Job lock among survivors of childhood cancer and their spouses post Affordable Care Act implementation: A Childhood Cancer Survivor Study brief report

Pediatr Blood Cancer. 2024 Feb;71(2):e30790. doi: 10.1002/pbc.30790. Epub 2023 Dec 5.


It is unknown how common job lock (i.e., staying at job to maintain health insurance) remains among childhood cancer survivors after Affordable Care Act (ACA) implementation in 2010. We examined prevalence of and factors associated with job lock using a cross-sectional survey from the Childhood Cancer Survivor Study (3503 survivors; 942 siblings). Survivor, spousal, and any survivor/spouse job lock were more frequently reported by survivors than siblings. Survivor job lock/any job lock was associated with older age, low income, severe chronic conditions, and debt/inability to pay debt. Job lock remains more common among survivors than siblings after ACA implementation.

MeSH terms

  • Cancer Survivors*
  • Child
  • Cross-Sectional Studies
  • Humans
  • Neoplasms* / epidemiology
  • Patient Protection and Affordable Care Act
  • Siblings
  • Spouses
  • Survivors
  • United States / epidemiology