Work-Related Outcomes in Self-Employed Cancer Survivors: A European Multi-country Study

Steffen Torp, Alain Paraponaris, Elke van Hoof, Marja-Liisa Lindbohm, Sietske Tamminga, Caroline Alleaume (), Nick van Campenhout, Linda Sharp and Angela de Boer
Additional contact information
Steffen Torp: USN - University College of Southeast Norway
Elke van Hoof: VUB - Vrije Universiteit Brussel [Bruxelles]
Marja-Liisa Lindbohm: University of Tampere [Finland]
Sietske Tamminga: Amsterdam Public Health Research Institute [The Netherlands]
Caroline Alleaume: SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD - Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale - IRD - Institut de Recherche pour le Développement - AMU - Aix Marseille Université - INSERM - Institut National de la Santé et de la Recherche Médicale
Nick van Campenhout: VUB - Vrije Universiteit Brussel [Bruxelles]
Linda Sharp: NCRIE - National Cancer Registry Ireland
Angela de Boer: Amsterdam Public Health Research Institute [The Netherlands]

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Abstract: Purpose To describe: (i) patterns of self-employment and social welfare provisions for self-employed and salaried workers in several European countries; (ii) work-related outcomes after cancer in self-employed people and to compare these with the work-related outcomes of salaried survivors within each sample; and (iii) work-related outcomes for self-employed cancer survivors across countries. Methods Data from 11 samples from seven European countries were included. All samples had cross-sectional survey data on work outcomes in self-employed and salaried cancer survivors who were working at time of diagnosis (n = 22–261 self-employed/101–1871 salaried). The samples included different cancers and assessed different outcomes at different times post-diagnosis. Results Fewer self-employed cancer survivors took time off work due to cancer compared to salaried survivors. More self-employed than salaried survivors worked post-diagnosis in almost all countries. Among those working at the time of survey, self-employed survivors had made a larger reduction in working hours compared to pre-diagnosis, but they still worked more hours per week post-diagnosis than salaried survivors. The self-employed had received less financial compensation when absent from work post-cancer, and more self-employed, than salaried, survivors reported a negative financial change due to the cancer. There were differences between self-employed and salaried survivors in physical job demands, work ability and quality-of-life but the direction and magnitude of the differences differed across countries. Conclusion Despite sample differences, self-employed survivors more often continued working during treatment and had, in general, worse financial outcomes than salaried cancer survivors. Other work-related outcomes differed in different directions across countries.

Date: 2019-06
Note: View the original document on HAL open archive server: https://amu.hal.science/hal-01989959v1
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Published in Journal of Occupational Rehabilitation, 2019, 29 (2), pp.361-374. ⟨10.1007/s10926-018-9792-8⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-01989959

DOI: 10.1007/s10926-018-9792-8

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