| Titre : | The Effect of Workplace Discrimination on the Mental Health of Women Going Back to Work after Breast Cancer |
| Auteurs : | Koketso Ntobeng ; Ecole des hautes études en santé publique (EHESP) (Rennes, FRA) |
| Type de document : | Mémoire |
| Année de publication : | 2025 |
| Description : | 38p. |
| Langues: | Anglais |
| Classement : | MPH/ (Mémoires MPH à partir de 2024) |
| Mots-clés : | Cancer ; Glande mammaire [pathologie] ; Condition travail ; Discrimination ; Lieu travail ; Trouble anxieux ; Santé mentale |
| Résumé : |
Background: Breast cancer is the most commonly diagnosed cancer worldwide. With increasing survival rates and many women working at the time of diagnosis, employment following treatment is a major public health concern. Although returning to work is crucial for recovery and social reintegration, some breast cancer survivors (BCS) may face workplace discrimination, which can have a deleterious effect on their mental health.
Objective: This study aimed to assess the impact of workplace discrimination due to cancer on the mental health of BCS, particularly its effect on anxiety. In addition, this study aimed to identify the subgroups in which the effects may be amplified. Methods: We used data from a French prospective cohort (CANTO) including women diagnosed with stage I-III breast cancer. Using the statistical program R, we analysed 1316 BCS who returned to work after treatment. We used Inverse probability weighting (IPW) to adjust for covariates and time-varying confounders and a Marginal Structural Model (MSM) to estimate the causal effect of perceived workplace discrimination at 2 and 3 years post-diagnosis on anxiety symptoms at 4 years. Results: Overall, 38.6% of survivors reported perceived workplace discrimination. Among those who reported this discrimination, 57.9% had elevated anxiety symptoms, while 42.1% had normal anxiety at four years post-diagnosis. We found that workplace discrimination was associated with increased odds of elevated anxiety (OR: 1.46; CI: 1.14 - 1.86). Conclusions: We recommend that anti-discrimination laws should be reinforced to improve the working conditions for BCS so to reduce the burden on their mental health. |
| Diplôme : | Master MPH of public health |
| Plan de classement simplifié : | Master of Public Health - master international de Santé Publique (MPH) |
| En ligne : | https://documentation.ehesp.fr/memoires/2025/mph/koketso_ntobeng.pdf |
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