Employment after curative breast cancer treatment: the breast cancer and the workforce cohort study

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ID: 333574
2026
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Abstract
Abstract Purpose Breast cancer can disrupt employment, with a disproportionate negative impact on women from low-income, immigrant, or minoritized groups. Despite known associations between job loss, financial hardship, and inferior clinical outcomes, there is limited information on post-treatment employment among diverse populations. Methods Breast Cancer and the Workforce (BCW) is a prospective cohort study of pre-diagnosis employed women aged 18–64 undergoing treatment for stage I–III breast cancer in New York City. Participants completed surveys at baseline and 4 months post-treatment completion; work status was reassessed 1 and 2 years later. We additionally compared 4-month post-treatment work status between breast cancer survivors and their peers without cancer to control for disparities in noncancer unemployment. Multivariable logistic regression was used to assess predictors of working 4 months post-treatment. Results Among 489 participants, 68.6% were working 4 months post-treatment, 76.1% at 1 year, and 77.3% at 2 years. Compared to non-Latina white women, Black, Chinese, and Latina women were less likely to be working at 4 months (benchmarked to their same race/ethnicity peers), indicating a disparate negative impact of cancer on work status. In multivariable analyses, older age, receipt of chemotherapy, and demands at work were inversely associated with working at 4 months, while higher income, sick leave access, and an accommodating employer were positively associated. Race/ethnicity was not associated with working. Conclusion Breast cancer can negatively impact employment, especially among certain subpopulations. Increased access to workplace accommodations, including paid sick leave, may be a critical target to improve equitable survivorship outcomes.
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Authors Victoria Susana Blinder, Yashasvini Sampathkumar, Sujata Patil, Carolyn E. Eberle, Jennifer Suarez, Bharat Narang, Valeria Lastra Osorio, Andrea Valentina Filgueira, Jackie M. Finik, Antonia Vickery Bennett, Manmeet Malik, Gabriel H Jung, Caroline Hwang, Francesca M. Gany
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Journal JNCI Journal of the National Cancer Institute
Year 2026
DOI
10.1093/jnci/djag384
URL
https://doi.org/10.1093/jnci/djag384
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