Early Education and Employment Outcomes After Cancer in Adolescents and Young Adults

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Kosola , S , McCarthy , M C , McNeil , R , Orme , L M , Drew , S & Sawyer , S M 2018 , ' Early Education and Employment Outcomes After Cancer in Adolescents and Young Adults ' , Journal of Adolescent and Young Adult Oncology , vol. 7 , no. 2 , pp. 238-244 . https://doi.org/10.1089/jayao.2017.0045

Title: Early Education and Employment Outcomes After Cancer in Adolescents and Young Adults
Author: Kosola, Silja; McCarthy, Maria C.; McNeil, Robyn; Orme, Lisa M.; Drew, Sarah; Sawyer, Susan M.
Contributor organization: Clinicum
Children's Hospital
University of Helsinki
HUS Children and Adolescents
Date: 2018-04
Language: eng
Number of pages: 7
Belongs to series: Journal of Adolescent and Young Adult Oncology
ISSN: 2156-5333
DOI: https://doi.org/10.1089/jayao.2017.0045
URI: http://hdl.handle.net/10138/311863
Abstract: Purpose: This study describes the early educational and vocational outcomes of Australian adolescents and young adults (AYAs) after cancer diagnosis and examines factors associated with these outcomes. Methods: Within this cross-sectional national Australian study, 196 AYAs aged 15-25 years at cancer diagnosis and within 6-24 months of diagnosis were recruited from 18 sites. Participants completed a survey that included questions about school and work outcomes, support received regarding necessary changes to education and vocation, and validated measures of anxiety, depression, and post-traumatic stress. Results: Almost half of the sample (43%) was not fully "back on track" with their previous educational and vocational plans. Post-traumatic stress and emotional symptoms were associated with poorer school/work functioning (beta = -0.95, p = 0.009 and beta = -1.27, p = 0.001, respectively). Higher PedsQL school/work functioning was associated with a slightly greater likelihood of being "back on track" with education and work plans (OR 1.03, p = 0.001). AYAs who felt well supported regarding changes to education and work plans more frequently reported receiving support from formal sources and from more sources than those who felt less supported. Unmet need of accessing an educational or vocational advisor was significantly more frequent in adult than in pediatric settings (42% vs. 17%; p = 0.024). Parents were the most common source of educational or vocational support for AYAs rather than professionals. Conclusion: This study highlights the connection between school and work participation and mental health in a national sample of AYAs with cancer. It suggests distinct benefits of educational and vocational support.
Subject: school
support services
3122 Cancers
Peer reviewed: Yes
Usage restriction: openAccess
Self-archived version: acceptedVersion

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