Involuntariness of job changes is related to less satisfaction with occupational development in long-term breast cancer survivors

Hiltrop, Kati ORCID: 0000-0002-8357-0855, Heidkamp, Paula, Breidenbach, Clara, Kowalski, Christoph, Enders, Anna, Pfaff, Holger ORCID: 0000-0001-9154-6575, Ansmann, Lena, Geiser, Franziska ORCID: 0000-0002-4212-9692 and Ernstmann, Nicole . Involuntariness of job changes is related to less satisfaction with occupational development in long-term breast cancer survivors. J. Cancer Surviv.-Res. Pract.. NEW YORK: SPRINGER. ISSN 1932-2267

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DOI:10.1007/s11764-021-01035-5

Abstract

Purpose Considering that breast cancer survivors (BCSs) have been dealing with unwanted job changes after diagnosis, this study aimed to investigate involuntary job changes (unwanted modifications in employment since diagnosis) and explore the association between job changes, involuntariness, and occupational development satisfaction in BCSs 5-6 years after diagnosis. Methods Data were drawn from the mixed-methods breast cancer patients' return to work (B-CARE) study. We surveyed 184 female BCSs who were working at the time of study enrollment during hospitalization (T1), 10 weeks after discharge (T2), 40 weeks after discharge (T3), and 5-6 years after diagnosis (T4) and used descriptive measures and stepwise linear regression models for data analysis. Results The mean age of BCSs was 57 years. A total of 105 participants reported 410 job changes, of which 16.1% were reportedly (rather) involuntary. The most commonly reported involuntary changes were increased workload (15.2%) and increased scope of work (15.2%). In the final model, significant predictors of satisfaction with occupational development 5-6 years after diagnosis were age, state of health Delta T2-T3, state of health Delta T3-T4, and involuntariness of job changes. Conclusions Although the number of job changes alone is not substantially associated with BCSs' satisfaction with occupational development, experiencing involuntary job changes is. Sociodemographic, disease-related, and work(place)-related factors may influence occupational satisfaction among BCSs. Implications for Cancer Survivors The findings indicate the importance of strengthening one's ability to work as desired to prevent involuntary job changes and enable desired work participation in long-term support. The significance of workplace characteristics highlights the need for employers to encourage satisfying work participation.

Item Type:

Journal Article

Creators:

Creators	Email	ORCID	ORCID Put Code
Hiltrop, Kati	UNSPECIFIED	orcid.org/0000-0002-8357-0855	UNSPECIFIED
Heidkamp, Paula	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Breidenbach, Clara	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Kowalski, Christoph	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Enders, Anna	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Pfaff, Holger	UNSPECIFIED	orcid.org/0000-0001-9154-6575	UNSPECIFIED
Ansmann, Lena	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Geiser, Franziska	UNSPECIFIED	orcid.org/0000-0002-4212-9692	UNSPECIFIED
Ernstmann, Nicole	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED