions for obtaining and maintaining suitable employment. Funding: NordForsk [76111], the Danish Childhood Cancer Foundation [2016-0293], Aarhus University [43239402], the Swedish Childhood Cancer Foundation [PR2020-0130] and [OB2019-0003], Tømrermester Jørgen Holm og Hustru Elisa F. Hansens Mindelegat [20088] and the Swiss National Science Foundation to LM [P2LUP3_175288].Line Elmerdahl FrederiksenCamilla PedersenHanna MogensenLuzius MaderAndrea BautzMats TalbäckElli HirvonenFilippa Nyboe NorskerHenrik HasleNea MalilaLaura Madanat-HarjuojaMaria FeychtingFriederike ErdmannJeanette Falck WintherElsevierarticleChildhood cancerSurvivorshipEmployment statusOccupationPopulation-based cohort studyNordic register studyPublic aspects of medicineRA1-1270ENThe Lancet Regional Health. Europe, Vol 12, Iss , Pp 100258- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Childhood cancer Survivorship Employment status Occupation Population-based cohort study Nordic register study Public aspects of medicine RA1-1270
spellingShingle	Childhood cancer Survivorship Employment status Occupation Population-based cohort study Nordic register study Public aspects of medicine RA1-1270 Line Elmerdahl Frederiksen Camilla Pedersen Hanna Mogensen Luzius Mader Andrea Bautz Mats Talbäck Elli Hirvonen Filippa Nyboe Norsker Henrik Hasle Nea Malila Laura Madanat-Harjuoja Maria Feychting Friederike Erdmann Jeanette Falck Winther Employment status and occupational positions of childhood cancer survivors from Denmark, Finland and Sweden: A Nordic register-based cohort study from the SALiCCS research programme
description	Summary: Background: A childhood cancer diagnosis and late effects of treatment may affect survivors’ possibilities of employment or highly skilled occupations later in life. In this study, we compared the employment and occupational status of childhood cancer survivors with population comparisons and siblings. Methods: In a cohort study based on Nordic registers, we identified 10 461 survivors of childhood cancer diagnosed before age 20 years in Denmark, Finland and Sweden since 1971. Survivors were compared with 48 928 population comparisons matched to survivors by age, sex and geographical region and 12 605 siblings of survivors. Annual outcome information on employment, unemployment, health-related unemployment and occupational position was obtained from the statistical institutes between 1980-2017 and assessed in multivariate logistic regression analyses from age 30 onwards. Findings: By 30 years of age, 9.2% (95% CI, 8.6-9.9%) of survivors were unemployed for health reasons. Childhood cancer survivors had considerably higher odds of health-related unemployment at ages 30, 40 and 50 than population comparisons (ORage30, 2.57; 95% CI, 2.35-2.81) and siblings (ORage30, 2.50; 95% CI, 2.15-2.90). We observed no large difference in unemployment unrelated to health or in occupational position. Health-related unemployment was particularly pronounced among survivors of central nervous system tumours and survivors diagnosed below 15 years of age. Interpretation: Survivors at risk of health-related unemployment should be offered comprehensive survivorship care and interventions for obtaining and maintaining suitable employment. Funding: NordForsk [76111], the Danish Childhood Cancer Foundation [2016-0293], Aarhus University [43239402], the Swedish Childhood Cancer Foundation [PR2020-0130] and [OB2019-0003], Tømrermester Jørgen Holm og Hustru Elisa F. Hansens Mindelegat [20088] and the Swiss National Science Foundation to LM [P2LUP3_175288].
format	article
author	Line Elmerdahl Frederiksen Camilla Pedersen Hanna Mogensen Luzius Mader Andrea Bautz Mats Talbäck Elli Hirvonen Filippa Nyboe Norsker Henrik Hasle Nea Malila Laura Madanat-Harjuoja Maria Feychting Friederike Erdmann Jeanette Falck Winther
author_facet	Line Elmerdahl Frederiksen Camilla Pedersen Hanna Mogensen Luzius Mader Andrea Bautz Mats Talbäck Elli Hirvonen Filippa Nyboe Norsker Henrik Hasle Nea Malila Laura Madanat-Harjuoja Maria Feychting Friederike Erdmann Jeanette Falck Winther
author_sort	Line Elmerdahl Frederiksen
title	Employment status and occupational positions of childhood cancer survivors from Denmark, Finland and Sweden: A Nordic register-based cohort study from the SALiCCS research programme
title_short	Employment status and occupational positions of childhood cancer survivors from Denmark, Finland and Sweden: A Nordic register-based cohort study from the SALiCCS research programme
title_full	Employment status and occupational positions of childhood cancer survivors from Denmark, Finland and Sweden: A Nordic register-based cohort study from the SALiCCS research programme
title_fullStr	Employment status and occupational positions of childhood cancer survivors from Denmark, Finland and Sweden: A Nordic register-based cohort study from the SALiCCS research programme
title_full_unstemmed	Employment status and occupational positions of childhood cancer survivors from Denmark, Finland and Sweden: A Nordic register-based cohort study from the SALiCCS research programme
title_sort	employment status and occupational positions of childhood cancer survivors from denmark, finland and sweden: a nordic register-based cohort study from the saliccs research programme
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/b3aa662610b244f4852208b90f6ae84c
work_keys_str_mv	AT lineelmerdahlfrederiksen employmentstatusandoccupationalpositionsofchildhoodcancersurvivorsfromdenmarkfinlandandswedenanordicregisterbasedcohortstudyfromthesaliccsresearchprogramme AT camillapedersen employmentstatusandoccupationalpositionsofchildhoodcancersurvivorsfromdenmarkfinlandandswedenanordicregisterbasedcohortstudyfromthesaliccsresearchprogramme AT hannamogensen employmentstatusandoccupationalpositionsofchildhoodcancersurvivorsfromdenmarkfinlandandswedenanordicregisterbasedcohortstudyfromthesaliccsresearchprogramme AT luziusmader employmentstatusandoccupationalpositionsofchildhoodcancersurvivorsfromdenmarkfinlandandswedenanordicregisterbasedcohortstudyfromthesaliccsresearchprogramme AT andreabautz employmentstatusandoccupationalpositionsofchildhoodcancersurvivorsfromdenmarkfinlandandswedenanordicregisterbasedcohortstudyfromthesaliccsresearchprogramme AT matstalback employmentstatusandoccupationalpositionsofchildhoodcancersurvivorsfromdenmarkfinlandandswedenanordicregisterbasedcohortstudyfromthesaliccsresearchprogramme AT ellihirvonen employmentstatusandoccupationalpositionsofchildhoodcancersurvivorsfromdenmarkfinlandandswedenanordicregisterbasedcohortstudyfromthesaliccsresearchprogramme AT filippanyboenorsker employmentstatusandoccupationalpositionsofchildhoodcancersurvivorsfromdenmarkfinlandandswedenanordicregisterbasedcohortstudyfromthesaliccsresearchprogramme AT henrikhasle employmentstatusandoccupationalpositionsofchildhoodcancersurvivorsfromdenmarkfinlandandswedenanordicregisterbasedcohortstudyfromthesaliccsresearchprogramme AT neamalila employmentstatusandoccupationalpositionsofchildhoodcancersurvivorsfromdenmarkfinlandandswedenanordicregisterbasedcohortstudyfromthesaliccsresearchprogramme AT lauramadanatharjuoja employmentstatusandoccupationalpositionsofchildhoodcancersurvivorsfromdenmarkfinlandandswedenanordicregisterbasedcohortstudyfromthesaliccsresearchprogramme AT mariafeychting employmentstatusandoccupationalpositionsofchildhoodcancersurvivorsfromdenmarkfinlandandswedenanordicregisterbasedcohortstudyfromthesaliccsresearchprogramme AT friederikeerdmann employmentstatusandoccupationalpositionsofchildhoodcancersurvivorsfromdenmarkfinlandandswedenanordicregisterbasedcohortstudyfromthesaliccsresearchprogramme AT jeanettefalckwinther employmentstatusandoccupationalpositionsofchildhoodcancersurvivorsfromdenmarkfinlandandswedenanordicregisterbasedcohortstudyfromthesaliccsresearchprogramme
_version_	1718400670736842752

Employment status and occupational positions of childhood cancer survivors from Denmark, Finland and Sweden: A Nordic register-based cohort study from the SALiCCS research programme

Ejemplares similares