Return to work in low-income Latina and non-Latina white breast cancer survivors: a 3-year longitudinal study.
BACKGROUND
Previous research has found an 80% return-to-work rate in mid-income white breast cancer survivors, but little is known about the employment trajectory of low-income minorities or whites. We set out to compare the trajectories of low-income Latina and non-Latina white survivors and to identify correlates of employment status.


METHODS
Participants were low-income women who had localized breast cancer, spoke English or Spanish, and were employed at the time of diagnosis. Interviews were conducted 6, 18, and 36 months after diagnosis. Multivariate logistic regression was used to identify independent correlates of employment status at 18 months.


RESULTS
Of 290 participants, 62% were Latina. Latinas were less likely than non-Latina whites to be working 6 months (27% vs 49%; P = .0002) and 18 months (45% vs 59%; P = .02) after diagnosis, but at 36 months there was no significant difference (53% vs 59%; P = .29). Latinas were more likely to be manual laborers than were non-Latina whites (P < .0001). Baseline job type and receipt of axillary node dissection were associated with employment status among Latinas but not non-Latina whites.


CONCLUSIONS
Neither low-income Latinas nor non-Latina whites approached the 80% rate of return to work seen in wealthier white populations. Latinas followed a protracted return-to-work trajectory compared to non-Latina whites, and differences in job type appear to have played an important role. Manual laborers may be disproportionately impacted by surgical procedures that limit physical activity. This can inform the development of rehabilitative interventions and may have important implications for the surgical and postsurgical management of patients.
Memorial Sloan-Kettering Cancer Center, New York, New York, USA. blinderv@mskcc.org
Victoria S
VS
Blinder
Sujata
S
Patil
Amardeep
A
Thind
Allison
A
Diamant
Clifford A
CA
Hudis
Ethan
E
Basch
Rose C
RC
Maly
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000208:ethnology* / Q000401:mortality*; D004651:Employment; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D007182:Income; D008137:Longitudinal Studies; D008875:Middle Aged; D017741:Survivors; D044465:White People