Study Reveals Employment Challenges for Cancer Survivors in Physically Demanding Jobs

A recent study by the Well-Being and Cancer at Work (WeCanWork) project reveals that men with cancer employed in physically demanding jobs experience distinct challenges during and after cancer treatment.

These workers often face pressure to continue working amid treatment due to financial necessity and limited workplace accommodations. The median age of survivors in the study was approximately 51 years, with a majority working full-time, many earning less than $85,000 annually, and a significant portion employed in physically demanding roles. Common employer accommodations include flexible scheduling and additional breaks; however, few provide transportation, special equipment, or rehabilitation services, which are critical for these workers. Survivors in physically demanding jobs reported lower wages, less satisfaction with benefits, reduced job autonomy, and flexibility, alongside greater financial insecurity and workplace safety concerns. They also experienced poorer sleep and diminished support outside work compared to colleagues in less physically demanding roles. A notable factor influencing work continuation is the presence of health insurance, with insured survivors more likely to maintain employment to retain coverage, while uninsured individuals face a higher likelihood of ceasing work due to financial and accommodation barriers. The study highlights disparities in returning to work post-cancer, emphasizing that patients in physically demanding roles face more obstacles due to fewer legal protections like sick leave and accommodations. Enhancing collaboration between oncology and occupational medicine could improve tailored support and accommodations, facilitating better employment outcomes for cancer survivors.

This multidisciplinary approach could also inform insurance providers about potential benefits of supporting such accommodations. Looking ahead, the study suggests further research into long-term employment retention among cancer survivors, particularly as emerging treatments extend survivorship and possibly impact work capacity over time. Approximately half of Americans work in small businesses where implementing these supports poses unique challenges but could be vital in sustaining employment during cancer care. The study underscores a broader need to integrate occupational health considerations into cancer treatment plans and insurance frameworks to better support this vulnerable workforce segment.