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factors associated with an adverse work outcome in breast cancer survivors 5–10 years after diagnosis: a cross-sectional study
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نویسنده
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tamminga sietske j. ,coenen pieter ,paalman carmen ,boer angela g. e. m. de ,aaronson neil k. ,oldenburg hester s. a. ,leeuwen flora e. van ,beek allard j. van der ,duijts saskia f. a. ,schaapveld michael
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منبع
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journal of cancer survivorship - 2019 - دوره : 13 - شماره : 1 - صفحه:108 -116
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چکیده
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To identify which factors are associated with adverse work outcome 5–10 years after diagnosis. in this cross-sectional study, breast cancer survivors, treated between 2003 and 2008, completed a questionnaire 5–10 years after diagnosis. adverse work outcome was defined as not having paid employment or working > 20% less compared to prediagnosis. logistic regression analyses were conducted. of 906 participants, 326 (36%) had an adverse work outcome. in multivariable analyses, the probability of an adverse work outcome increased with age (or, 1.03; 95% ci, 1.00–1.07), time since diagnosis (or, 1.19; 95% ci, 1.03–1.37), and was higher among women who stated that work had become less important (or, 2.99; 95% ci, 1.94–4.62). factors associated with a lower probability of an adverse work outcome were having sufficient financial resources (or, 0.23; 95% ci, 0.08–0.66), higher total work ability (or, 0.61; 95% ci, 0.54–0.69), feeling supported at work (or, 0.52; 95% ci, 0.33–0.80), and, prior to diagnosis, having more children to take care of (or, 0.65; 95% ci, 0.54–0.79), being able to adjust working hours (or, 0.55; 95% ci, 0.36–0.83) and not desiring to work less hours if that were to be financially feasible (or, 1.8; 95% ci, 1.0–3.2). predominantly, work-related factors are associated with adverse work outcomes 5–10 years after diagnosis, whereas clinical factors are not. our results need validation in prospective cohort studies, after which supportive interventions could be developed. work-related factors should be considered in future interventions to prevent adverse work outcome 5–10 years after diagnosis.
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کلیدواژه
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cancer survivorship ,employment ,work ,breast cancer
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آدرس
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university of amsterdam, coronel institute of occupational health, amsterdam public health research institute, the netherlands, vrije universiteit amsterdam, amsterdam public health research institute, department of public and occupational health, the netherlands, the netherlands cancer institute, division of psychosocial research and epidemiology, the netherlands. netherlands comprehensive cancer organisation (iknl), the netherlands, university of amsterdam, coronel institute of occupational health, amsterdam public health research institute, the netherlands, the netherlands cancer institute, division of psychosocial research and epidemiology, the netherlands, the netherlands cancer institute, department of surgical oncology, the netherlands, the netherlands cancer institute, division of psychosocial research and epidemiology, the netherlands, vrije universiteit amsterdam, amsterdam public health research institute, department of public and occupational health, the netherlands, vrije universiteit amsterdam, amsterdam public health research institute, department of public and occupational health, the netherlands. the netherlands cancer institute, division of psychosocial research and epidemiology, the netherlands. university of groningen, university medical center groningen, department of general practice, the netherlands, the netherlands cancer institute, division of psychosocial research and epidemiology, the netherlands. netherlands comprehensive cancer organisation (iknl), the netherlands
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Authors
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