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

Lookup NU author(s): Professor Linda Sharp


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© 2018 Springer Science+Business Media, LLC, part of Springer Nature 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.

Publication metadata

Author(s): Torp S, Paraponaris A, van Hoof E, Lindbohm M-L, Tamminga SJ, Alleaume C, van Campenhout N, Sharp L, de Boer AGEM

Publication type: Article

Publication status: Published

Journal: Journal of Occupational Rehabilitation

Year: 2019

Volume: 29

Pages: 361-374

Online publication date: 26/06/2018

Acceptance date: 02/04/2018

ISSN (print): 1053-0487

ISSN (electronic): 1573-3688

Publisher: Springer New York LLC


DOI: 10.1007/s10926-018-9792-8


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