NIDILRR ARRT: Personal Factor Correlates of Satisfaction with Labor Market Participation Among Cancer Survivors
Objectives
To investigate personal factors that correlate with satisfaction with labor market participation among cancer survivors who are considered to have a disability under the Americans with Disabilities Act Amendments Act of two thousand eight. They continue experiencing barriers to employment in remission.
Design
Cross sectional survey design with items from the World Health Organization Disability Assessment Schedule two point zero and the satisfaction with labor market participation scale (Phillips et al., two thousand twenty two). The World Health Organization Disability Assessment Schedule two point zero, a twelve item continuous scale with twelve to sixty scoring, measures functional status; higher scores indicate lower functional ability.
Setting
Potential participants were recruited through convenience sampling from the crowdsourcing platform Prolific.
Participants
Of the four hundred six individuals screened, three hundred eighty were eligible (that is, were adult United States residents with a history of a cancer diagnosis who comprehend written English). Of those eligible, two hundred fifty were invited and only one hundred forty six completed the online Qualtrics survey.
Interventions
Not applicable.
Main Outcome Measures
Satisfaction with labor market participation is a nine item continuous scale with nine to forty five scoring to measure satisfaction with the amount and autonomy to work regardless of actual employment status; higher scores indicate greater satisfaction with labor market participation.
Results
The final sample consisted of one hundred thirty six cancer survivors; the average age was fifty four point one years (standard deviation, thirteen point six); forty one point two percent were not married, eight point eight percent were unemployed, sixteen point two percent were self employed, ninety one point one percent had at least some postsecondary education, and the average functional score was nineteen point five (standard deviation, seven point six). Employing a multiple linear regression, age was a positive predictor of satisfaction with labor market participation (beta sub j equals zero point eleven; probability value less than zero point zero five) whereas not being married (beta sub j equals minus two point thirty six; probability value less than zero point zero five), being unemployed (beta sub j equals minus seven point eighty five; probability value less than zero point zero one), and higher functional score (that is, lower functional ability; beta sub j equals minus zero point thirty three; probability value less than zero point zero zero one) were negative predictors. The interaction between having completed a degree in secondary education and being self employed was a positive predictor (beta sub j equals sixteen point forty three; probability value less than zero point zero five) of satisfaction with labor market participation, meaning that scores were likely to be higher for people who completed at least some postsecondary education and reported being self employed. The relationship is relatively large and may hold practical significance with an adjusted coefficient of determination of zero point three three eight and an F statistic of five point nine two eight (probability value less than zero point zero zero one).
Conclusions
Results from this exploratory study provide insight into possible correlates of satisfaction with labor market participation. Particularly, supporting unemployed cancer survivors through vocational rehabilitation and a focus on self employment shows promise in promoting satisfaction with labor market participation of cancer survivors. However, more robust research should be conducted to determine the nature of the relationships between these predictors and satisfaction with labor market participation and to investigate the impact of clinical, social, and environmental factors on satisfaction with labor market participation of cancer survivors.
Disclosures
none.
