scholarly journals Employment changes among Chinese family caregivers of long-term cancer survivors

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Siqi Liu ◽  
Mingzhu Su ◽  
Nengliang Yao ◽  
Nan Zhang ◽  
Jialin Wang ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Labor Force ◽  
Family Caregivers ◽  
Treatment Phase ◽  
Post Treatment ◽  
Limited Ability ◽  
Employment Patterns ◽  
Employment Hours ◽  
The Impact

Abstract Background Family caregivers (FCGs) play a key role in the plan of care provision for long-term cancer survivors, yet few studies have been conducted on the impact of long-term caregiving on FCGs and their employment patterns. This study aims to further our understanding of the effect that caregiving role has on FCGs by identifying what cancer-related characteristics influence reduction of employment hours among FCGs in the post-treatment phase in China. Methods A total of 1155 cancer survivors participated in this study. Patients reported changes in the employment patterns of their FCGs. Descriptive analysis looked at demographic and cancer-related characteristics of cancer survivors and types of FCGs’ employment changes in both primary- and post-treatment phases. Chi-square test was used to statistically test the association between survivors’ characteristics and changes in FCGs’ hours of labor force work in post-treatment phase. Separate multivariable logistic regression models were used to examine the relationship between cancer-related characteristics of participants and employment reduction patterns among FCGs in post-treatment phase while controlling for demographic factors. Results In the primary-treatment phase, 45.6% of all FCGs reduced their working hours and 17.4% stopped working altogether. In the post-treatment phase, 25.2% of FCGs worked fewer hours and 6.6% left the workforce completely. The results show that a higher probability of change in employment hours among FCGs is associated with the following patient characteristics: having comorbidities, receiving chemotherapy treatment, limited ability to perform physical tasks, limited ability to perform mental tasks, and diagnosis of stage II of cancer. Conclusions Care for cancer patients in both primary- and post- treatment phases may have substantial impacts on hours of formal employment of Chinese FCGs. Interventions helping FCGs balance caregiving duties with labor force work are warranted.

scholarly journals Employment Changes among Chinese Family Caregivers of Long-Term Cancer Survivors

2020 ◽  
Author(s):  
Siqi Liu ◽  
Mingzhu Su ◽  
Nengliang Yao ◽  
Nan Zhang ◽  
Jialin Wang ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Labor Force ◽  
Family Caregivers ◽  
Treatment Phase ◽  
Post Treatment ◽  
Limited Ability ◽  
Employment Patterns ◽  
Employment Hours ◽  
The Impact

Abstract Background: Family caregivers (FCGs) play a key role in the plan of care provision for long-term cancer survivors, yet few studies have been conducted on the impact of long-term caregiving on FCGs and their employment patterns. This study aims to further our understanding of the effect that caregiving role has on FCGs by identifying what cancer-related characteristics influence reduction of employment hours among FCGs in the post-treatment phase in China. Methods: A total of 1155 cancer survivors participated in this study. Patients reported changes in the employment patterns of their FCGs. Descriptive analysis looked at demographic and cancer-related characteristics of cancer survivors and types of FCGs’ employment changes in both primary- and post-treatment phases. Chi-square test was used to statistically test the association between survivors’ characteristics and changes in FCGs’ hours of labor force work in post-treatment phase. Separate multivariable logistic regression models were used to examine the relationship between cancer-related characteristics of participants and employment reduction patterns among FCGs in post-treatment phase while controlling for demographic factors. Results: In the primary-treatment phase, 45.6% of all FCGs reduced their working hours and 17.4% stopped working altogether. In the post-treatment phase, 25.2% of FCGs worked fewer hours and 6.6% left the workforce completely. The results show that a higher probability of change in employment hours among FCGs is associated with the following patient characteristics: having comorbidities, receiving chemotherapy treatment, limited ability to perform physical tasks, limited ability to perform mental tasks, and diagnosis of stage II of cancer. Conclusions: Care for cancer patients in both primary- and post- treatment phases may have substantial impacts on hours of formal employment of Chinese FCGs. Interventions helping FCGs balance caregiving duties with labor force work are warranted.

scholarly journals Employment Changes among Chinese Family Caregivers of Long-Term Cancer Survivors

2020 ◽  
Author(s):  
Siqi Liu ◽  
Mingzhu Su ◽  
Nengliang Yao ◽  
Nan Zhang ◽  
Jialin Wang ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Labor Force ◽  
Family Caregivers ◽  
Treatment Phase ◽  
Post Treatment ◽  
Limited Ability ◽  
Employment Patterns ◽  
Employment Hours ◽  
The Impact

Abstract Background: Family caregivers (FCGs) play a key role in the plan of care provision for long-term cancer survivors, yet few studies have been conducted on the impact of long-term caregiving on FCGs and their employment patterns. This study aims to further our understanding of the effect that caregiving role has on FCGs by identifying what cancer-related characteristics influence reduction of employment hours among FCGs in the post-treatment phase in China. Methods: A total of 1155 cancer survivors participated in this study. Patients reported changes in the employment patterns of their FCGs. Descriptive analysis looked at demographic and cancer-related characteristics of cancer survivors and types of FCGs’ employment changes in both primary- and post-treatment phases. Chi-square test was used to statistically test the association between survivors’ characteristics and changes in FCGs’ hours of labor force work in post-treatment phase. Separate multivariable logistic regression models were used to examine the relationship between cancer-related characteristics of participants and employment reduction patterns among FCGs in post-treatment phase while controlling for demographic factors.Results: In the primary-treatment phase, 45.6% of all FCGs reduced their working hours and 17.4% stopped working altogether. In the post-treatment phase, 25.2% of FCGs worked fewer hours and 6.6% left the workforce completely. The results show that a higher probability of change in employment hours among FCGs is associated with the following patient characteristics: having comorbidities, receiving chemotherapy treatment, limited ability to perform physical tasks, limited ability to perform mental tasks, and diagnosis of stage II of cancer.Conclusions: Care for cancer patients in both primary- and post- treatment phases may have substantial impacts on hours of formal employment of Chinese FCGs. Interventions helping FCGs balance caregiving duties with labor force work are warranted.

scholarly journals Employment Changes among Chinese Family Caregivers of Long-Term Cancer Survivors

2020 ◽  
Author(s):  
Siqi Liu ◽  
Mingzhu Su ◽  
Nengliang Yao ◽  
Nan Zhang ◽  
Jialin Wang ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Family Caregivers ◽  
Employment Status ◽  
Treatment Phase ◽  
Working Hours ◽  
Post Treatment ◽  
Chinese Family ◽  
Cross Sectional ◽  
Economic Productivity

Abstract Background To describe the effect that providing cancer care to long-term cancer survivors has on the employment status of family caregivers (FCGs), and identify cancer-related characteristics that influence FCGs’ employment status in the post-treatment phase in China. Methods We surveyed 1155 cancer survivors (>1 year since completing treatment) from the cross‐sectional study “China Survey of Experiences with Cancer”. Participants reported changes in employment status of their FCGs. Descriptive statistics characterized the sample of survivors and FCGs’ employment status. Separate multivariable logistic regression models were conducted to examine the association between participant cancer characteristics and changes in FCGs’ employment status. Results In the primary treatment phase, 45.6% of all FCGs reduced their working hours and 17.4% stopped working altogether. In the post-treatment phase, 25.2% of FCGs reduced working hours and 6.6% stopped working. A higher probability of change in employment status among FCGs was associated with the following cancer-related characteristics: late-stage diagnosis, chemotherapy treatment, comorbidity, and limited ability to perform physical and mental tasks. Conclusions Cancer treatment and post-treatment demands may have a great number of impacts on the employment and economic productivity of Chinese FCGs. Interventions to assist them in maintaining employment are warranted across the whole survivorship trajectory.

scholarly journals Employment Changes among Chinese Family Caregivers of Long-Term Cancer Survivors

2020 ◽  
Author(s):  
Siqi Liu ◽  
Mingzhu Su ◽  
Nengliang Yao ◽  
Nan Zhang ◽  
Jialin Wang ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Family Caregivers ◽  
Employment Status ◽  
Treatment Phase ◽  
Working Hours ◽  
Post Treatment ◽  
Chinese Family ◽  
Cross Sectional ◽  
Economic Productivity

Abstract Background: Family caregivers (FCGs) play a key role in the plan of care provision for long-term cancer survivors, yet few studies have been conducted as for the corresponding influence on them. This study aimed to better understand the effect of such a role on the employment status of FCGs, and identify cancer-related characteristics that influence FCGs’ employment status in the post-treatment phase in China. Methods: We surveyed 1155 cancer survivors (>1 year since completing treatment) from the cross‐sectional study “China Survey of Experiences with Cancer”. Participants reported changes in employment status of their FCGs. Descriptive statistics characterized the sample of survivors and FCGs’ employment status. Separate multivariable logistic regression models were conducted to examine the association between participant cancer characteristics and changes in FCGs’ employment status.Results: In the primary treatment phase, 45.6% of all FCGs reduced their working hours and 17.4% stopped working altogether. In the post-treatment phase, 25.2% of FCGs reduced working hours and 6.6% stopped working. A higher probability of change in employment status among FCGs was associated with the following cancer-related characteristics: late-stage diagnosis, chemotherapy treatment, comorbidity, and limited ability to perform physical and mental tasks.Conclusions: Cancer treatment and post-treatment demands may have a great number of impacts on the employment and economic productivity of Chinese FCGs. Interventions to assist them in maintaining employment are warranted across the whole survivorship trajectory.

scholarly journals Long-Term Employment Outcomes among Female Cancer Survivors

2020 ◽  
Vol 17 (8) ◽  
pp. 2751 ◽  
Author(s):  
Christine C. Ekenga ◽  
Eunsun Kwon ◽  
BoRin Kim ◽  
Sojung Park
Keyword(s):  
Cancer Survivors ◽  
Employment Status ◽  
The United States ◽  
Employment Outcomes ◽  
Hours Worked ◽  
Professional Workers ◽  
Working Age ◽  
The Impact ◽  
Female Cancer Survivors

Advances in early detection and treatment have led to a growing population of female cancer survivors, many of whom are of working age. We examined the relationship between cancer and long-term (>5 years) employment outcomes in a nationally representative sample of working-age women in the United States. Data from nine waves of the Health and Retirement Study were used to examine employment status and weekly hours worked among cancer survivors (n = 483) and women without cancer (n = 6605). We used random slope regression models to estimate the impact of cancer and occupation type on employment outcomes. There was no difference in employment status between cancer survivors and women without cancer at baseline; however, during follow-up, cancer survivors were more likely to be employed than women without cancer (odds ratio (OR) = 1.33, 95% confidence interval (CI): 1.11–1.58). Among 6–10-year survivors, professional workers were less likely (OR = 0.40, 95% CI: 0.21–0.74) to be employed than manual workers. Among >10-year survivors, professional workers averaged fewer weekly hours worked (−2.4 h, 95% CI: −4.4–−0.47) than manual workers. The impact of cancer on long-term employment outcomes may differ by occupation type. Identifying the occupation-specific mechanisms associated with the return to work will be critical to developing targeted strategies to promote employment in the growing female cancer survivor population.

The impact of psychosocial characteristics in predicting smoking cessation in long-term cancer survivors: A time-to-event analysis

2018 ◽  
Vol 27 (10) ◽  
pp. 2458-2465 ◽  
Author(s):  
Yael R. Symes ◽  
J. Lee Westmaas ◽  
Deborah K. Mayer ◽  
Marcella H. Boynton ◽  
Kurt M. Ribisl ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Cancer Survivors ◽  
Event Analysis ◽  
Time To Event ◽  
Psychosocial Characteristics ◽  
The Impact

scholarly journals The impact of tongue-deviating and tongue-depressing oral stents on long-term radiation-associated symptoms in oropharyngeal cancer survivors

2020 ◽  
Vol 24 ◽  
pp. 71-78 ◽  
Author(s):  
Sonja Stieb ◽  
Ismael Perez-Martinez ◽  
Abdallah S.R. Mohamed ◽  
Stockton Rock ◽  
Nimit Bajaj ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Oropharyngeal Cancer ◽  
Associated Symptoms ◽  
The Impact

scholarly journals Riding the Crest of the Teachable Moment: Promoting Long-Term Health After the Diagnosis of Cancer

2005 ◽  
Vol 23 (24) ◽  
pp. 5814-5830 ◽  
Author(s):  
Wendy Demark-Wahnefried ◽  
Noreen M. Aziz ◽  
Julia H. Rowland ◽  
Bernardine M. Pinto
Keyword(s):  
Cancer Survivors ◽  
Behavioral Interventions ◽  
Fruits And Vegetables ◽  
Functional Decline ◽  
Adult Survivors ◽  
Lifestyle Changes ◽  
Prostate Cancer Survivors ◽  
Increased Risk ◽  
The Impact

Purpose Cancer survivors are at increased risk for several comorbid conditions, and many seek lifestyle change to reduce dysfunction and improve long-term health. To better understand the impact of cancer on adult survivors' health and health behaviors, a review was conducted to determine (1) prevalent physical health conditions, (2) persistent lifestyle changes, and (3) outcomes of previous lifestyle interventions aimed at improving health within this population. Methods Relevant studies from 1966 and beyond were identified through MEDLINE and PubMed searches. Results Cancer survivors are at increased risk for progressive disease but also for second primaries, osteoporosis, obesity, cardiovascular disease, diabetes, and functional decline. To improve overall health, survivors frequently initiate diet, exercise, and other lifestyle changes after diagnosis. However, those who are male, older, and less educated are less likely to adopt these changes. There also is selective uptake of messages, as evidenced by findings that only 25% to 42% of survivors consume adequate amounts of fruits and vegetables, and approximately 70% of breast and prostate cancer survivors are overweight or obese. Several behavioral interventions show promise for improving survivors' health-related outcomes. Oncologists can play a pivotal role in health promotion, yet only 20% provide such guidance. Conclusion With 64% of cancer patients surviving > 5 years beyond diagnosis, oncologists are challenged to expand their focus from acute care to managing the long-term health consequences of cancer. Although more research is needed, opportunities exist for oncologists to promote lifestyle changes that may improve the length and quality of life of their patients.

Developing a cardiac monitoring plan in at-risk cancer survivors.

2017 ◽  
Vol 35 (5_suppl) ◽  
pp. 133-133
Author(s):  
Aubri Veneruso ◽  
Megan Rae Slocum ◽  
Sheetal Mehta Kircher ◽  
Nausheen Akhter ◽  
Gillian Murtagh ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Treatment Phase ◽  
Cardiac Risk ◽  
Treatment Setting ◽  
Cancer Therapies ◽  
Long Term Effects ◽  
Consensus Statements ◽  
Pre Treatment

133 Background: Improvements in early detection, screening, and treatment of cancer translate into survivors living longer, highlighting the need for guidelines to address the late and long-term effects of cancer treatment. A particularly concerning effect is Cancer Therapeutics-Related Cardiac Dysfunction (CTRCD). Cancer treatments can result in a range of cardiovascular toxicity including left ventricular dysfunction, heart failure and radiation-induced heart disease (RIHD). Various consensus statements related to cardiovascular care for adult cancer survivors exist; however there are no globally accepted follow-up guidelines. Our purpose is to create a protocol to stratify a survivor’s cardiac risk and provide a basis for follow-up recommendations. Methods: We first evaluated existing resources within our institution and identified key stakeholders who were recruited to form a multidisciplinary workgroup (2 survivorship advanced practice providers, an oncologist, a radiation oncologist, and 2 cardio-oncologists). We then reviewed current research and literature on cardiotoxic cancer therapies and identified two consensus statements from the American Society of Echocardiography and the European Association of Cardiovascular Imaging which helped inform our protocol. Finally, we created a cardiac assessment that could be applied in the pre-treatment phase and extend into the post-treatment phase. Results: Two assessment tools were developed. The first is an algorithm initiated in the pre-treatment setting by an oncologist when a Type I or Type II cardiotoxic agent is planned. The second is a risk assessment tool that is initiated in the post-treatment setting to stratify cardiac risk and provide follow-up recommendations. Conclusions: Development of standardized guidelines for assessment and treatment of late and long-term effects of treatment is critical. This protocol has been developed to account for the many factors that contribute to overall cardiac risk after various anti-cancer therapies. Further data is needed to evaluate long-term cardiac and survival outcomes based on this protocol.

Sign in / Sign up

Export Citation Format

Share Document