目标:在2020年,全球有100万名年龄<55岁的女性被诊断出患有乳腺癌。乳腺癌及其治疗对这些妇女工作能力和社会福利需求的影响可能因社会特征而异。我们通过教育和同居评估了乳腺癌后的社会效益使用。
方法:我们进行了一项全国性的基于人群的队列研究,包括2002-2011年期间在丹麦诊断为I-III期乳腺癌的18-55岁女性。丹麦统计局提供了关于同居的信息,教育,从诊断前1年到诊断后10年的社会效益使用。我们计算了每周自我支持的比例,失业,残疾抚恤金,灵活的工作,和病假根据教育和同居。
结果:在5345名女性中,81.8%的人是自给自足的,4.5%领取残疾抚恤金,1.6%的人有弹性工作,3.6%的人请病假,5.5%的人在诊断前1年失业。诊断后十年,比例为69.0%,13.0%,10.5%,3.4%,和2.0%的3663名幸存者。短期教育女性的残疾养老金和弹性工作从12.1%增加到26.4%,从2.8%增加到13.5%,受过中等教育的妇女从4.1%到12.8%,从1.8%到12.2%,受教育时间较长的人从0.8%到6.0%和0.9%到6.9%。独居妇女的残疾养恤金增加更多(7.8%至19.9%),比同居女性(3.6%至11.3%)。
结论:在受教育程度较低的妇女和独居妇女中,使用反映丧失工作能力的社会福利最高。
结论:在调整支持癌症幸存者参与工作的努力时,对这些群体的认识至关重要。
OBJECTIVE: In 2020, one million women aged < 55 years were diagnosed with breast cancer globally. The impact of breast cancer and its treatments on these women\'s ability to work and need for social benefits may differ by social characteristics. We evaluated social benefit use following breast cancer by education and
cohabitation.
METHODS: We conducted a nationwide population-based cohort study, including women aged 18-55 years diagnosed with stage I-III breast cancer in Denmark during 2002-2011. Statistics Denmark provided information on
cohabitation, education, and social benefit use from 1 year pre-diagnosis to 10 years post-diagnosis. We calculated weekly proportions of self-support, unemployment, disability pension, flexi jobs, and sick leave according to education and
cohabitation.
RESULTS: Of 5345 women, 81.8% were self-supporting, 4.5% received disability pensions, 1.6% had flexi jobs, 3.6% were on sick leave, and 5.5% were unemployed 1 year pre-diagnosis. Ten years post-diagnosis, the proportions were 69.0%, 13.0%, 10.5%, 3.4%, and 2.0% of 3663 survivors. Disability pensions and flexi jobs increased from 12.1 to 26.4% and 2.8 to 13.5% in women with short education, from 4.1 to 12.8% and 1.8 to 12.2% in women with medium education, and from 0.8 to 6.0% and 0.9 to 6.9% in longer educated. Disability pensions increased more in women living alone (7.8 to 19.9%), than in cohabiting women (3.6 to 11.3%).
CONCLUSIONS: Use of social benefits reflecting lost ability to work was highest in less educated women and in women living alone.
CONCLUSIONS: Awareness of these groups is crucial when tailoring efforts to support work participation in cancer survivors.