Labour market participation after sickness absence due to cancer: a dynamic cohort study in Catalonia (Spain)

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• dc.contributor.author Ayala García, Amaya
• dc.contributor.author Benavides, Fernando G. (Fernando García)
• dc.contributor.author Serra Saurina, Laura
• dc.date.accessioned 2024-01-26T06:39:08Z
• dc.date.available 2024-01-26T06:39:08Z
• dc.date.issued 2023
• dc.description.abstract Background: The consequences of cancer on working until retirement age remain unclear. This study aimed to analyse working life considering all possible labour market states in a sample of workers after sickness absence (SA) due to cancer and to compare their working life paths to those of a sample of workers without SA and with an SA due to other diseases. Methods: This was a retrospective dynamic cohort study among social security affiliates in Catalonia from 2012-2018. Cases consisted of workers with an SA due to cancer between 2012-2015 (N = 516) and were individually age- and sex-matched with those of affiliates with an SA due to other diagnoses and workers without an SA. All workers (N = 1,548, 56% women) were followed up from entry into the cohort until the end of 2018 to characterise nine possible weekly labour states. Sequence analysis, optimal matching, and multinomial logistic regression were used to identify and assess the probability of future labour market participation patterns (LMPPs). All analyses were stratified by sex. Results: Compared with workers with an SA due to cancer, male workers with no SA and SA due to other causes showed a lower probability of being in the LMPP of death (aRRR 0.02, 95% CI: 0.00‒0.16; aRRR 0.17, 95% CI: 0.06‒0.46, respectively) and, among women, a lower probability of permanent disability and death (aRRR 0.24, 95% CI: 0.10‒0.57; aRRR 0.39, 95% CI: 0.19‒0.83, respectively). Compared to workers with SA due to cancer, the risk of early retirement was lower among workers with no SA (women, aRRR 0.60, 95% CI: 0.22‒1.65; men, aRRR 0.64, 95% CI: 0.27‒1.52), although these results were not statistically significant. Conclusions: Workplaces, many of which have policies common to all diagnoses, should be modified to the needs of cancer survivors to prevent an increasing frequency of early retirement and permanent disability when possible. Future studies should assess the impact of cancer on premature exit from the labour market among survivors, depending on cancer localisation and type of treatment.
• dc.format.mimetype application/pdf
• dc.identifier.citation Ayala-Garcia A, Benavides FG, Serra L. Labour market participation after sickness absence due to cancer: a dynamic cohort study in Catalonia (Spain). BMC Public Health. 2023 Dec 11;23(1):2477. DOI: 10.1186/s12889-023-17321-z
• dc.identifier.doi http://dx.doi.org/10.1186/s12889-023-17321-z
• dc.identifier.issn 1471-2458
• dc.identifier.uri http://hdl.handle.net/10230/58821
• dc.language.iso eng
• dc.publisher BioMed Central
• dc.relation.ispartof BMC Public Health. 2023 Dec 11;23(1):2477
• dc.rights © The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Cancer
• dc.subject.keyword Longitudinal study
• dc.subject.keyword Permanent disability
• dc.subject.keyword Retirement
• dc.subject.keyword Return to work
• dc.subject.keyword Sequence analysis
• dc.subject.keyword Sickness absence
• dc.title Labour market participation after sickness absence due to cancer: a dynamic cohort study in Catalonia (Spain)
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion