PURPOSE: Work ability and work-related outcomes (labor force participation, occupation, and educational attainment) are important for young adult-aged survivors of adolescent and young adult cancer (YAs). This study evaluates work-related outcomes and explores the role of workplace accommodations among YAs aged 25-34 years.
METHODS: For this cross-sectional study, YAs (N = 209) completed measures of educational attainment, labor force participation, occupation, work ability, and workplace accommodations. Work ability was assessed using the Work Ability Index and Work Limitations Questionnaire productivity loss index. We compared work-related outcomes with national benchmarks; analysis of variance models examined associations among work ability, work-related outcomes, and workplace accommodations.
RESULTS: Participant education and employment were greater than national benchmarks. Among employed cancer survivors (N = 176), individuals with less education reported lower work ability (F = 3.99, p = 0.004) and greater productivity loss (F = 4.21, p = 0.003) than those with higher levels of education. Workplace accommodations were a significant predictor of work ability; those with accommodations reported lower work ability (F = 3.99, p = 0.004) and greater productivity loss (F = 4.21, p = 0.003).
CONCLUSIONS: While YAs in this sample generally demonstrated higher employment and educational attainment rates than the national average, those with lower educational levels face greater challenges in work ability. Workplace accommodations may only be provided to individuals experiencing the greatest deficits in work ability and productivity. This study highlights the need for additional data regarding workplace accommodations to enhance work ability and mitigate productivity loss among YAs.