Educational attainment and work disability in cancer survivors: Do diagnosis and comorbidity affect this association?

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Educational attainment and work disability in cancer survivors : Do diagnosis and comorbidity affect this association? / Stapelfeldt, Christina M; Duijts, Saskia F A; Horsboel, Trine A; Momsen, Anne-Mette H; Andersen, Niels T; Larsen, Finn B; Friis, Karina; Nielsen, Claus V.

In: European Journal of Cancer Care, Vol. 29, No. 4, e13228, 07.2020.

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@article{0600c160a3a9478fa1ab40497bae439c,
title = "Educational attainment and work disability in cancer survivors: Do diagnosis and comorbidity affect this association?",
abstract = "OBJECTIVES: To study whether educational attainment had less impact on work disability in cancer survivors than in individuals without cancer. To study whether comorbidity had a higher impact on work disability in low-educated cancer survivors than in high-educated and whether this impact differed when compared with individuals without cancer.METHODS: Linkage of population-based public health survey data and the Danish Cancer Registry formed two groups: cancer survivors (n = 3,514) and cancer-free individuals (n = 171,262). In logistic regression models, the risk of experiencing an 8-week sick leave spell and the granting of disability pension within a 3-year follow-up period was studied in three educational levels and whether these associations were modified by history of cancer and comorbidity. Odds ratios (OR) with 95% confidence intervals (CI) are reported.RESULTS: Non-stratified adjusted risk of experiencing an 8-week sick leave spell (OR: 1.41, 95% CI (1.33-1.49)) or being granted a disability pension (OR: 1.61, 95% CI (1.31-1.97)) was significantly higher in low-educated than in high-educated respondents. Cancer or comorbidity did not significantly interact with education on the risk of work disability.CONCLUSIONS: A moderate impact of low education on future work disability was found for all respondents, neither history of cancer nor comorbidity modified this association.",
keywords = "cancer survivors, disability evaluation, educational status, population health, registries, sick leave",
author = "Stapelfeldt, {Christina M} and Duijts, {Saskia F A} and Horsboel, {Trine A} and Momsen, {Anne-Mette H} and Andersen, {Niels T} and Larsen, {Finn B} and Karina Friis and Nielsen, {Claus V}",
note = "{\textcopyright} 2020 John Wiley & Sons Ltd.",
year = "2020",
month = jul,
doi = "10.1111/ecc.13228",
language = "English",
volume = "29",
journal = "European Journal of Cancer Care",
issn = "0961-5423",
publisher = "Wiley-Blackwell Publishing Ltd.",
number = "4",

}

RIS

TY - JOUR

T1 - Educational attainment and work disability in cancer survivors

T2 - Do diagnosis and comorbidity affect this association?

AU - Stapelfeldt, Christina M

AU - Duijts, Saskia F A

AU - Horsboel, Trine A

AU - Momsen, Anne-Mette H

AU - Andersen, Niels T

AU - Larsen, Finn B

AU - Friis, Karina

AU - Nielsen, Claus V

N1 - © 2020 John Wiley & Sons Ltd.

PY - 2020/7

Y1 - 2020/7

N2 - OBJECTIVES: To study whether educational attainment had less impact on work disability in cancer survivors than in individuals without cancer. To study whether comorbidity had a higher impact on work disability in low-educated cancer survivors than in high-educated and whether this impact differed when compared with individuals without cancer.METHODS: Linkage of population-based public health survey data and the Danish Cancer Registry formed two groups: cancer survivors (n = 3,514) and cancer-free individuals (n = 171,262). In logistic regression models, the risk of experiencing an 8-week sick leave spell and the granting of disability pension within a 3-year follow-up period was studied in three educational levels and whether these associations were modified by history of cancer and comorbidity. Odds ratios (OR) with 95% confidence intervals (CI) are reported.RESULTS: Non-stratified adjusted risk of experiencing an 8-week sick leave spell (OR: 1.41, 95% CI (1.33-1.49)) or being granted a disability pension (OR: 1.61, 95% CI (1.31-1.97)) was significantly higher in low-educated than in high-educated respondents. Cancer or comorbidity did not significantly interact with education on the risk of work disability.CONCLUSIONS: A moderate impact of low education on future work disability was found for all respondents, neither history of cancer nor comorbidity modified this association.

AB - OBJECTIVES: To study whether educational attainment had less impact on work disability in cancer survivors than in individuals without cancer. To study whether comorbidity had a higher impact on work disability in low-educated cancer survivors than in high-educated and whether this impact differed when compared with individuals without cancer.METHODS: Linkage of population-based public health survey data and the Danish Cancer Registry formed two groups: cancer survivors (n = 3,514) and cancer-free individuals (n = 171,262). In logistic regression models, the risk of experiencing an 8-week sick leave spell and the granting of disability pension within a 3-year follow-up period was studied in three educational levels and whether these associations were modified by history of cancer and comorbidity. Odds ratios (OR) with 95% confidence intervals (CI) are reported.RESULTS: Non-stratified adjusted risk of experiencing an 8-week sick leave spell (OR: 1.41, 95% CI (1.33-1.49)) or being granted a disability pension (OR: 1.61, 95% CI (1.31-1.97)) was significantly higher in low-educated than in high-educated respondents. Cancer or comorbidity did not significantly interact with education on the risk of work disability.CONCLUSIONS: A moderate impact of low education on future work disability was found for all respondents, neither history of cancer nor comorbidity modified this association.

KW - cancer survivors

KW - disability evaluation

KW - educational status

KW - population health

KW - registries

KW - sick leave

U2 - 10.1111/ecc.13228

DO - 10.1111/ecc.13228

M3 - Journal article

C2 - 31999396

VL - 29

JO - European Journal of Cancer Care

JF - European Journal of Cancer Care

SN - 0961-5423

IS - 4

M1 - e13228

ER -