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Factors Affecting the Quality of Life of Korean Cancer Survivors Who Return to the Workplace

  • Han, Kyu-Tae (Department of Public Health, Graduate School, Yonsei University College of Medicine) ;
  • Park, Eun-Cheol (Institute of Health Services Research, Yonsei University College of Medicine) ;
  • Kim, Sun Jung (Department of Public Health, Graduate School, Yonsei University College of Medicine) ;
  • Jang, Sung-In (Institute of Health Services Research, Yonsei University College of Medicine) ;
  • Shin, Jaeyong (Institute of Health Services Research, Yonsei University College of Medicine) ;
  • Kim, Chan Ok (Department of Public Health, Graduate School, Yonsei University College of Medicine) ;
  • Choi, Jaw Woo (Department of Public Health, Graduate School, Yonsei University College of Medicine) ;
  • Lee, Sang Gyu (Institute of Health Services Research, Yonsei University College of Medicine)
  • Published : 2014.11.06

Abstract

Background: Although the prevalence of cancer is increasing, it is no longer synonymous with death. The number of cancer survivors is estimated to be increasing due to development in medical treatments and social programs; cancer survivors are increasingly returning to work after long-term unemployment. Thus, we examined the quality of life (QOL) and the factors associated with return of cancer survivors to the workplace. Materials and Methods: This study was performed using the 2008 Community Health Survey administered by the Korea Centers for Disease Control and Prevention (N=548). We used Chi-square tests to compare demographic variables based on self-perceived health status, and analysis of variance (ANOVA) to compare QOL scores among groups. We also performed a mixed-model analysis of the relationship between QOL and factors at the workplaces of cancer survivors. Results: Based on the results of our study, the overall QOL of cancer survivors was associated with 'mutual respect', 'free emotional expression', occupation, and age. Moreover, different trends of QOL according to self-perceived health were identified on additional analysis. In the 'bad' self-perceived health group, QOL was significantly different according to income. The QOL of cancer survivors in the low-income group was lower than in the other groups. Conversely, the 'normal' group had a lower QOL caused by 'no mutual respect' and "no free emotional expression" in the workplace. The QOL in the 'good' group based on self-perceived health was higher in the younger age group. Conclusions: There may be a significant relationship between QOL and workplace factors for cancer survivors, although further study is needed to investigate this relationship in detail. This may facilitate formulation of policy and efforts to prevent and manage the decline in the QOL of cancer survivors returning to work.

Keywords

Cancer survivors;job status;EQ-VAS;quality of life;Korea

Acknowledgement

Supported by : Ministry of Health and Welfare

References

  1. Austin LT, Ahmad F, McNally M-J, Stewart DE (2002). Breast and cervical cancer screening in Hispanic women: a literature review using the health belief model. Women's Health Issues, 12, 122-8. https://doi.org/10.1016/S1049-3867(02)00132-9
  2. Benowitz S (1999). To tell the truth: A cancer diagnosis in other cultures is often a family affair. J Nat Cancer Inst, 91, 1918-9. https://doi.org/10.1093/jnci/91.22.1918
  3. Bottomley A (2002). The cancer patient and quality of life. The Oncol, 7, 120-5. https://doi.org/10.1634/theoncologist.7-2-120
  4. Bouknight RR, Bradley CJ, Luo Z (2006). Correlates of return to work for breast cancer survivors. J Clin Oncol, 24, 345-53. https://doi.org/10.1200/JCO.2004.00.4929
  5. Bradley S, Rose S, Lutgendorf S, et al (2006). Quality of life and mental health in cervical and endometrial cancer survivors. Gynecologic Oncol, 100, 479-86. https://doi.org/10.1016/j.ygyno.2005.08.023
  6. de Boer AG, Taskila T, Ojajarvi A, et al (2009). Cancer survivors and unemployment: a meta-analysis and meta-regression. Jama, 301, 753-62. https://doi.org/10.1001/jama.2009.187
  7. Greaves-Otte J, Greaves J, Kruyt PM, et al (1992). Occupational reintegration of long-term cancer survivors. J Occupational and Environmental Med, 34, 1084-9. https://doi.org/10.1097/00043764-199211000-00010
  8. Dorval M, Maunsell E, Deschenes L, et al (1998). Long-term quality of life after breast cancer: comparison of 8-year survivors with population controls. J Clin Oncol, 16, 487-94.
  9. Fantoni SQ, Peugniez C, Duhamel A, et al (2010). Factors related to return to work by women with breast cancer in northern France. J Occupational Rehabilitation, 20, 49-58. https://doi.org/10.1007/s10926-009-9215-y
  10. Gotay CC, Muraoka MY (1998). Quality of life in long-term survivors of adult-onset cancers. J Nat Cancer Inst, 90, 656-67. https://doi.org/10.1093/jnci/90.9.656
  11. Hewitt M, Greenfield S, Stovall E. (2005). From Cancer Patient to Cancer Survivor: Lost in Transition. National Academies Press.
  12. Ashing-Giwa KT, Lim J-w (2009). Examining the impact of socioeconomic status and socioecologic stress on physical and mental health quality of life among breast cancer survivors. In 'Oncology nursing forum'. Onc Nurs Society pp 79-88.
  13. Hewitt M, Rowland JH, Yancik R (2003). Cancer survivors in the United States: age, health, and disability. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 58, 82-91. https://doi.org/10.1093/gerona/58.1.M82
  14. Hoffman B (1988). Cancer Survivors at Work: Job Problems and Illegal Discrimination. In 'Oncology Nursing Forum', pp 39-43.
  15. Hoffman B (2005). Cancer survivors at work: a generation of progress. CA: A Cancer J Clin, 55, 271-80. https://doi.org/10.3322/canjclin.55.5.271
  16. Hoving J, Broekhuizen M, Frings-Dresen M (2009). Return to work of breast cancer survivors: a systematic review of intervention studies. BMC Cancer, 9, 117. https://doi.org/10.1186/1471-2407-9-117
  17. Kennedy F, Haslam C, Munir F, Pryce J (2007). Returning to work following cancer: a qualitative exploratory study into the experience of returning to work following cancer. Eur J Cancer Care, 16, 17-25.
  18. Mohammadi S, Sulaiman S, Koon PB, et al (2013a). Association of nutritional status with quality of life in breast cancer survivors. Asian Pac J Cancer Prev, 14, 7749-55. https://doi.org/10.7314/APJCP.2013.14.12.7749
  19. Langeveld N, Grootenhuis M, Voute P, et al (2004). Quality of life, self esteem and worries in young adult survivors of childhood cancer. Psycho Oncol, 13, 867-81. https://doi.org/10.1002/pon.800
  20. Main DS, Nowels CT, Cavender TA, et al (2005). A qualitative study of work and work return in cancer survivors. Psycho Oncol, 14, 992-1004. https://doi.org/10.1002/pon.913
  21. Mehnert A (2011). Employment and work-related issues in cancer survivors. Crit Rev Oncol/Hematol, 77, 109-30. https://doi.org/10.1016/j.critrevonc.2010.01.004
  22. Mohammadi S, Sulaiman S, Koon PB, et al (2013b). Impact of healthy eating practices and physical activity on quality of life among breast cancer survivors. Asian Pac J Cancer Prev, 14, 481-7. https://doi.org/10.7314/APJCP.2013.14.1.481
  23. Moser RP, Arndt J, Han PK, et al (2013). Perceptions of cancer as a death sentence: Prevalence and consequences. J Health Psychol, 1359105313494924.
  24. Niu H-Y, Niu C-Y, Wang J-H, et al (2014). Health-related quality of life in women with breast cancer: a literature-based review of psychometric properties of breast cancer-specific measures. Asian Pac J Cancer Prev, 15, 3533. https://doi.org/10.7314/APJCP.2014.15.8.3533
  25. Parker PA, Baile WF, Moor Cd, Cohen L (2003). Psychosocial and demographic predictors of quality of life in a large sample of cancer patients. Psycho Oncology, 12, 183-93. https://doi.org/10.1002/pon.635
  26. Peteet JR (2000). Cancer and the meaning of work. General hospital psychiatry, 22, 200-5. https://doi.org/10.1016/S0163-8343(00)00076-1
  27. Pourhoseingholi MA, Safaee A, Moghimi-Dehkordi B, et al (2008). Quality of life in Breast Cancer Patients-A Quantile Regression Analysis. Asian Pac J Cancer Prev, 9, 487-90.
  28. Short PF, Vasey JJ, Tunceli K (2005). Employment pathways in a large cohort of adult cancer survivors. Cancer, 103, 1292-301. https://doi.org/10.1002/cncr.20912
  29. Rasmussen DM, Elverdam B (2008). The meaning of work and working life after cancer: an interview study. Psycho Oncology, 17, 1232-8. https://doi.org/10.1002/pon.1354
  30. Sanda MG, Dunn RL, Michalski J, et al (2008). Quality of life and satisfaction with outcome among prostate-cancer survivors. New England Journal of Medicine, 358, 1250-61. https://doi.org/10.1056/NEJMoa074311
  31. Schultz PN, Beck ML, Stava C, Sellin R (2002). Cancer survivors. Work related issues. AAOHN journal: official journal of the American Association of Occupational Health Nurses, 50, 220-6.
  32. Spelten ER, Sprangers MA, Verbeek JH (2002). Factors reported to influence the return to work of cancer survivors: a literature review. Psycho Oncology, 11, 124-31. https://doi.org/10.1002/pon.585
  33. Statistics Korea (1993-2012). Cause of death statistics.
  34. Steiner JF, Nowels CT, Main DS (2010). Returning to work after cancer: quantitative studies and prototypical narratives. Psycho Oncol, 19, 115-24. https://doi.org/10.1002/pon.1591
  35. Stewart D, Wong F, Duff S, et al (2001). “What doesn't kill you makes you stronger”: an ovarian cancer survivor survey. Gynecologic Oncol, 83, 537-42. https://doi.org/10.1006/gyno.2001.6437
  36. Tan FL, Loh SY, Su T, et al (2012). Return to work in multiethnic breast cancer survivors - a qualitative inquiry. Asian Pac J Cancer Prev, 13, 5791-7. https://doi.org/10.7314/APJCP.2012.13.11.5791
  37. Taskila T, Lindbohm M (2007). Factors affecting cancer survivors' employment and work ability. Acta Oncol 46, 446-51. https://doi.org/10.1080/02841860701355048
  38. The Korea Central Cancer Registry NCC (1993-2011). National Cancer Statistics
  39. Wenzel L, DeAlba I, Habbal R, et al (2005). Quality of life in long-term cervical cancer survivors. Gynecologic Oncol, 97, 310-7. https://doi.org/10.1016/j.ygyno.2005.01.010
  40. Yan, J-H, Pan, et al (2014). Lack of efficacy of tai chi in improving quality of life in breast cancer survivors: a systematic review and meta-analysis. Asian Pac J Cancer Prev, 15, 3715. https://doi.org/10.7314/APJCP.2014.15.8.3715
  41. Zainal NZ, Nik-Jaafar NR, Baharudin A, et al (2013). Prevalence of depression in breast cancer survivors: a systematic review of observational studies. Asian Pac J Cancer Prev, 14, 2649-56. https://doi.org/10.7314/APJCP.2013.14.4.2649
  42. Zeichner SB, Ruiz AL, Markward NJ, Rodriguez E (2014). Improved long-term survival with contralateral prophylactic mastectomy among young women. Asian Pac J Cancer Prev, 15, 1155. https://doi.org/10.7314/APJCP.2014.15.3.1155

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