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Changes in Employment Status and Income and Workplace Organizational Support Among Cancer Survivors: A Descriptive Study in Iran Publisher Pubmed



Sheikhychaman M1 ; Daroudi R2 ; Rashidian H3 ; Seyyedsalehi MS4 ; Nahvijou A3 ; Hadji M5 ; Zendehdel K3
Authors
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Authors Affiliations
  1. 1. Health Economics Policy Research Center, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
  2. 2. Department of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Cancer Research Center, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy
  5. 5. A.I. Virtanen Institute for Molecular Sciences, University of Eastern Finland, Kuopio, 70150, Finland

Source: Journal of Cancer Policy Published:2025


Abstract

Purpose: Cancer is the second leading cause of mortality in Iran, significantly impacting patients' lives and the public health system. This study aims to investigate changes in employment status and income and workplace organizational support among Iranian cancer survivors following their diagnosis. Methods: This study was conducted at the Cancer Institute of Imam Khomeini Hospital complex in Tehran, Iran, in 2019. A total of 250 cancer survivors who were employed prior to their diagnosis and more than a year had passed since their diagnosis were selected from the IROPICAN study and participated in this research. Data collection was performed through telephone interviews using a validated researcher-made questionnaire. Statistical analyses were carried out using SPSS v.18 software. Results: Cancer diagnosis led to changes in the employment status of 75 % (N = 188) of participants, with nearly half (N = 122) becoming unemployed. Financial necessity was the primary reason survivors continued working after treatment. Additionally, 76 % experienced income changes, with 85 individuals facing a complete loss of income. Only half of the 115 patients requiring organizational support in the workplace received assistance, while the rest primarily benefited from approved leave applications. Conclusion: Iranian cancer patients face significant socioeconomic challenges, including unemployment, reduced income, and inadequate organizational support in the workplace. © 2025