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Little evidence that breast cancer diagnosis leads to employment discrimination, study concludes

Women diagnosed with breast cancer are no more likely than women in the general population to experience discrimination at work, according to a new study in the December 15 issue of the Journal of the National Cancer Institute.

Despite legislation in Canada and other countries to protect workers from discrimination based on disability or health state, some cancer survivors have reported problems in the workplace after cancer. These problems have included job loss, demotion, decreased wages, difficulty in obtaining a new job, and problems with supervisors and colleagues. However, few quantitative studies have addressed the work experiences of cancer survivors.

To assess breast cancer survivors' work experience, Elizabeth Maunsell, of the Universit Laval in Quebec City, and colleagues conducted a population-based retrospective cohort study in Quebec, Canada, of a series of breast cancer patients who were age 60 and younger at diagnosis. The work experiences of 646 of these women over the 3 years after their diagnosis were compared with the experiences during the same time period of a group comprised of 890 women who were similar to the survivors except that they had never been diagnosed with cancer.

Slightly more breast cancer survivors than women in the comparison group (21% versus 15%) were unemployed at the end of the 3-year period. However, most women who were not working (84% of unemployed survivors and 76% of unemployed women in the comparison group) said that the decision to stop working was their own. Among women still employed 3 years later, no deterioration in working conditions was observed in either group. In addition, negative events, such as firings, were rare in both groups.

"[W]e recognize that individual women may find the return to work after breast cancer difficult and may attribute work problems or the personal decision to reduce work effort to the fact of having had breast cancer," the authors write. "On a
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Contact: Sarah L. Zielinski
jncimedia@oupjournals.org
301-841-1287
Journal of the National Cancer Institute
14-Dec-2004


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