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Employment in French young adult survivors of childhood leukemia: an LEA study (for Leucemies de l'Enfant et de l'Adolescent-childhood and adolescent leukemia)

Julie Berbis (), Celine Reggio, Gérard Michel, Pascal Chastagner, Yves Bertrand (), Justyna Kanold, Nicolas Sirvent, Dominique Plantaz, André Baruchel, Marie-Dominique Tabone, Floriane Garnier, Marie-Pascale Lehucher-Michel and Pascal Auquier ()
Additional contact information
Julie Berbis: SPMC - Santé Publique et maladies Chroniques : Qualité de vie Concepts, Usages et Limites, Déterminants - AMU - Aix Marseille Université - APHM - Assistance Publique - Hôpitaux de Marseille
Gérard Michel: Pédiatrie et oncologie pédiatrique [Hôpital de la Timone - APHM] - AMU - Aix Marseille Université - APHM - Assistance Publique - Hôpitaux de Marseille - TIMONE - Hôpital de la Timone [CHU - APHM]
Pascal Chastagner: CHRU Nancy - Centre Hospitalier Régional Universitaire de Nancy
Yves Bertrand: Hématologie et immunologie pédiatrique - HFME - Hôpital Femme Mère Enfant [CHU - HCL] - HCL - Hospices Civils de Lyon - HCL - Hospices Civils de Lyon - CHU Lyon - IHOPe - Institut d'hématologie et d'oncologie pédiatrique [CHU - HCL] - HCL - Hospices Civils de Lyon
Justyna Kanold: SHOP - Service Hématologie et Oncologie Pédiatrique [CHU Clermont-Ferrand] - CHU Estaing [Clermont-Ferrand] - CHU Clermont-Ferrand - Pôle Femme et Enfant [CHU Clermont-Ferrand] - CHU Estaing [Clermont-Ferrand] - CHU Clermont-Ferrand
Nicolas Sirvent: UM - Université de Montpellier
Dominique Plantaz: Service Hématologie Infantile - CHUGA - Centre Hospitalier Universitaire [CHU Grenoble]
André Baruchel: Service d'hématologie et immunologie pédiatrique - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - Hôpital Robert Debré - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - UPD7 - Université Paris Diderot - Paris 7
Marie-Dominique Tabone: CHU Trousseau [APHP] - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - SU - Sorbonne Université
Marie-Pascale Lehucher-Michel: TIMONE - Hôpital de la Timone [CHU - APHM], SPMC - Santé Publique et maladies Chroniques : Qualité de vie Concepts, Usages et Limites, Déterminants - AMU - Aix Marseille Université - APHM - Assistance Publique - Hôpitaux de Marseille
Pascal Auquier: SPMC - Santé Publique et maladies Chroniques : Qualité de vie Concepts, Usages et Limites, Déterminants - AMU - Aix Marseille Université - APHM - Assistance Publique - Hôpitaux de Marseille

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Abstract: Our principal aim was to assess the occupational outcomes of French ă survivors of childhood leukemia, compared to national population. The ă secondary objective was to identify determinants linked with employment ă stability after childhood leukemia. ă All survivors aged 15 and over enrolled in the French LEA Cohort ă (Childhood and Adolescent Leukemia) were included. Occupational data ă were self-reported. The occupational distributions expected in the ă cohort for each age range were established based on the distribution in ă France as reference, and comparisons between observed and expected ă distributions were performed. Logistic regression model was used to ă explore determinants of stability of survivors' employment. ă The questionnaire was completed by 845 eligible survivors (response rate ă 87.8 %), with a mean age of 22.3 +/- 5.4 years and a mean follow-up ă duration of 14.3 +/- 6.3 years. Among the 361 survivors currently in the ă labor market, 36 (10.0 %) were seeking a job, which is significantly ă lower than expected (19.3 %) compared to French population. Conversely, ă among those currently employed, the number of survivors in unstable ă employment (43.9 %) was significantly higher than expected (33.5 %). ă Younger age and higher number of late effects were risk factors for ă unstable employment. ă While the employment rate of the young French adult population of ă childhood leukemia survivors seems rather positive, access to a steady ă job appears to be compromised for some survivors. ă A strategy to better identify particular subgroups of survivors at ă greatest risk for difficulties in their professional achievement will ă help ensure the development of specific intervention strategies and ă support procedures.

Keywords: quality (search for similar items in EconPapers)
Date: 2016-12
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Published in Journal of Cancer Survivorship, 2016, 10 (6), pp.1058-1066. ⟨10.1007/s11764-016-0549-0⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-01482374

DOI: 10.1007/s11764-016-0549-0

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