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Factors influencing job loss and early retirement in working men with prostate cancer—findings from the population-based Life After Prostate Cancer Diagnosis (LAPCD) study

Factors influencing job loss and early retirement in working men with prostate cancer—findings from the population-based Life After Prostate Cancer Diagnosis (LAPCD) study
Factors influencing job loss and early retirement in working men with prostate cancer—findings from the population-based Life After Prostate Cancer Diagnosis (LAPCD) study

Purpose: To investigate factors associated with job loss and early retirement in men diagnosed with prostate cancer (PCa) 18–42 months previously. Methods: Men ≤ 60 years at diagnosis who completed the Life After Prostate Cancer Diagnosis (LAPCD) survey were identified. Men who moved from employment at diagnosis to unemployment (EtoU) or retirement (EtoR) at survey (18–42 months post-diagnosis) were compared to men remaining in employment (EtoE). Sociodemographic, clinical and patient-reported factors were analysed in univariable and multivariable analysis. Results: There were 3218 men (81.4%) in the EtoE, 245 (6.2%) in EtoU and 450 (11.4%) in the EtoR groups. Men with stage IV disease (OR = 4.7 95% CI 3.1–7.0, relative to stage I/II) and reporting moderate/big bowel (OR = 2.5, 95% CI 1.6–3.9) or urinary problems (OR = 2.0, 95% CI 1.4–3.0) had greater odds of becoming unemployed. Other clinical (≥ 1 comorbidities, symptomatic at diagnosis) and sociodemographic (higher deprivation, divorced/separated), living in Scotland or Northern Ireland (NI)) factors were predictors of becoming unemployed. Men who were older, from NI, with stage IV disease and with caring responsibilities had greater odds of retiring early. Self-employed and non-white men had lesser odds of retiring early. Conclusion: PCa survivors who retire early following diagnosis do not report worse urinary or bowel problems compared to men remaining in employment. However, we identified clinical and sociodemographic factors which increased unemployment risk in PCa survivors. Implications for Cancer Survivors: Targeted support and engagement with PCa survivors at risk of unemployment, including their families and employers, is needed.

LAPCD, Prostate cancer, Retirement, Unemployment
1932-2259
1-10
Bennett, Damien
b295faf7-0f53-47b2-a3cc-366acb1875f4
Kearney, Therese
d58c0ec6-0749-4782-a6be-08944e573008
Donnelly, David W.
3bbe4f83-23ee-46cc-aae3-2cb4c077dd05
Downing, Amy
f4ff289d-68c6-466b-bbc4-f920e10506b5
Wright, Penny
be58e744-69be-48f8-a416-8e543af1ad7b
Wilding, Sarah
a538ad99-f618-4022-9a21-cf063649f99d
Wagland, Richard
16a44dcc-29cd-4797-9af2-41ef87f64d08
Watson, Eila
d295228d-d534-4c35-844f-ca8471c169c0
Glaser, Adam
47f40b4c-2ff7-4c0e-a137-67564d0c29bc
Gavin, Anna
e887a323-7787-4455-82f7-531198db885d
Bennett, Damien
b295faf7-0f53-47b2-a3cc-366acb1875f4
Kearney, Therese
d58c0ec6-0749-4782-a6be-08944e573008
Donnelly, David W.
3bbe4f83-23ee-46cc-aae3-2cb4c077dd05
Downing, Amy
f4ff289d-68c6-466b-bbc4-f920e10506b5
Wright, Penny
be58e744-69be-48f8-a416-8e543af1ad7b
Wilding, Sarah
a538ad99-f618-4022-9a21-cf063649f99d
Wagland, Richard
16a44dcc-29cd-4797-9af2-41ef87f64d08
Watson, Eila
d295228d-d534-4c35-844f-ca8471c169c0
Glaser, Adam
47f40b4c-2ff7-4c0e-a137-67564d0c29bc
Gavin, Anna
e887a323-7787-4455-82f7-531198db885d

Bennett, Damien, Kearney, Therese, Donnelly, David W., Downing, Amy, Wright, Penny, Wilding, Sarah, Wagland, Richard, Watson, Eila, Glaser, Adam and Gavin, Anna (2018) Factors influencing job loss and early retirement in working men with prostate cancer—findings from the population-based Life After Prostate Cancer Diagnosis (LAPCD) study. Journal of Cancer Survivorship, 1-10. (doi:10.1007/s11764-018-0704-x).

Record type: Article

Abstract

Purpose: To investigate factors associated with job loss and early retirement in men diagnosed with prostate cancer (PCa) 18–42 months previously. Methods: Men ≤ 60 years at diagnosis who completed the Life After Prostate Cancer Diagnosis (LAPCD) survey were identified. Men who moved from employment at diagnosis to unemployment (EtoU) or retirement (EtoR) at survey (18–42 months post-diagnosis) were compared to men remaining in employment (EtoE). Sociodemographic, clinical and patient-reported factors were analysed in univariable and multivariable analysis. Results: There were 3218 men (81.4%) in the EtoE, 245 (6.2%) in EtoU and 450 (11.4%) in the EtoR groups. Men with stage IV disease (OR = 4.7 95% CI 3.1–7.0, relative to stage I/II) and reporting moderate/big bowel (OR = 2.5, 95% CI 1.6–3.9) or urinary problems (OR = 2.0, 95% CI 1.4–3.0) had greater odds of becoming unemployed. Other clinical (≥ 1 comorbidities, symptomatic at diagnosis) and sociodemographic (higher deprivation, divorced/separated), living in Scotland or Northern Ireland (NI)) factors were predictors of becoming unemployed. Men who were older, from NI, with stage IV disease and with caring responsibilities had greater odds of retiring early. Self-employed and non-white men had lesser odds of retiring early. Conclusion: PCa survivors who retire early following diagnosis do not report worse urinary or bowel problems compared to men remaining in employment. However, we identified clinical and sociodemographic factors which increased unemployment risk in PCa survivors. Implications for Cancer Survivors: Targeted support and engagement with PCa survivors at risk of unemployment, including their families and employers, is needed.

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Accepted/In Press date: 13 July 2018
e-pub ahead of print date: 30 July 2018
Keywords: LAPCD, Prostate cancer, Retirement, Unemployment

Identifiers

Local EPrints ID: 424736
URI: http://eprints.soton.ac.uk/id/eprint/424736
ISSN: 1932-2259
PURE UUID: 9123634a-45ca-4bbe-bccb-28abec017769
ORCID for Richard Wagland: ORCID iD orcid.org/0000-0003-1825-7587

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Date deposited: 05 Oct 2018 11:41
Last modified: 17 Dec 2019 01:41

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Contributors

Author: Damien Bennett
Author: Therese Kearney
Author: David W. Donnelly
Author: Amy Downing
Author: Penny Wright
Author: Sarah Wilding
Author: Richard Wagland ORCID iD
Author: Eila Watson
Author: Adam Glaser
Author: Anna Gavin

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