Wage Losses in the Year After Breast Cancer: Extent and Determinants Among Canadian Women (original) (raw)

Abstract

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Wage losses following a breast cancer diagnosis can impose significant financial strain, particularly as an increasing number of women are workforce participants and the complexity of breast cancer treatments leads to longer absences from work. This study analyzes wage losses and their determinants among women with early-stage breast cancer in Quebec over the year post-diagnosis, highlighting that the average wage loss was considerable and associated negatively with family financial well-being. The findings indicate a need for comprehensive policies to support affected individuals in managing their economic stability during recovery.

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References (57)

  1. Will B , Berthelot J-M , Le Petit C , Tomiak E , Verma S , Evans W . Estimates of the lifetime costs of breast cancer treatment in Canada . Eur J Cancer . 2000 ; 36 ( 6 ): 724 -735 .
  2. Aziz NM . Cancer survivorship research: challenge and opportunity . J Nutr . 2002 ; 132 ( 11 suppl ): 3494S -3503S .
  3. Wingo PA , Howe HL , Thun MJ , et al . A national framework for cancer sur- veillance in the United States . Cancer Causes Control . 2005 ; 16 ( 2 ): 151 -170 .
  4. Lidgren M , Wilking N , Jonsson B , Rehnberg C . Resource use and costs associated with different states of breast cancer . Int J Technol Assess Health Care . 2007 ; 23 ( 2 ): 223 -231 .
  5. Gordon L , Scuffham P , Hayes S , Newman B . Exploring the economic impact of breast cancers during the 18 months following diagnosis . Psychooncology . 2007 ; 16 ( 12 ): 1130 -1139 .
  6. Arozullah AM , Calhoun EA , Wolf M , et al . The fi nancial burden of can- cer: estimates from a study of insured women with breast cancer . J Support Oncol . 2004 ; 2 ( 3 ): 271 -278 .
  7. Lauzier S , Maunsell E , Drolet M , Coyle D , Brisson J , Hébert-Croteau N . Costs to women during the fi rst 6 months after a diagnosis of breast can- cer . Psychooncology . 2003 ; 12 ( 4 suppl ): S161 -S162 .
  8. Houts PS , Harvey HA , Simmonds MA , et al . Characteristics of patients at risk for fi nancial burden because of cancer and its treatment . J Psychosoc Oncol . 1985 ; 3 ( 2 ): 15 -22 .
  9. Houts PS , Lipton A , Harvey HA , et al . Nonmedical costs to patients and their families associated with outpatient chemotherapy . Cancer . 1984 ; 53 ( 11 ): 2388 -2392 .
  10. Canadian Breast Cancer Network . Results of the National Survey on the Financial Cost of Having Breast Cancer . Ottawa: ON : Canadian Breast Cancer Network; 2004. www.cbcn.ca/documents/pdf/fi nancialsurveyre- sults_eng.pdf. Accessed January 17, 2008 .
  11. Lauzier S , Maunsell E , De Koninck M , Drolet M , Hébert-Croteau N , Robert J . Conceptualization and sources of costs from breast cancer: fi ndings from patient and caregiver focus groups . Psychooncology . 2005 ; 14 ( 5 ): 351 -360 .
  12. Langlois S , Baillargeon J-P , Caldwell G , Fréchet G , Gauthier M , Simard J-P . La société québécoise en tendances 1960 -1990 . Québec, Canada : Diffusion Prologue Inc, Institut québécois de la recherche sur la culture ; 1991 .
  13. Chirikos TN . Economic impact of the growing population of breast can- cer survivors . Cancer Control . 2001 ; 8 ( 2 ): 177 -183 .
  14. Chirikos TN , Russell-Jacobs A , Cantor AB . Indirect economic effects of long-term breast cancer survival . Cancer Pract . 2002 ; 10 ( 5 ): 248 -255 .
  15. Drolet M , Maunsell E , Mondor M , et al . Work absence after breast cancer diagnosis: a population-based study . CMAJ . 2005 ; 173 ( 7 ): 765 -769 .
  16. Maunsell E , Drolet M , Brisson J , Brisson C , Masse B , Deschenes L . Work situation after breast cancer: results from a population-based study . J Natl Cancer Inst . 2004 ; 96 ( 24 ): 1813 -1822 .
  17. Chirikos TN , Russel-Jacobs A , Jacobsen PB . Functional impairment and the economic consequences of female breast cancer . Women Health . 2002 ; 36 ( 1 ): 1 -20 .
  18. Bradley CJ , Bednarek HL , Neumark D . Breast cancer survival, work, and earnings . J Health Econ . 2002 ; 21 ( 5 ): 757 -779 .
  19. O'Brien BJ , Rusthoven J , Rocchi A , et al . Impact of chemotherapy- associated nausea and vomiting on patients' functional status and on costs: survey of fi ve Canadian centres . CMAJ . 1993 ; 149 ( 3 ): 296 -302 .
  20. Moore K . Out-of-pocket expenditures of outpatients receiving chemo- therapy . Oncol Nurs Forum . 1998 ; 25 ( 9 ): 1615 -1622 .
  21. Longo CJ , Fitch M , Deber RB , Williams AP . Financial and family burden associated with cancer treatment in Ontario, Canada . Support Care Cancer . 2006 ; 14 ( 11 ): 1077 -1085 .
  22. Lloyd K , Engebretson A , Adamczyk P , Tomori C , Lyons T , Bennett C . Out-of-pocket costs and lost wages associated with colorectal, breast, and prostate cancer care . Proc Am Soc Clin Oncol . 2001 ; 20 : Abstract 961 .
  23. Yabroff KR , Davis WW , Lamont EB , et al . Patient time costs associated with cancer care . J Natl Cancer Inst . 2007 ; 99 ( 1 ): 14 -23 .
  24. Given BA , Given CW , Stommel M . Family and out-of-pocket costs for women with breast cancer . Cancer Pract . 1994 ; 2 ( 3 ): 187 -193 .
  25. Butler L , Downe-Wamboldt B , Melanson P , et al . Prevalence, correlates, and costs of patients with poor adjustment to mixed cancers . Cancer Nurs . 2006 ; 29 ( 1 ): 9 -16 .
  26. Grunfeld E , Gray A , Mant D , et al . Follow-up of breast cancer in primary care vs specialist care: results of an economic evaluation . Br J Cancer . 1999 ; 79 ( 7 -8 ): 1227 -1233 .
  27. Maguire P , Pentol A , Allen D , Tait A , Brooke M , Sellwood R . Cost of coun- selling women who undergo mastectomy . BMJ . 1982 ; 284 ( 6333 ): 1933 -1935 .
  28. Hillner B . Economic and cost-effectiveness issues in breast cancer treat- ment . Semin Oncol . 1996 ; 23 : (1 suppl 2) 98 -104 .
  29. Lansky SB , Cairns NU , Clark GM , Lowman J , Miller L , Trueworthy R . Childhood cancer: nonmedical costs of the illness . Cancer . 1979 ; 43 ( 1 ): 403 -408 .
  30. Birenbaum LK , Clarke-Steffen L . Terminal care costs in childhood can- cer . Pediatr Nurs . 1992 ; 18 ( 3 ): 285 -288 .
  31. Houts PS , Lipton A , Harvey HA , Martin BA . A method for collecting detailed data on direct and indirect medical expenses of cancer patients . Prog Clin Biol Res. 1983 ; 120 : 193 -199 .
  32. Moore KA . Breast cancer patients' out-of-pocket expenses . Cancer Nurs . 1999 ; 22 ( 5 ): 389 -396 .
  33. Agency for Healthcare Research and Quality (AHRQ) . Medical expendi- ture panel survey [questionnaire] .
  34. Lauzier S , Maunsell E , De Koninck M , Drolet M , Hébert-Croteau N . Women's and caregivers' costs from breast cancer: fi ndings from a focus group study . Psychooncology . 2003 ; 12 ( 4 suppl ): S163 .
  35. Maunsell E , Drolet M , Ouhoummane N , Robert J . Breast cancer survivors accurately reported key treatment and prognostic characteristics . J Clin Epidemiol . 2005 ; 58 ( 4 ): 364 -369 .
  36. Drummond M , Sculpher M , Torrance G , O'Brien B , Stoddart G . Economic evaluation using patient-level data . In: Drummond M , Sculpher M , Torrance G , O'Brien B , Stoddart G , eds. Methods for the Economic Evaluation of Health Care Programmes . 3rd ed. Oxford, UK : Oxford University Press ; 2005 : 247 -275 .
  37. Audet N , Lemieux M , Cardin J-F . Enquête sociale et de santé 1998 -Cahier technique et méthodologique: Défi nition et composition des indices . Vol. 2 . Montréal, QC ; Institut de la Statistique du Québec; 2001 : 191 -193 .
  38. The Canada Employment Insurance Commission . Employment insurance 2005 monitoring and assessment report. Report No.: SP-102-04-06E .
  39. Ottawa, ON : Human Resources and Development Canada ; 2006 .
  40. Statistics Canada . Summary tables: Average hourly wages of employees by selected characteristics and profession, unadjusted data, by province (monthly) -data for September 2006. Ottawa, ON: Statistics Canada; 2006. http://www40.statcan.ca/l01/cst01/labr69a.htm . Accessed October 29, 2007.
  41. Société Canadienne du Cancer . Rapport fi nal sur les besoins des personnes atteintes de cancer au Canada . Toronto, ON ; 1992 .
  42. Keith VM . Gender, fi nancial strain, and psychological distress among older adults . Research on Aging . 1993 ; 15 ( 2 ): 123 -147 .
  43. Krause N , Jay G , Liang J . Financial strain and psychological well-being among the American and Japanese elderly . Psychol Aging . 1991 ; 6 ( 2 ): 170 -181 .
  44. Schulz R , Williamson GM , Knapp JE , Bookwala J , Lave J , Fello M . The psychological, social, and economic impact of illness among patients with recurrent cancer . J Psychosoc Oncol . 1995 ; 13 ( 3 ): 21 -45 .
  45. Bellerose C , Lavallée C , Chénard L , Levasseur M . Santé Québec: Et la santé, ça va en 1992 -1993? Rapport de l'Enquête sociale et de santé 1992 -1993 . Vol. 1. Montréal, QC: Ministère de la santé et des services sociaux; 1995 .
  46. Kleinbaum D , Kupper L , Muller K , Nizam A . Applied regression analysis and other multivariable methods . 3rd ed. Pacifi c Grove, CA : Duxbury Press ; 1998 .
  47. Statistics Canada . Guide to the Labour force Survey . Ottawa, ON: Canadian Government Publishing; 2007 . http://www.statcan.ca/bsolc/english/ bsolc?catno=71-543-G&CHROPG=1 . Accessed January 17, 2008 .
  48. Hornbrook MC . On the defi nition and measurement of the economic burden of cancer . In: Lipscomb J , Gotay CC , Snyder C , eds. Outcomes Assessment in Cancer: Measures, Methods, and Applications . Cambridge, UK : Cambridge University Press ; 2005 : 480 -502 .
  49. Emanuel EJ , Fairclough DL , Slutsman J , Emanuel LL . Understanding economic and other burdens of terminal illness: the experience of patients and their caregivers . Ann Intern Med . 2000 ; 132 ( 6 ): 451 -459 .
  50. Bradley C , Oberst K , Schenk M . Absenteeism from work: the experience of employed breast and prostate cancer patients in the months following diagnosis . Psychooncology . 2006 ; 15 ( 8 ): 739 -747 .
  51. United States Social Security Administration . Social Security Programs Throughout the World: the Americas , 2005 . Geneva, Switzerland: International Social Security Association; 2006. http://www.ssa.gov/policy/docs/prog- desc/ssptw/2004-2005/americas/index.html. Accessed January 17, 2008 .
  52. Maunsell E , Coyle D , Brisson J , et al . Family costs of breast cancer: extent, determinants, and relation with quality of life . Canadian Breast Cancer Research Alliance (grants 010318, 013324, 017317) and Quebec Ministry of Health; $991,114; 1999 -2008 .
  53. Bradley CJ . The need for online information on the economic conse- quences of cancer diagnosis, treatment, and survivorship . J Med Internet Res. 2005 ; 7 ( 3 ): e29 .
  54. Prince MJ . Filling a gap in Canadians' economic and social security: the case for a medium-term sickness/disability income benefi t . Paper prepared for Human Resources and Social Development Canada ; 2006 .
  55. Steering Committee on Clinical Practice Guidelines for the Care and Treatment of Breast Cancer . Clinical practice guidelines for the care and treatment of breast cancer. CMAJ . 1998 ; 158 (3 suppl): S1 -S82 .
  56. and interpretation of data, and drafting of the manuscript. S. Lauzier also contributed to the design, acquisition, analysis, and interpretation of data and drafted the manuscript. M. Drolet contributed to the design of questionnaire and to the acquisition of data. B. Abdous contributed to the statistical analysis.
  57. D. Coyle, N. Hébert-Croteau, J. Brisson, B. Mâsse, A. Robidoux, and J. Robert contributed to the conception and design of the study and to the interpreta- tion of data. All of the authors revised the manuscript critically for important intellectual content. We thank the women and caregivers who participated in the different phases of the Family Costs of Breast Cancer Study and the study coordinator, interviewers, data manager, statisticians, and the clinician collaborators responsible for recruitment: Michèle Brie (Centre hospitalier régional de Baie-Comeau, Baie-Comeau), Judith Gaudreault (Centre hospit- alier régional du Grand-Portage, Rivière-du-Loup), Marie-Hélène Girouard (Centre hospitalier régional de Trois-Rivières, Trois-Rivières), Jean Robert (Hôpital du Saint-Sacrement, Québec), André Robidoux (Centre hospitalier de l'Université de Montréal, Montréal), Mathieu Roy (Centre hospitalier Pierre- Boucher, Longueuil), Renée Simon (Hôpital Charles-Lemoyne, Greenfi eld Park), and Éric Imbeau (Hôtel-Dieu de Lévis, Lévis). Manuscript received July 11 , 2007 ; revised December 10 , 2007 ; accepted January 18 , 2008 .