From an extrinsic or instrumental perspective, attempts have been made to explain the centrality of work in that it constitutes a resource for economic and material security. Įmployment status deserves special attention given the central role that employment currently plays in people’s lives worldwide, especially in industrialised countries, where an average adult invests more than two-thirds of their time in their work. Although results are still inconclusive and present limitations, the literature points to the following as moderating variables of the impact of cancer on the survivor’s HRQOL: type and number of strategies included in the primary treatment, age, gender, marital status, education level, and unemployment. Thus, even after several years of primary treatment completion, the HRQOL of cancer survivors might still be affected. Ĭancer survivors often suffer from late and long-term physical effects such as pain, fatigue, and cognitive impairment (short-term memory, verbal expression, and spatial skills) as well as psychosocial problems related to fear of recurrence and difficulties in undertaking social, family and work roles. In this context, studying cancer’s long-term effects and their potential modulators is of pivotal relevance. This improvement in cancer survival brings new hope for cancer patients and new challenges in cancer survivors’ attention and the care of their Health-Related Quality of Life (HRQOL). The fact that the employment status is susceptible to change represents a valuable opportunity to care for the wellbeing of this population.Īdvances in cancer treatment have made it possible to witness a steady increase in cancer survival for the last few decades. Comprehensive cancer survivorship care should focus more on high-risk groups and include having a job as an essential aspect to consider and prompt. The application of a multivariate methodology sheds new light on two relevant issues for the cancer survivor’s HRQOL: (i) the existence of differences between diagnostic groups that are not attributed to other variables such as sex, and (ii) the important and independent role that employment status plays. Also, interaction effects highlighted the role of age (younger) and marital status (single) as risk factors for a greater negative impact of variables affecting the survivor’s HRQOL. ![]() In particular, being employed (vs unemployed) had the greatest positive association with HRQOL, affecting ten of the twelve HRQOL domains considered. Survival phase, cancer type, and employment status showed the main effects on cancer survivors’ HRQOL. ![]() An instrument specifically designed to assess HRQOL in cancer survivors and Multivariate Variance Analysis (MANOVA) were used. MethodsĬross-sectional study on a heterogeneous sample of 772 working-age survivors of adult-onset cancer. The present study aims to discern the degree to which employment status is independently associated with cancer survivors’ HRQOL or if it mainly reflects the impact of other sociodemographic and cancer-related variables. However, the sociodemographic and disease-related profiles characterizing the survivors being employed and those having better HRQOL largely overlap. Having a job has been associated with better Health-Related Quality of Life (HRQOL) in cancer survivors.
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