Journal Article


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

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). Socio-demographic, clinical and patientreported factors were analysed in univariable and multivariable analysis. Results. There were 3,218 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 socio-demographic (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 socio-demographic 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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Authors

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

Oxford Brookes departments

Faculty of Health and Life Sciences\Department of Biological and Medical Sciences

Dates

Year of publication: 2018
Date of RADAR deposit: 2018-09-13


Creative Commons License This work is licensed under a Creative Commons Attribution 4.0 International License


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