Risk for unemployment of cancer survivors: A Danish cohort study

Aim: To investigate whether cancer survivors are at an increased risk for unemployment after cancer. Materials and methods: A cohort of 65,510 patients who were part of the workforce in the year before diagnosis and a random sample of 316,925 age and gender-matched controls were followed for up to 20 years in a longitudinal register-based cohort study. Demographic, socioeconomic and health-related information were obtained through Danish administrative registers. Results: Cancer survivors had a small but significantly increased risk for unemployment following cancer. Stratified analyses showed that the risk for unemployment was highest amongst persons aged 50-60 years at time of diagnosis. Risk factors for unemployment were found to be manual work, medium income and vocational education. Conclusion: Generally, cancer patients were at a small increased risk for unemployment and low socioeconomic position was a significant risk factor. (C) 2008 Elsevier Ltd. All rights reserved.