Short-term effect of colorectal cancer on income: analysis of an Italian cohort

Author:

Farina ElenaORCID,Rosso MarcoORCID,Dansero LuciaORCID,Ippoliti RobertoORCID,Numico Gianmauro,Macciotta AlessandraORCID,Bena AntonellaORCID,Ricceri FulvioORCID

Abstract

IntroductionThe ability to return to work after a cancer diagnosis is a key aspect of cancer survivorship and quality of life. Studies have reported a significant risk of income loss for cancer survivors; however, there is limited evidence of the Italian context.MethodsThe Work Histories Italian Panel (WHIP)-Salute database was used to select a cohort of incident cases of colorectal cancer (CRC) among workers in the private sector, based on hospital discharges. A propensity score matching was used to find a balanced control group for several confounders. Ordinary least square and logistic regressions were used to estimate the effect of a CRC diagnosis on annual income and the probability of switching from a full-time contract to a part-time one considering 3 years after the diagnosis.ResultsOverall, we identified 925 CRC incident cases from 2006 until 2012. Our results confirm a statistically significant reduction in survivors’ income compared with controls. This reduction was greater in the first year and then tend to decrease, with an average income loss over 3 years of about €12 000. Stratified analyses by sex and position confirmed the overall trend while indicating a strong effect modification. Regarding the switching from full-time to part-time employment, the results were never significant.ConclusionIncome loss does not seem to be related to an increase in part-time contracts, but rather to survivors’ reduced work capacity following the invasive treatments. Further research is needed to investigate the complex dynamics behind this association.

Funder

Compagnia di San Paolo

Publisher

BMJ

Subject

Public Health, Environmental and Occupational Health,Epidemiology

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