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Table 3 Factors associated with changes in working status after cancer diagnosis (N = 730)

From: Changes in working status after cancer diagnosis and socio-demographic, clinical, work-related, and psychological factors associated with it

 

Discontinued working

Leave of absence

Changed job

RRRa(95% CIb)

RRR (95% CI)

RRR (95% CI)

Demographic factors

 Age (years)

1.05 (1.02, 1.08)

0.99 (0.97, 1.02)

0.99 (0.95, 1.03)

 Sex, female

3.65 (2.09, 6.38)

1.63 (0.84, 3.16)

1.07 (0.38, 3.00)

 Marital status, not married

1.62 (0.91, 2.87)

1.23 (0.64, 2.35)

3.36 (1.42, 7.95)

 Education, < high school

1.67 (0.89, 3.12)

1.60 (0.74, 3.44)

1.02 (0.32, 3.24)

 Principal wage earner

  Patient alone

Reference

Reference

Reference

  Patient and other family members

0.53 (0.26, 1.08)

0.97 (0.50, 1.85)

0.71 (0.31, 1.65)

  Other family members

6.76 (4.06, 11.26)

3.52 (2.00, 6.20)

0.99 (0.39, 2.47)

 Job type at diagnosis

  White collar

Reference

Reference

Reference

  Service or sales

1.28 (0.73, 2.23)

1.33 (0.69, 2.55)

2.17 (0.87, 5.45)

  Blue collar

1.84 (1.07, 3.15)

1.65 (0.89, 3.05)

1.19 (0.50, 2.85)

Clinical factors

 Cancer type

  Breast cancer

8.18 (3.01, 22.25)

8.01 (2.53, 25.39)

2.01 (0.46, 8.81)

  Pancreatobiliary cancer

2.71 (0.98, 7.54)

3.81 (1.15, 12.58)

1.61 (0.56, 4.62)

  Lung/esophagus cancer

3.38 (1.36, 8.36)

4.75 (1.74, 12.96)

1.39 (0.48, 4.00)

  Urologic cancer

Reference

Reference

Reference

  Colorectal cancer

12.47 (4.55, 34.15)

4.88 (1.46, 16.31)

1.41 (0.27, 7.50)

  Gastric cancer

6.50 (2.10, 20.13)

2.68 (0.68, 10.65)

1.01 (0.11, 9.21)

  Liver cancer

5.43 (1.65, 17.87)

5.55 (1.34, 22.92)

1.92 (0.43, 8.47)

  Others

9.89 (3.69, 26.56)

4.40 (1.41, 13.74)

2.21 (0.57, 8.55)

 Disease stage at diagnosis

  Stage I

Reference

Reference

Reference

  Stage II

1.67 (0.98, 2.84)

1.20 (0.67, 2.18)

1.11 (0.47, 2.64)

  Stage III

3.18 (1.79, 5.66)

2.11 (1.11, 3.99)

1.32 (0.47, 3.75)

  Stage IV

2.00 (0.83, 4.79)

2.37 (0.96, 5.87)

0.71 (0.08, 6.06)

 Experienced cancer recurrence

2.48 (1.45, 4.24)

2.81 (1.51, 5.23)

1.03 (0.43, 2.51)

 Time since diagnosis (months)

   < 12

1.23 (0.70, 2.16)

7.18 (3.21, 16.07)

0.12 (0.04, 0.37)

  12 to < 24

1.80 (0.98, 3.30)

3.80 (1.58, 9.13)

0.34 (0.13, 0.90)

  24 to < 36

0.76 (0.38, 1.56)

0.73 (0.22, 2.37)

0.65 (0.28, 1.48)

   ≥ 36

Reference

Reference

Reference

Work-related and psychological factors

 Occupational stress

  Job demand

1.21 (0.73, 2.01)

1.44 (0.82, 2.51)

1.23 (0.54, 2.82)

  Insufficient job control

2.26 (1.38, 3.71)

1.14 (0.63, 2.08)

1.72 (0.81, 3.65)

  Interpersonal conflict

1.86 (1.18, 2.92)

0.64 (0.38, 1.09)

0.78 (0.38, 1.59)

  Job insecurity

2.63 (1.44, 4.82)

2.43 (1.23, 4.81)

1.78 (0.73, 4.37)

  Organizational system

3.49 (2.12, 5.72)

1.18 (0.66, 2.11)

0.79 (0.33, 1.88)

  Lack of reward

11.76 (3.28, 42.1)

3.36 (0.68, 16.52)

2.03 (0.21, 19.83)

  Occupational climate

1.53 (0.87, 2.69)

0.96 (0.49, 1.88)

1.20 (0.48, 2.99)

 Meaning of work

  Positive meaning, ≤ 11

4.49 (2.81, 7.18)

1.53 (0.96, 2.46)

0.88 (0.45, 1.70)

  Meaning-making through work, ≤ 11

3.50 (2.23, 5.51)

1.49 (0.93, 2.38)

1.05 (0.54, 2.04)

  Greater good motivations, ≤ 11

3.01 (1.94, 4.66)

1.38 (0.86, 2.21)

(0.37, 1.40)

  1. Adjusted for age, sex, cancer type, cancer stage, time since diagnosis, and experience of cancer recurrence
  2. aRRR Relative risk ratios
  3. bCI Confidence intervals