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Purpose <p>In recent decades, survival rates for head-and-neck (H&amp;N) cancers have risen, drawing attention to survivors’ working reintegration after treatments. This cohort study aims to evaluate the effect of H&amp;N tumours on the income of employees in the private sector in Italy.</p> Methods <p>Data were extrapolated from the WHIP-Salute archive, which contains work and health information of workers of the private sector in Italy. Incident cases of H&amp;N cancer (between 2004 and 2013) were matched with cancer-free workers using an Optimal Variable Ratio Matching. Linear regression models were used to estimate the effect of H&amp;N tumours on weekly income in the year of diagnosis and in the subsequent two years, overall and stratifying according to sex, job position, and cancer stage.</p> Results <p>592&#xa0;H&amp;N cancer cases were identified, predominantly male (86%), blue-collar workers (72%), and with localized disease (60%). A significant decline in the average weekly income for workers with cancer compared to their cancer-free counterparts was evident, both in the year of diagnosis (β=-38.59, <i>p</i> &lt; 0.001) and in the next two years (β=-35.60, <i>p</i> &lt; 0.001, and β=-29.95, <i>p</i> &lt; 0.001, respectively). Similar trends were observed in stratified analyses.</p> Conclusions <p>This study suggests a short-term disparity in weekly income between workers with H&amp;N cancer and their cancer-free counterparts. Reasons may lie in reduced working capacity of patients following cancer treatments.</p> Implications for cancer survivors <p>Employer awareness about survivors’ conditions can enhance workplace inclusivity. Furthermore, the implementation of ad-hoc policies may lead to a successful reintegration of H&amp;N cancer survivors into the workforce.</p>

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Impact of head and neck cancer on the income of Italian employees

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年10月14日

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  • Alessandra Macciotta,
  • Annalisa Trama,
  • Alice Bernasconi,
  • Lisa Licitra,
  • Roberto Leombruni,
  • Matteo Malisan,
  • Fulvio Ricceri,
  • Nicolás Zengarini,
  • Elena Farina

摘要

Purpose

In recent decades, survival rates for head-and-neck (H&N) cancers have risen, drawing attention to survivors’ working reintegration after treatments. This cohort study aims to evaluate the effect of H&N tumours on the income of employees in the private sector in Italy.

Methods

Data were extrapolated from the WHIP-Salute archive, which contains work and health information of workers of the private sector in Italy. Incident cases of H&N cancer (between 2004 and 2013) were matched with cancer-free workers using an Optimal Variable Ratio Matching. Linear regression models were used to estimate the effect of H&N tumours on weekly income in the year of diagnosis and in the subsequent two years, overall and stratifying according to sex, job position, and cancer stage.

Results

592 H&N cancer cases were identified, predominantly male (86%), blue-collar workers (72%), and with localized disease (60%). A significant decline in the average weekly income for workers with cancer compared to their cancer-free counterparts was evident, both in the year of diagnosis (β=-38.59, p < 0.001) and in the next two years (β=-35.60, p < 0.001, and β=-29.95, p < 0.001, respectively). Similar trends were observed in stratified analyses.

Conclusions

This study suggests a short-term disparity in weekly income between workers with H&N cancer and their cancer-free counterparts. Reasons may lie in reduced working capacity of patients following cancer treatments.

Implications for cancer survivors

Employer awareness about survivors’ conditions can enhance workplace inclusivity. Furthermore, the implementation of ad-hoc policies may lead to a successful reintegration of H&N cancer survivors into the workforce.