abstract: 'BACKGROUND: Previous research has found an 80\% return-to-work rate in

  mid-income white breast cancer survivors, but little is known about the

  employment trajectory of low-income minorities or whites. We set out to

  compare the trajectories of low-income Latina and non-Latina white

  survivors and to identify correlates of employment status. METHODS:

  Participants were low-income women who had localized breast cancer,

  spoke English or Spanish, and were employed at the time of diagnosis.

  Interviews were conducted 6, 18, and 36 months after diagnosis.

  Multivariate logistic regression was used to identify independent

  correlates of employment status at 18 months. RESULTS: Of 290

  participants, 62\% were Latina. Latinas were less likely than non-Latina

  whites to be working 6 months ( 27\% vs 49\%; P.0002) and 18 months (

  45\% vs 59\%; P.02) after diagnosis, but at 36 months there was no

  significant difference ( 53\% vs 59\%; P.29). Latinas were more likely

  to be manual laborers than were non-Latina whites ( P <.0001). Baseline

  job type and receipt of axillary node dissection were associated with

  employment status among Latinas but not non-Latina whites. CONCLUSIONS:

  Neither low-income Latinas nor non-Latina whites approached the 80\%

  rate of return to work seen in wealthier white populations. Latinas

  followed a protracted return-to-work trajectory compared to non-Latina

  whites, and differences in job type appear to have played an important

  role. Manual laborers may be disproportionately impacted by surgical

  procedures that limit physical activity. This can inform the development

  of rehabilitative interventions and may have important implications for

  the surgical and postsurgical management of patients. Cancer 2012; 118:

  1664-74. VC 2011 American Cancer Society.'
affiliation: 'Blinder, VS (Corresponding Author), Mem Sloan Kettering Canc Ctr, Dept
  Epidemiol \& Biostat, 307 E 63rd St, New York, NY 10065 USA.

  Blinder, Victoria S., Mem Sloan Kettering Canc Ctr, Dept Epidemiol \& Biostat, New
  York, NY 10065 USA.

  Thind, Amardeep, Univ Western Ontario, London, ON, Canada.

  Diamant, Allison; Maly, Rose C., Univ Calif Los Angeles, David Geffen Sch Med, Los
  Angeles, CA 90095 USA.'
author: Blinder, Victoria S. and Patil, Sujata and Thind, Amardeep and Diamant, Allison
  and Hudis, Clifford A. and Basch, Ethan and Maly, Rose C.
author-email: blinderv@mskcc.org
author_list:
- family: Blinder
  given: Victoria S.
- family: Patil
  given: Sujata
- family: Thind
  given: Amardeep
- family: Diamant
  given: Allison
- family: Hudis
  given: Clifford A.
- family: Basch
  given: Ethan
- family: Maly
  given: Rose C.
da: '2023-09-28'
doi: 10.1002/cncr.26478
files: []
issn: 0008-543X
journal: CANCER
keywords: disparities; employment; breast cancer; survivorship
keywords-plus: 'QUALITY-OF-LIFE; LYMPH-NODE DISSECTION; LONG-TERM; WOMEN; MORBIDITY;

  DISPARITIES; VALIDATION; PREDICTORS; BIOPSY'
language: English
month: MAR 15
number: '6'
number-of-cited-references: '34'
orcid-numbers: Hudis, Clifford/0000-0001-7144-8791
pages: 1664-1674
papis_id: 2cad0177998a58c153069be7b89ae523
ref: Blinder2012returnwork
researcherid-numbers: Hudis, Clifford/AAW-9482-2021
times-cited: '70'
title: 'Return to work in low-income Latina and non-Latina white breast cancer survivors:
  A 3-year longitudinal study'
type: article
unique-id: WOS:000300973000023
usage-count-last-180-days: '0'
usage-count-since-2013: '16'
volume: '118'
web-of-science-categories: Oncology
year: '2012'