title: Unemployment risk 2 years and 4 years following gastric cancer diagnosis: a population-based study.
abstract: The needs of gastric cancer survivors have received limited attention. Returning to work after gastric cancer has not yet been described in a population-based study. We aimed to examine the unemployment risk at 2 and 4 years after gastric cancer.
  
  
  
  The present historical prospective cohort study included baseline measurements from the Israeli Central Bureau of Statistics 1995 National Census, with follow-up until 2011. A group with gastric cancer and an age-, sex-, and ethnicity-matched control group were sampled from the census population. Binary logistic regression analyses were used to assess odds ratios (ORs) for the study outcomes, controlling for socioeconomic factors, and employment status at 2 years before diagnosis.
  
  
  
  Data for 152 gastric cancer cases and 464 matched controls were analyzed. Those who died during the study period were excluded. Two years after diagnosis, 53.3 % of gastric cancer survivors and 43.8 % of controls were unemployed (p = 0.04); 4 years after diagnosis, 53.9 % of survivors, and 47.2 % of controls were unemployed (p = 0.15). In the adjusted models, gastric cancer was only associated with unemployment 2 years after diagnosis (OR = 1.47, 95 % confidence interval [CI] = 1.02-2.12). This association weakened and lost significance 4 years after diagnosis (OR = 1.42, 95 % CI = 0.89-2.28). Gastric cancer was not associated with decreased income at 2 (OR = 1.48, 95 % CI = 0.91-1.48) or 4 years (OR = 1.65, 95 % CI = 0.99-2.74) after diagnosis.
  
  
  
  Gastric cancer survivorship was associated with unemployment 2 years after diagnosis. Longer-term survivors may have the prospect of returning to work.
  
  
  
  For patients with cancer, returning to work may be an indicator for returning to a normal lifestyle after serious illness. This study highlights the need for early social support in gastric cancer survivors to promote faster recovery.
authors: The Department of Oncology, Hadassah-Hebrew University Medical Center and Hebrew University-Hadassah Medical School, 91120, Jerusalem, Israel.|The Jerusalem Institute of Aging Research, Hadassah-Hebrew University Medical Center Mount Scopus and Hebrew University-Hadassah Medical School, Mount Scopus, Jerusalem, Israel.
authors: Yakir
authors: Y
authors: Rottenberg
authors: The Jerusalem Institute of Aging Research, Hadassah-Hebrew University Medical Center Mount Scopus and Hebrew University-Hadassah Medical School, Mount Scopus, Jerusalem, Israel.|The Department of Geriatrics and Rehabilitation, Hadassah-Hebrew University Medical Center Mount Scopus and Hebrew University-Hadassah Medical School, Mount Scopus, Jerusalem, Israel.
authors: Jeremy M
authors: JM
authors: Jacobs
authors: The Department of Occupational Therapy, Tel Aviv University, P.O.B. Box 39040, 6997801, Tel Aviv, Israel.
authors: Navah Z
authors: NZ
authors: Ratzon
authors: The Department of Oncology, Hadassah-Hebrew University Medical Center and Hebrew University-Hadassah Medical School, 91120, Jerusalem, Israel. albertg@hadassah.org.il.
authors: Albert
authors: 0000-0001-6140-4912
authors: A
authors: Grinshpun
authors: School of Social Work, Faculty of Social Welfare and Health Sciences, University of Haifa, Mount Carmel, Haifa, Israel.
authors: Miri
authors: M
authors: Cohen
authors: The Department of Oncology, Hadassah-Hebrew University Medical Center and Hebrew University-Hadassah Medical School, 91120, Jerusalem, Israel.
authors: Beatrice
authors: B
authors: Uziely
authors: Academic Medical Center, Coronel Institute of Occupational Health, Meibergdreef 9, 1105, AZ, Amsterdam, the Netherlands.
authors: Angela G E M
authors: AG
authors: de Boer
mesh_terms: D015331:Cohort Studies; D004651:Employment / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D062707:Return to Work / Q000706:statistics & numerical data*; D012944:Social Support; D012959:Socioeconomic Factors; D013274:Stomach Neoplasms / Q000401:mortality / Q000534:rehabilitation*; D017741:Survivors / Q000706:statistics & numerical data; D014478:Unemployment / Q000706:statistics & numerical data*
keywords: Cancer survivors; Gastric cancer; Unemployment