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Journal article
Employment Changes Following Breast Cancer Diagnosis: The Effects of Race and Place
JNCI : Journal of the National Cancer Institute, v 112(6), pp 647-650
01 Jun 2020
PMID: 31599949
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The financial implications of breast cancer diagnosis may be greater among rural and black women. Women with incident breast cancer were recruited as part of the Carolina Breast Cancer Study. We compared unadjusted and adjusted prevalence of cancer-related job or income loss, and a composite measure of either outcome, by rural residence and stratified by race. We included 2435 women: 11.7% were rural; 48.5% were black; and 38.0% reported employment changes after diagnosis. Rural women more often reported employment effects, including reduced household income (43.6% vs 35.4%, two-sided χ2 test P = .04). Rural white, rural black, and urban black women each more often reported income reduction (statistically significant vs. urban white women), although these groups did not meaningfully differ from each other. In multivariable regression, rural differences were mediated by socioeconomic factors, but racial differences remained. Programs and policies to reduce financial toxicity in vulnerable patients should address indirect costs of cancer, including lost wages and employment.
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Details
- Title
- Employment Changes Following Breast Cancer Diagnosis: The Effects of Race and Place
- Creators
- Jennifer C Spencer - Segeberger KlinikenJason S Rotter - Department of Health Policy and ManagementJan M Eberth - University of North Carolina at Chapel HillWhitney E Zahnd - Office of Minority HealthRobin C Vanderpool - University of KentuckyLinda K Ko - University of WashingtonMelinda M Davis - University of South CarolinaMelissa A Troester - Department of EpidemiologyAndrew F Olshan - Department of EpidemiologyStephanie B Wheeler - Center for Health Promotion and Disease Prevention
- Publication Details
- JNCI : Journal of the National Cancer Institute, v 112(6), pp 647-650
- Publisher
- Oxford University Press
- Grant note
- T32 CA116339 / NCI NIH HHS U48 DP005017 / NCCDPHP CDC HHS K07 CA211971 / NCI NIH HHS P01 CA151135 / NCI NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000544165600014
- Scopus ID
- 2-s2.0-85075499174
- Other Identifier
- 991021855181604721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Oncology