Employment and insurance outcomes and factors associated with employment among long-term thyroid cancer survivors: A population-based study from the PROFILES registry

S.J. Tamminga, U. Bültmann, O. Husson, J.L. Kuijpens, M.H.W. Frings-Dresen, A.G.E.M. de Boer

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Abstract

Purpose
To obtain insight into employment and insurance outcomes of thyroid cancer survivors and to examine the association between not having employment and other factors including quality of life.
Methods
In this cross-sectional population-based study, long-term thyroid cancer survivors from the Netherlands participated. Clinical data were collected from the cancer registry. Information on employment, insurance, socio-demographic characteristics, long-term side effects, and quality of life was collected with questionnaires.
Results
Of the 223 cancer survivors (response rate 87 %), 71 % were employed. Of the cancer survivors who tried to obtain insurance, 6 % reported problems with obtaining health care insurance, 62 % with life insurance, and 16 % with a mortgage. In a multivariate logistic regression analysis, higher age (OR 1.07, CI 1.02–1.11), higher level of fatigue (OR 1.07, CI 1.01–1.14), and lower educational level (OR 3.22, CI 1.46–7.09) were associated with not having employment. Employment was associated with higher quality of life.
Conclusions
Many thyroid cancer survivors face problems when obtaining a life insurance, and older, fatigued, and lower educated thyroid cancer survivors may be at risk for not having employment.
Keywords: Thyroid cancer Cancer survivorship Work Employment Population-based study
Original languageEnglish
Pages (from-to)997-1005
JournalQuality of Life Research
Volume25
Issue number4
DOIs
Publication statusPublished - 2016

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Survivors
Life Insurance
Neoplasms
Netherlands
Survival Rate
Logistic Models
Delivery of Health Care

Cite this

Tamminga, S.J. ; Bültmann, U. ; Husson, O. ; Kuijpens, J.L. ; Frings-Dresen, M.H.W. ; de Boer, A.G.E.M. / Employment and insurance outcomes and factors associated with employment among long-term thyroid cancer survivors : A population-based study from the PROFILES registry. In: Quality of Life Research. 2016 ; Vol. 25, No. 4. pp. 997-1005.
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abstract = "PurposeTo obtain insight into employment and insurance outcomes of thyroid cancer survivors and to examine the association between not having employment and other factors including quality of life.MethodsIn this cross-sectional population-based study, long-term thyroid cancer survivors from the Netherlands participated. Clinical data were collected from the cancer registry. Information on employment, insurance, socio-demographic characteristics, long-term side effects, and quality of life was collected with questionnaires.ResultsOf the 223 cancer survivors (response rate 87 {\%}), 71 {\%} were employed. Of the cancer survivors who tried to obtain insurance, 6 {\%} reported problems with obtaining health care insurance, 62 {\%} with life insurance, and 16 {\%} with a mortgage. In a multivariate logistic regression analysis, higher age (OR 1.07, CI 1.02–1.11), higher level of fatigue (OR 1.07, CI 1.01–1.14), and lower educational level (OR 3.22, CI 1.46–7.09) were associated with not having employment. Employment was associated with higher quality of life.ConclusionsMany thyroid cancer survivors face problems when obtaining a life insurance, and older, fatigued, and lower educated thyroid cancer survivors may be at risk for not having employment.Keywords: Thyroid cancer Cancer survivorship Work Employment Population-based study",
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Employment and insurance outcomes and factors associated with employment among long-term thyroid cancer survivors : A population-based study from the PROFILES registry. / Tamminga, S.J.; Bültmann, U.; Husson, O. ; Kuijpens, J.L.; Frings-Dresen, M.H.W.; de Boer, A.G.E.M.

In: Quality of Life Research, Vol. 25, No. 4, 2016, p. 997-1005.

Research output: Contribution to journalArticleScientificpeer-review

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T1 - Employment and insurance outcomes and factors associated with employment among long-term thyroid cancer survivors

T2 - A population-based study from the PROFILES registry

AU - Tamminga, S.J.

AU - Bültmann, U.

AU - Husson, O.

AU - Kuijpens, J.L.

AU - Frings-Dresen, M.H.W.

AU - de Boer, A.G.E.M.

PY - 2016

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N2 - PurposeTo obtain insight into employment and insurance outcomes of thyroid cancer survivors and to examine the association between not having employment and other factors including quality of life.MethodsIn this cross-sectional population-based study, long-term thyroid cancer survivors from the Netherlands participated. Clinical data were collected from the cancer registry. Information on employment, insurance, socio-demographic characteristics, long-term side effects, and quality of life was collected with questionnaires.ResultsOf the 223 cancer survivors (response rate 87 %), 71 % were employed. Of the cancer survivors who tried to obtain insurance, 6 % reported problems with obtaining health care insurance, 62 % with life insurance, and 16 % with a mortgage. In a multivariate logistic regression analysis, higher age (OR 1.07, CI 1.02–1.11), higher level of fatigue (OR 1.07, CI 1.01–1.14), and lower educational level (OR 3.22, CI 1.46–7.09) were associated with not having employment. Employment was associated with higher quality of life.ConclusionsMany thyroid cancer survivors face problems when obtaining a life insurance, and older, fatigued, and lower educated thyroid cancer survivors may be at risk for not having employment.Keywords: Thyroid cancer Cancer survivorship Work Employment Population-based study

AB - PurposeTo obtain insight into employment and insurance outcomes of thyroid cancer survivors and to examine the association between not having employment and other factors including quality of life.MethodsIn this cross-sectional population-based study, long-term thyroid cancer survivors from the Netherlands participated. Clinical data were collected from the cancer registry. Information on employment, insurance, socio-demographic characteristics, long-term side effects, and quality of life was collected with questionnaires.ResultsOf the 223 cancer survivors (response rate 87 %), 71 % were employed. Of the cancer survivors who tried to obtain insurance, 6 % reported problems with obtaining health care insurance, 62 % with life insurance, and 16 % with a mortgage. In a multivariate logistic regression analysis, higher age (OR 1.07, CI 1.02–1.11), higher level of fatigue (OR 1.07, CI 1.01–1.14), and lower educational level (OR 3.22, CI 1.46–7.09) were associated with not having employment. Employment was associated with higher quality of life.ConclusionsMany thyroid cancer survivors face problems when obtaining a life insurance, and older, fatigued, and lower educated thyroid cancer survivors may be at risk for not having employment.Keywords: Thyroid cancer Cancer survivorship Work Employment Population-based study

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