Transitions in the labor market after cancer: a comparison of self-employed workers and salaried staff

Aurélia Tison, Luis Sagaon-Teyssier, Caroline Sansonetti, Jean François Blatier, Alain Paraponaris, Thomas Aparicio, Emmanuel Babin, François Beck, Robert Benamouzig, Marc Karim Bendiane, Cyril Béranger, Dominique Bessette, Anne Déborah Bouhnik, Philippe Jean Bousquet, Marie Claude Cabanel-Gicquel, Marianick Cavallini-Lambert, Michèle Chantry, Claire Chauvet, Sébastien Cortaredona, Véronique DanguyMichel Dorval, Jean Baptiste Herbet, Laetitia Huiart, Xavier Joutard, Anne Gaé Le Corroller-Soriano, Julien Mancini, Jean François Morere, Herman Nabi, Alain Paraponaris, Patrick Peretti-Watel, Marie Préau, Christel Protière, Frédérique Retornaz, Dominique Rey, Benoit Riandey, Luis Sagaon- Teyssier, Aurélia Tison, Valérie Séror, Archana Singh-Manoux, Catherine Thiéblemont, Pierre Verger

Research output: Contribution to journalArticleResearchpeer-review

10 Citations (Scopus)


Purpose: The aim of this study was to investigate whether the labor market mobility of a population of cancer survivors 2 years after diagnosis differed compared to the French general population by focusing on the differences between self-employed workers and salaried staff. Methods: Coarsened exact matching was implemented to reduce the sampling bias introduced by the comparison of individuals from two different surveys. Then, labor market mobility was analyzed by estimating transition probability matrices from 2010 to 2012 under the framework of a continuous-time Markov technique and by estimating a two-step model. Results: Salaried employees and self-employed workers from the general population were more likely to remain employed 2 years after 2010 compared to salaried employees and self-employed workers who survived cancer. There was no major difference between salaried and self-employed workers surviving cancer in terms of job retention. Conclusions: French workers surviving cancer face the same difficulties that were observed in the National Cancer Survey of 2004: unemployment and inactivity caused by the diagnosis of cancer. Among cancer survivors, self-employed workers do not seem to be particularly more affected by inactivity than salaried staff. However, unemployment insurance is not compulsory for them, contrary to salaried staff. In this regard, self-employed workers might be a more vulnerable group.

Original languageEnglish
Pages (from-to)4879-4886
Number of pages8
JournalSupportive Care in Cancer
Issue number12
Publication statusPublished - 1 Dec 2016


  • Cancer
  • Employment
  • Job retention
  • Salaried staff
  • Self-employed workers
  • Unemployment


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