Work-Related Outcomes in Self-Employed Cancer Survivors: A European Multi-country Study

Abstract : Purpose To describe: (i) patterns of self-employment and social welfare provisions for self-employed and salaried workers in several European countries; (ii) work-related outcomes after cancer in self-employed people and to compare these with the work-related outcomes of salaried survivors within each sample; and (iii) work-related outcomes for self-employed cancer survivors across countries. Methods Data from 11 samples from seven European countries were included. All samples had cross-sectional survey data on work outcomes in self-employed and salaried cancer survivors who were working at time of diagnosis (n = 22-261 self-employed/101-1871 salaried). The samples included different cancers and assessed different outcomes at different times post-diagnosis. Results Fewer self-employed cancer survivors took time off work due to cancer compared to salaried survivors. More self-employed than salaried survivors worked post-diagnosis in almost all countries. Among those working at the time of survey, self-employed survivors had made a larger reduction in working hours compared to pre-diagnosis, but they still worked more hours per week post-diagnosis than salaried survivors. The self-employed had received less financial compensation when absent from work post-cancer, and more self-employed, than salaried, survivors reported a negative financial change due to the cancer. There were differences between self-employed and salaried survivors in physical job demands, work ability and quality-of-life but the direction and magnitude of the differences differed across countries. Conclusion Despite sample differences, self-employed survivors more often continued working during treatment and had, in general, worse financial outcomes than salaried cancer survivors. Other work-related outcomes differed in different directions across countries.
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Submitted on : Tuesday, May 14, 2019 - 2:03:14 PM
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Steffen Torp, Alain Paraponaris, Elke Hoof, Marja-Liisa Lindbohm, Tamminga Sietske, et al.. Work-Related Outcomes in Self-Employed Cancer Survivors: A European Multi-country Study. Journal of Occupational Rehabilitation, Springer Verlag, 2018, Epub ahead of print. ⟨10.1007/s10926-018-9792-8⟩. ⟨inserm-02128669⟩

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