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Abstract

French

Background.

Stigma and workplace discrimination can hinder employment opportunities for cancer survivors.

Purpose.

This study explored perceptions of stigma and workplace discrimination for cancer survivors to understand the impact on survivors’ engagement in paid work and to identify strategies to address stigma and workplace discrimination.

Method.

Using Arksey and O’Malley’s framework, we searched Medline, Embase, PsycINFO, Scopus, and CINAHL for evidence that intersected three concepts: cancer, stigma, and employment/workplace discrimination. Of the 1,514 articles initially identified, 39 met our inclusion criteria. Findings were charted, collated, and analyzed using content analysis.

Findings.

Myths regarding cancer (i.e., it is contagious, will always result in death) persist and can create misperceptions regarding survivors’ employability and lead to self-stigmatization. Workplace discrimination may include hiring discrimination, harassment, job reassignment, job loss, and limited career advancement. Strategies to mitigate stigma and workplace discrimination include education, advocacy, and antidiscrimination policies.

Implications.

Occupational therapists can enhance awareness of workplace concerns and advocate on behalf of cancer survivors.

Keywords

Advocacy Employment Literature review Neoplasms Workplace Défense des intérêts Emploi Milieu de travail Néoplasmes Recension des écrits

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References

References marked with an asterisk indicate studies included in the scoping review .

Americans With Disabilities Act of 1990, as amended, 42 U.S.C. § 12101 et seq . (2009). Available at http://www.ada.gov/pubs/adastatute08.htm

Arksey

O’Malley

(2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8, 19–32. doi:10.1080/1364557032000119616

*Asami

Ishida

Sakamoto

(2012). Job discrimination against childhood cancer survivors in japan: A cross-sectional survey. Pediatrics International, 54, 663–668. doi:10.1111/j.1442-200X.2012.03633.x

Bains

Yarker

Amir

Wynn

Munir

(2012). Helping cancer survivors return to work: What providers tell us about the challenges in assisting cancer patients with work questions. Journal of Occupational Rehabilitation, 22, 71–77. doi:10.1007/s10926-011-9330-4

Blinder

V. S.

Patil

Thind

Diamant

Hudis

C. A.

Basch

(2012). Return to work in low-income Latina and non-Latina White breast cancer survivors: A 3-year longitudinal study. Cancer, 118, 1664–1674. doi:10.1002/cncr.26478

*Bouknight

R. R.

Bradley

C. J.

Luo

(2006). Correlates of return to work for breast cancer survivors. Journal of Clinical Oncology, 24, 345–353. doi:10.1200/JCO.2004.00.4929

Bradley

C. J.

Neumark

Luo

Schenk

(2007). Employment and cancer: Findings from a longitudinal study of breast and prostate cancer survivors. Cancer Investigation, 25, 47–54. doi:10.1080/07357900601130664

*Brown

H. G.

Tai-Seale

(1992). Vocational rehabilitation of cancer patients. Seminars in Oncology Nursing, 8, 202–211. doi:10.1016/0749-2081(92)90018-x

10.

*Burman

M. E.

Weinert

(1997). Concerns of rural men and women experiencing cancer. Oncology Nursing Forum, 24, 1593–1600. Retrieved from https://onf.ons.org

11.

Canadian Cancer Society, Advisory Committee on Cancer Statistics. (2015). Canadian cancer statistics 2015. Toronto, ON: Canadian Cancer Society. Retrieved from http://www.cancer.ca/en/cancer-information/cancer-101/cancer-statistics-at-a-glance/?region=on#ixzz3u1RN2bos

12.

Canadian Human Rights Act, R.S.C. 1985, c. H-6. Available at http://laws-lois.justice.gc.ca/eng/acts/h-6/page-1.html

13.

*Chen

H. H. K.

Tan

W. H.

Tan

W. C.

C. K. E.

Lim

T. H. J.

Tay

M. H.

See

H. T.

(2006). Attitudes towards cancer survivors: A small survey. Singapore Medical Journal, 47, 143–146. doi:10.4143/crt.2015.094

14.

*Cho

Smith

Choi

E. K.

Kim

I. R.

Chang

Y. J.

Park

H. Y.

… Shim

Y. M.

(2013). Public attitudes toward cancer and cancer patients: A national survey in Korea. Psycho-Oncology, 22, 605–613. doi:10.1002/pon.3041

15.

*Clark

J. C.

Landis

L. L.

(1989). Reintegration and maintenance of employees with breast cancer in the workplace. AAOHN Journal, 37, 186–193.

16.

Daher

(2012). Cultural beliefs and values in cancer patients. Annals of Oncology, 23, 66–69.

17.

*Ehrmann-Feldman

Spitzer

W. O.

Del Greco

Desmeules

(1987). Perceived discrimination against cured cancer patients in the work force. Canadian Medical Association Journal, 136, 719–723.

18.

Employee Retirement Income Security Act of 1974, Pub. L. No. 93-406, 88 Stat. 829. (2015). Retrieved from https://legcounsel.house.gov/Comps/Employee%20Retirement%20Income%20Security%20Act%20Of%201974.pdf

19.

Equality Act, c. 15. (2010). Retrieved from http://www.legislation.gov.uk/ukpga/2010/15/contents

20.

*Evans

S. E.

Radford

(1995). Current lifestyle of young adults treated for cancer in childhood. Archives of Disease in Childhood, 72, 423–426.

21.

Family and Medical Leave Act of 1993, 29 U.S.C. §§ 2601–2654. (2006). Retrieved from http://www.dol.gov/whd/regs/statutes/fmla.htm

22.

*Feldman

F. L.

(1987). Female cancer patients and caregivers: Experiences in the workplace. Women & Health, 11, 137–153. doi:10.1300/J013v11n03_10

23.

*Feuerstein

Luff

G. M.

Harrington

C. B.

Olsen

C. H.

(2007). Pattern of workplace disputes in cancer survivors: A population study of ADA claims. Journal of Cancer Survivorship, 1, 185–192. doi:10.1007/s11764-007-0027-9

24.

Goffman

(1963). Stigma: Notes on the management of spoiled identity. New York, NY: Prentice-Hall.

25.

*Green

D. M.

Zevon

M. A.

Hall

(1991). Achievement of life goals by adult survivors of modern treatment for childhood cancer. Cancer, 67, 206–213. doi:10.1002/1097-0142(19910101)67:1<206::AID-CNCR2820670134>3.0.CO;2-2

26.

*Grunfeld

E. A.

Drudge-Coates

Rixon

Eaton

Cooper

A. F.

(2013). “The only way I know how to live is to work”: A qualitative study of work following treatment for prostate cancer. Health Psychology, 32, 75–82. doi:10.1037/a0030387

27.

*Hays

D. M.

Landsverk

Sallan

S. E.

Hewett

K. D.

Patenaude

A. F.

Schoonover

… Siegel

S. E.

(1992). Educational, occupational, and insurance status of childhood cancer survivors in their fourth and fifth decades of life. Journal of Clinical Oncology, 10, 1397–1406.

28.

Hsieh

Shannon

(2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15, 1277–1288.

29.

*Hoffman

(1989). Cancer survivors at work: Job problems and illegal discrimination. Oncology Nursing Forum, 16, 39–43.

30.

*Hoffman

(1991). Employment discrimination: Another hurdle for cancer survivors. Cancer Investigation, 9, 589–595. doi:10.3109/07357909109018957

31.

*Hoffman

(2005). Cancer survivors at work: A generation of progress. CA: A Cancer Journal for Clinicians, 55, 271–280. doi:10.3322/canjclin.55.5.271

32.

Kennedy

Haslam

Munir

Pryce

(2007). Returning to work following cancer: A qualitative exploratory study into the experience of returning to work following cancer. European Journal of Cancer Care, 16, 17–25. doi:10.1111/j.1365-2354.2007.00729.x

33.

Macmillan Cancer Support. (2015). Work and cancer. Retrieved from http://www.macmillan.org.uk/information-and-support/organising/work-and-cancer

34.

*Mak

A. K. Y.

(2011). Toward an occupational rehabilitation policy community for cancer survivors in Singapore: A stakeholder perspective from the SME employers. Journal of Occupational Rehabilitation, 21, S77–S85. doi:10.1007/s10926-011-9298-0

35.

*Mak

A. K. Y.

Chaidaroon

Fan

Thalib

(2014). Unintended consequences: The social context of cancer survivors and work. Journal of Cancer Survivorship, 8, 269–281. doi:10.1007/s11764-013-0330-6

36.

Mehnert

(2011). Employment and work-related issues in cancer survivors. Critical Reviews in Oncology/Hematology, 77, 109–130. doi:10.1016/j.critrevonc.2010.01.004

37.

*Molina

Feliu

Villalba

San José

Jiménez

A. M.

Espinosa

… González-Barón

(2008). Employment in a cohort of cancer patients in Spain: A predictive model of working outcomes. Clinical and Translational Oncology, 10, 826–830. doi:10.1007/s12094-008-0296-4

38.

*Moskowitz

M. C.

Todd

B. L.

Chen

Feuerstein

(2014). Function and friction at work: A multidimensional analysis of work outcomes in cancer survivors. Journal of Cancer Survivorship, 8, 173–182. doi:10.1007/s11764-013-0340-4

39.

Nitkin

Parkinson

Schultz

I. Z.

(2011). Cancer and work: A Canadian perspective. Toronto, ON: Canadian Association of Psychological Oncology. Retrieved from www.capo.ca/pdf/CancerandWork-ACanadianPerspective.pdf

40.

*Olson

Hung

Bobinski

M. A.

Goddard

(2011). Prospective evaluation of legal difficulties and quality of life in adult survivors of childhood cancer. Pediatric Blood and Cancer, 56, 439–443. doi:10.1002/pbc.22777

41.

*Paraponaris

Teyssier

L. S.

Ventelou

(2010). Job tenure and self-reported workplace discrimination for cancer survivors 2 years after diagnosis: Does employment legislation matter? Health Policy, 98, 144–155. doi:10.1016/j.healthpol.2010.06.013

42.

*Pardeck

J. T.

(2005). An analysis of the Americans With Disabilities Act (ADA) in the twenty-first century. Journal of Social Work in Disability & Rehabilitation, 4, 121–151. doi:10.1300/j198v04n01_08

43.

*Park

Park

Kim

Lee

Hahm

(2010). Changes in employment status and experience of discrimination among cancer patients: Findings from a nationwide survey in Korea. Psycho-Oncology, 19, 1303–1312. doi:10.1002/pon.1694

44.

*Peteet

J. R.

(2000). Cancer and the meaning of work. General Hospital Psychiatry, 22, 200–205. doi:10.1016/S0163-8343%2800%2900076-1

45.

Rehabilitation Act of 1973, Pub. L. No. 93-112, 87 Stat. 355. (1973). Available at http://www.usbr.gov/cro/pdfsplus/rehabact.pdf

46.

*Rothstein

M. A.

Kennedy

Ritchie

K. J.

Pyle

(1995). Are cancer patients subject to employment discrimination? Oncology, 9, 1303–1306; discussion 1311–1312, 1315.

47.

Sandberg

J. C.

Strom

Arcury

T. A.

(2014). Strategies used by breast cancer survivors to address work-related limitations during and after treatment. Women’s Health Issues, 24, e197–e204. doi:10.1016/j.whi.2013.12.007

48.

*Schultz

P. N.

Beck

M. L.

Stava

Sellin

R. V.

(2002). Cancer survivors. Work-related issues. AAOHN Journal, 50, 220–226.

49.

*Short

P. F.

Vargo

M. M.

(2006). Responding to employment concerns of cancer survivors. Journal of Clinical Oncology, 24, 5138–5141. doi:10.1200/JCO.2006.06.6316

50.

Short

P. F.

Vasey

J. J.

Tunceli

(2005). Employment pathways in a large cohort of adult cancer survivors. Cancer, 103, 1292–1301. doi:10.1002/cncr.20912

51.

*Staley

J. C.

Kagle

J. D.

Hatfield

A. K.

(1987). Cancer patients and their co-workers: A study. Social Work in Health Care, 13, 101–112. doi:10.1300/j010v13n01_08

52.

Stergiou-Kita

Pritlove

van Eerd

Holness

L. D.

Kirsh

Duncan

Jones

(2016). The provision of workplace accommodations following cancer: Survivor, provider, and employer perspectives. Journal of Cancer Survivorship, 10, 489–504. doi:10.1007/s11764-015-0492-5

53.

*Stewart

D. E.

Cheung

A. M.

Duff

Wong

McQuestion

Cheng

… Bunston

(2001). Long-term breast cancer survivors: Confidentiality, disclosure, effects on work and insurance. Psycho-Oncology, 10, 259–263. doi:10.1002/pon.499

54.

*Tamminga

S. J.

de Boer

A. G. E. M.

Verbeek

J. H.

Frings-Dresen

M. H. W.

(2012). Breast cancer survivors’ views of factors that influence the return-to-work process: A qualitative study. Scandinavian Journal of Work, Environment and Health, 38, 144–154. doi:10.5271/sjweh.3199

55.

*Tebbi

C. K.

Bromberg

Piedmonte

(1989). Long-term vocational adjustment of cancer patients diagnosed during adolescence. Cancer, 63, 213–218. doi:10.1002/1097-0142(19890101)63:1<213::aid-cncr2820630134>3.0.co;2-t

56.

*Tiedtke

De Rijk

Dierckx De Casterlé

Christiaens

Donceel

(2010). Experiences and concerns about “returning to work” for women breast cancer survivors: A literature review. Psycho-Oncology, 19, 677–683. doi:10.1002/pon.1633

57.

Valdivieso

Kujawa

A. M.

Jones

Baker

L. H.

(2012). Cancer survivors in the United States: A review of the literature and a call to action. International Journal of Medical Sciences, 9, 163–173. doi:10.7150/ijms.3827

58.

*Villaverde

R. M.

Batlle

J. F.

Yllan

A. V.

Gordo

A. M. J.

Sanchez

A. R.

Valiente

B. S. J.

Baron

M. G.

(2008). Employment in a cohort of breast cancer patients. Occupational Medicine, 58, 509–511. doi:10.1093/occmed/kqn092

59.

*Wasserman

A. L.

Thompson

E. I.

Wilimas

J. A.

Fairclough

D. L.

(1987). The psychological status of survivors of childhood/adolescent Hodgkin’s disease. American Journal of Diseases of Children, 141, 626–631. doi:10.1001/archpedi.1987.04460060044029

60.

*Zevon

M. A.

Neubauer

N. A.

Green

D. M.

(1990). Adjustment and vocational satisfaction of patients treated during childhood or adolescence for acute lymphoblastic leukemia. Journal of Pediatric Hematology/Oncology, 12, 454–461. doi:10.1097/00043426-199024000-00009

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Stigma and work discrimination among cancer survivors: A scoping review and recommendations

Abstract

Background.

Purpose.

Method.

Findings.

Implications.

Keywords

Get full access to this article

References

Supplementary Material