. 2021 Dec;15(6):912-921.

doi: 10.1007/s11764-020-00984-7. Epub 2021 Jan 12.

Working cancer survivors' physical and mental characteristics compared to cancer-free workers in Japan: a nationwide general population-based study

Atsuhiko Ota¹, Yuanying Li², Hiroshi Yatsuya^{2

3}, Kozo Tanno⁴, Kiyomi Sakata⁴, Kazumasa Yamagishi^{5

6}, Hiroyasu Iso^{5

7}, Nobufumi Yasuda⁸, Isao Saito⁹, Tadahiro Kato¹⁰, Kazuhiko Arima¹¹, Yoko Sou¹², Taichi Shimazu¹³, Taiki Yamaji¹³, Atsushi Goto¹⁴, Manami Inoue¹³, Motoki Iwasaki¹³, Norie Sawada¹³, Shoichiro Tsugane¹³; JPHC-NEXT Study Group

Affiliations

¹ Department of Public Health, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi, 470-1192, Japan. ohtaa@fujita-hu.ac.jp.
² Department of Public Health, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi, 470-1192, Japan.
³ Department of Public Health and Health Systems, Nagoya University Graduate School of Medicine, Nagoya, Japan.
⁴ Department of Hygiene and Preventive Medicine, School of Medicine, Iwate Medical University, Iwate, Japan.
⁵ Department of Public Health Medicine, Faculty of Medicine, and Health Services Research and Development Centre, University of Tsukuba, Tsukuba, Japan.
⁶ Ibaraki Western Medical Center, Chikusei, Japan.
⁷ Department of Social and Environmental Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
⁸ Department of Public Health, Kochi University Medical School, Kochi, Japan.
⁹ Department of Public Health and Epidemiology, Faculty of Medicine, Oita University, Oita, Japan.
¹⁰ Center for Education and Educational Research, Faculty of Education, Ehime University, Matsuyama, Japan.
¹¹ Department of Public Health, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
¹² Ken'ou Healthcare Office, Nagasaki Prefectural Government, Nagasaki, Japan.
¹³ Epidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Tokyo, Japan.
¹⁴ Department of Health Data Science, Yokohama City University Graduate School of Data Science, Yokohama, Japan.

PMID: 33433855
PMCID: PMC8519890
DOI: 10.1007/s11764-020-00984-7

Working cancer survivors' physical and mental characteristics compared to cancer-free workers in Japan: a nationwide general population-based study

Atsuhiko Ota et al. J Cancer Surviv. 2021 Dec.

. 2021 Dec;15(6):912-921.

doi: 10.1007/s11764-020-00984-7. Epub 2021 Jan 12.

Authors

Affiliations

¹ Department of Public Health, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi, 470-1192, Japan. ohtaa@fujita-hu.ac.jp.
² Department of Public Health, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi, 470-1192, Japan.
³ Department of Public Health and Health Systems, Nagoya University Graduate School of Medicine, Nagoya, Japan.
⁴ Department of Hygiene and Preventive Medicine, School of Medicine, Iwate Medical University, Iwate, Japan.
⁵ Department of Public Health Medicine, Faculty of Medicine, and Health Services Research and Development Centre, University of Tsukuba, Tsukuba, Japan.
⁶ Ibaraki Western Medical Center, Chikusei, Japan.
⁷ Department of Social and Environmental Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
⁸ Department of Public Health, Kochi University Medical School, Kochi, Japan.
⁹ Department of Public Health and Epidemiology, Faculty of Medicine, Oita University, Oita, Japan.
¹⁰ Center for Education and Educational Research, Faculty of Education, Ehime University, Matsuyama, Japan.
¹¹ Department of Public Health, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
¹² Ken'ou Healthcare Office, Nagasaki Prefectural Government, Nagasaki, Japan.
¹³ Epidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Tokyo, Japan.
¹⁴ Department of Health Data Science, Yokohama City University Graduate School of Data Science, Yokohama, Japan.

PMID: 33433855
PMCID: PMC8519890
DOI: 10.1007/s11764-020-00984-7

Abstract

Purpose: This study compared working cancer survivors' self-rated health status (SRHS), physical functional capacity, depressive symptoms, and happiness to those of cancer-free workers.

Methods: A nationwide general population-based cross-sectional study on a sample of Japanese was conducted. Prevalence of deteriorated SRHS, restricted physical functional capacity, depressive symptoms, and perceived happiness were compared between working cancer survivors and cancer-free workers with multivariable logistic regression analysis adjusted for age and sociodemographic and health-related backgrounds.

Results: Of the 28,311 male and 26,068 female workers, 977 (3.5%) and 1267 (4.9%) were cancer survivors, respectively. Working cancer survivors reported deteriorated SRHS more frequently than cancer-free workers: 21.3% vs. 13.8%, multivariable-adjusted odds ratio (95% confidence interval), 1.64 (1.39-1.95) for men, 23.8% vs. 17.5%, 1.34 (1.16-1.54) for women. Restricted physical functional capacity was reported more frequently in working cancer survivors than cancer-free workers: 6.8% vs. 2.6%, 1.76 (1.34-2.32) for men, 4.9% vs. 2.0%, 2.06 (1.56-2.71) for women. No significant difference was found for depressive symptoms: 21.6% vs. 22.9% in men, 30.0% vs. 28.5% in women. Working cancer survivors felt happiness more frequently than cancer-free survivors in men (77.3% vs. 71.7%, 1.21 (1.01-1.45)) but not in women (76.1% vs. 74.9%).

Conclusions: Working cancer survivors had worse SRHS and more restricted physical functional capacity than cancer-free workers. In men, working cancer survivors felt happiness more frequently than cancer-free workers.

Implications for cancer survivors: Continuous support to improve cancer survivors' SRHS and physical functional capacity would be necessary even while they are working.

Keywords: Cancer survivors; Depressive symptoms; Happiness; Physical functional capacity; Self-rated health status; Work.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

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Working cancer survivors' physical and mental characteristics compared to cancer-free workers in Japan: a nationwide general population-based study

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Working cancer survivors' physical and mental characteristics compared to cancer-free workers in Japan: a nationwide general population-based study

Authors

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Abstract

Conflict of interest statement

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