Evidence map›Paper›PMID 33826222›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2021

Barriers to employment of Australian cancer survivors living with geographic or socio-economic disadvantage: A qualitative study.

Emma Kemp, Vikki Knott, Paul Ward, Suzana Freegard, Ian Olver, Julia Fallon-Ferguson, Jon Emery, Chris Christensen, Monique Bareham, Bogda Koczwara

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Gender differences in employment disruption and return to work among cancer survivors in South Korea.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  5. Article
  6. Article
  7. Barriers to employment of Australian cancer survivors living with geographic or socio-economic disadvantage: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Emma KempCollege of Medicine and Public Health, Flinders University, Adelaide, Australia.ORCID 0000-0001-5664-8031
Vikki KnottAustralian College of Applied Psychology, Brisbane, Australia.
Paul WardCollege of Medicine and Public Health, Flinders University, Adelaide, Australia.
Suzana FreegardCollege of Medicine and Public Health, Flinders University, Adelaide, Australia.
Ian OlverUniversity of Adelaide, Adelaide, Australia.
Julia Fallon-FergusonSchool of Primary, Aboriginal, and Rural Health Care, University of Western Australia, Perth, Australia.
Jon EmeryDepartment of General Practice and Centre for Cancer Research, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia.
Chris ChristensenCancer Voices South Australia, South Australia, Australia.
Monique BarehamCancer Voices South Australia, South Australia, Australia.
Bogda KoczwaraCollege of Medicine and Public Health, Flinders University, Adelaide, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOpportunities for cancer survivors' employment can both reflect and perpetuate health inequities, as employment is an important social determinant of health. Socio-economic and geographic disadvantage is associated with greater difficulty finding work, but little is known about work needs of Australian cancer survivors living with disadvantage.

objectiveThis study examined survivor and health-care professional (HCP) perspectives on barriers experienced by Australian cancer survivors experiencing disadvantage when attempting to remain at or return to work.

methodFocus groups and individual interviews were held with cancer survivors (N = 15) and oncology and primary HCPs (N = 41), focusing on communities at risk of disadvantage. Participants were asked about employment barriers and facilitators in general and in the context of disadvantage. Themes were identified using framework analysis.

resultsGeographic and socio-economic disadvantage resulted in specific individual- and system-level barriers. These related to distance from treatment and support services and limited availability and suitability of work for survivors living with geographic disadvantage, and limited availability, security, and flexibility of work and previous unemployment for survivors living with socio-economic disadvantage. Identified needs included system-level changes such as public and workplace-level education, legislative and policy changes, and better access to resources.

conclusionsCancer survivors living with disadvantage experience limited access to flexible employment opportunities and resources, further perpetuating their disadvantage. Promotion of health equity for cancer survivors living with disadvantage requires systemic changes to support attempts to remain at/return to work. PATIENT OR PUBLIC CONTRIBUTION: This study included cancer survivors and HCPs as investigators, authors and participants.

Indexed as

Cancer SurvivorsNeoplasmsAustraliaEmploymentHumansReturn to WorkSurvivorscancer survivorsemploymentreturn to worksocial determinants of healthvulnerable populations

Identifiers

PMID33826222
PMCPMC8235884

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.