Income Change One Year after Confirmed Cancer Diagnosis and Its Associated Factors in Japanese Patients

Akitsu Murakami (), Kanae Kanda, Nlandu Roger Ngatu, Kosuke Chujo, Yusuke Yamadori, Yukinori Mashima, Akihito Tsuji, Tomohiro Hirao () and Gotaro Shirakami
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Akitsu Murakami: Department of Anesthesiology, Faculty of Medicine, Kagawa University, Miki-cho 761-0793, Kagawa, Japan
Kanae Kanda: Department of Public Health, Faculty of Medicine, Kagawa University, Miki-cho 761-0793, Kagawa, Japan
Nlandu Roger Ngatu: Department of Public Health, Faculty of Medicine, Kagawa University, Miki-cho 761-0793, Kagawa, Japan
Kosuke Chujo: Department of Anesthesiology, Faculty of Medicine, Kagawa University, Miki-cho 761-0793, Kagawa, Japan
Yusuke Yamadori: Department of Anesthesiology, Faculty of Medicine, Kagawa University, Miki-cho 761-0793, Kagawa, Japan
Yukinori Mashima: Clinical Research Support Center, Kagawa University Hospital, Miki-cho 761-0793, Kagawa, Japan
Akihito Tsuji: Cancer Center, Kagawa University, Miki-cho 761-0793, Kagawa, Japan
Tomohiro Hirao: Department of Public Health, Faculty of Medicine, Kagawa University, Miki-cho 761-0793, Kagawa, Japan
Gotaro Shirakami: Department of Anesthesiology, Faculty of Medicine, Kagawa University, Miki-cho 761-0793, Kagawa, Japan

IJERPH, 2022, vol. 19, issue 23, 1-8

Abstract: The number of patients who survive for a long time after cancer diagnosis is rapidly increasing; however, such patients experience major problems such as returning to work and changes in their income. This study aimed to determine the extent of income changes of cancer patients during the first year after cancer diagnosis and identify the influencing factors. From November 2019 through January 2020, we conducted a multicenter, self-administered anonymous survey of cancer patients in Kagawa Prefecture, Japan. The number of questionnaires collected was 483 (recovery rate 60.4%), and the number of participants who met the inclusion criteria was 72. Mean year-on-year income level one year since cancer diagnosis was 66% (SD: 32%; median: 70%). Cancer stage ( p = 0.016), employment status at diagnosis ( p = 0.006), and continued employment at the same workplace ( p = 0.001) were associated with income change. Findings from this study showed that cancer patients lost one-thirds of their income one year after their diagnosis. It was related to the stage of their illness, employment status, and continued employment at their workplace just before the diagnosis. Employers should provide cancer patients with the support they need to keep them employed.

Keywords: cancer survivor; continued employment; financial stress; income change; socioeconomic factors; year-on-year income level (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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