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Title:Employment quality in adult survivors of childhood cancer
Author(s):Wong, Wing Kai
Director of Research:Strauser, David R.
Doctoral Committee Chair(s):Strauser, David R.
Doctoral Committee Member(s):Alston, Reginald J.; Andrade, Flavia; Chan, Fong
Department / Program:Kinesiology & Community Health
Discipline:Community Health
Degree Granting Institution:University of Illinois at Urbana-Champaign
Subject(s):Employment Quality
Childhood Cancer
Employment Outcomes
Work Behaviors
Malignant Tumor
Abstract:Background: Adult survivors of childhood cancer can have lower employment participation outcomes including employment quality. This study is aimed to identify factors that predict employment quality in this growing population. Methods: Retrospective cohort study of 296 currently employed adult survivors of childhood malignancy participating in the St. Jude Lifetime Cohort Study. Cancer and treatment conditions were abstracted from medical records. Health status and work-related variables were determined from surveys and validated instruments. Multiple Regression and Correlation (MRC) and Structural Equation Modeling (SEM) methods were performed to investigate the relationships among the variables in the model which was developed from the World Health Organization’s International Classification of Functioning, Disability and Health (ICF) model. Results: Survivors’ work engagement and positive reactions from colleagues predicted employment quality in terms of job satisfaction, turnover intentions, performance and organizational commitment. Survivors’ work engagement accounted for the indirect effects of emotional health and positive reactions from colleagues on employment quality. Emotional health accounted for the indirect effects of physical health, age at diagnosis, and positive reactions from colleagues on employment quality. Conclusions: Treatment and health, personal and environmental factors both influence survivors’ employment quality. It is likely that tailored interventions targeting on these factors may support greater employment quality in adult survivors of childhood cancer.
Issue Date:2012-09-18
Rights Information:Copyright 2012 Wing Kai Wong
Date Available in IDEALS:2012-09-18
Date Deposited:2012-08

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