Factors Related to Return to Work by Women with Breast Cancer in Northern France |
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Authors: | Sophie Quinton Fantoni Charlotte Peugniez Alain Duhamel Joanna Skrzypczak Paul Frimat Ariane Leroyer |
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Institution: | 1.Department of Occupational Medicine,CHRU Lille, Université Lille 2,Lille Cedex,France;2.Department of Breast Disease,Centre Oscar Lambret, CHRU Lille,Lille,France;3.Department of Occupational Medicine,Université Lille Nord de France, UDSL, CHRU Lille,Lille Cedex,France |
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Abstract: | Introduction Earlier diagnosis and better treatment have increased the survival rates of breast cancer patients. This warrants research
on return to work of cancer survivors, especially about subjective factors because they affect the mental desire to return
to work. Moreover, knowledge in this issue is very limited in France. Objectives This study aims to explore the objective and subjective factors that affect whether and when women with breast cancer return
to work. Methods 379 women with breast cancer aged 18–60 years who were working at the time of diagnosis responded to a 45 item questionnaire.
The questionnaire had personal characteristics, disease-related characteristics and work-related ones. Multivariate logistic
regressions were run to determine the association of these factors and return to work and time until return to work. Results During a median follow-up of 36 months, 82.1% of the 379 women who had worked before their diagnosis returned to work after
a median sick leave of 10.8 months. Older age, lower educational level, chemotherapy, radiotherapy, lymphoedema, psychological
or organizational self-perceived constraints related to their former job, and the lack of moral support from work colleagues
both limited and delayed return to work. Conclusion The resumption of work by women with breast cancer depends on many factors, not all of them medical. The self-perceived factors
must be considered: first to help support these women during their sick leave, while taking into account elements that may
hinder early return to work; second to initiate a work resumption support process which takes into account both the person
and her environment. |
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