癌症患者和幸存者有很高的护理需求，通常由配偶或伴侣提供。本研究的目的是阐明癌症病史/治疗状况和性别之间的就业和失业模式有何不同。作者利用医疗支出小组调查（2011年、2016年和2017年）的全国代表性数据，将已婚参与者的数据联系起来并根据配偶的癌症治疗状况对他们进行分类（无​​癌症病史、正在接受癌症治疗、未接受癌症治疗）。使用多变量逻辑回归和零膨胀负二项回归来评估癌症病史/治疗状态、性别和就业结果（就业状况和因照顾自己或他人而损失的工作日）之间的关联。对于男性来说，就业在以下方面没有显着差异：癌症病史/治疗状态（治疗时：比值比 [OR]，0.58；95% 置信区间 [CI]，0.33-1.02；治疗结束时：OR，0.84；95% CI，0.62-1.14 与无癌症病史相比）。对于女性来说，当配偶接受癌症治疗时，与没有癌症病史的女性相比，就业率没有显着差异（OR，0.78；95% CI，0.33-1.86]），但配偶停止治疗的女性就业率显着增加（OR，1.39） ；95% CI，1.05-1.84）。在就业参与者中，配偶正在接受癌症治疗的女性请假来提供护理的可能性是其他女性的九倍（OR，9.52；95% CI，3.94-23.03），并且请假来照顾家人的可能性是其三倍多其他人（OR，3.21；95% CI，2.07-4.97）为配偶没有癌症病史的男性。癌症幸存者的妻子失业的风险增加，这对其财务和心理健康产生影响。雇主、政策制定者和临床医生有机会支持工作护理人员。© 2023 作者。 《癌症》由 Wiley periodicals LLC 代表美国癌症协会出版。

Cancer patients and survivors have high care needs, often provided by a spouse or partner. The purpose of this study was to elucidate how employment and work loss patterns differed across cancer history/treatment status and gender.Using nationally representative data from the Medical Expenditure Panel Survey (2011, 2016, and 2017), the authors linked data across married participants and categorized them by spouses' cancer treatment status (no cancer history, on treatment for cancer, off treatment for cancer). Multivariable logistic and zero-inflated negative binomial regressions were used to assess the associations among cancer history/treatment status, gender, and employment outcomes (employment status and workdays lost to care for self or others).For men, employment did not differ significantly by cancer history/treatment status (on treatment: odds ratio [OR], 0.58; 95% confidence interval [CI], 0.33-1.02, off treatment: OR, 0.84; 95% CI, 0.62-1.14 vs. no cancer history). For women, employment was not significantly different when the spouse was on treatment for cancer compared to no cancer history (OR, 0.78; 95% CI, 0.33-1.86]) but was significantly increased for women whose spouse was off treatment (OR, 1.39; 95% CI, 1.05-1.84). Among employed participants, women whose spouse was on cancer treatment were nine times more likely to take days off work to provide care (OR, 9.52; 95% CI, 3.94-23.03) and took more than three times as many days off to care for others (OR, 3.21; 95% CI, 2.07-4.97) as men whose spouse had no cancer history.Wives of cancer survivors are at increased risk of work loss, with implications for their financial and psychological well-being. Employers, policymakers, and clinicians have opportunities to support working caregivers.© 2023 The Authors. Cancer published by Wiley Periodicals LLC on behalf of American Cancer Society.