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Employment Changes following Breast Cancer Diagnosis: The Effects of Race and Place

Citation

Spencer, Jennifer C.; Rotter, Jason S.; Eberth, Jan M.; Zahnd, Whitney E.; Vanderpool, Robin C.; Ko, Linda K.; Davis, Melinda M.; Troester, Melissa A.; Olshan, Andrew F.; & Wheeler, Stephanie B. (2020). Employment Changes following Breast Cancer Diagnosis: The Effects of Race and Place. Journal of the National Cancer Institute, 112(6), 647-50. PMCID: PMC7301070

Abstract

The financial implications of breast cancer diagnosis may be greater among rural and black women. Women with incident breast cancer were recruited as part of the Carolina Breast Cancer Study. We compared unadjusted and adjusted prevalence of cancer-related job or income loss, and a composite measure of either outcome, by rural residence and stratified by race. We included 2435 women: 11.7% were rural; 48.5% were black; and 38.0% reported employment changes after diagnosis. Rural women more often reported employment effects, including reduced household income (43.6% vs 35.4%, two-sided χ2 test P = .04). Rural white, rural black, and urban black women each more often reported income reduction (statistically significant vs. urban white women), although these groups did not meaningfully differ from each other. In multivariable regression, rural differences were mediated by socioeconomic factors, but racial differences remained. Programs and policies to reduce financial toxicity in vulnerable patients should address indirect costs of cancer, including lost wages and employment.

URL

http://dx.doi.org/10.1093/jnci/djz197

Reference Type

Journal Article

Journal Title

Journal of the National Cancer Institute

Author(s)

Spencer, Jennifer C.
Rotter, Jason S.
Eberth, Jan M.
Zahnd, Whitney E.
Vanderpool, Robin C.
Ko, Linda K.
Davis, Melinda M.
Troester, Melissa A.
Olshan, Andrew F.
Wheeler, Stephanie B.

Year Published

2020

Volume Number

112

Issue Number

6

Pages

647-50

PMCID

PMC7301070

Reference ID

13065