FIGURE 2-13 Limitations in ADL/IADL in cancer survivors versus those with no history of cancer. Data include individuals reporting one or more limitations in ADL/IADL. Individuals with limitations in ADLs include those who reported needing the help of other persons with personal care needs, such as eating, bathing, dressing, or getting around inside the home because of a physical, mental, or emotional problem. Limitations in IADLs included needing the help of other persons in handling routine needs, such as everyday household chores, doing necessary business, shopping, or getting around for other purposes because of a physical, mental, or emotional problem.

SOURCE: Hewitt et al. (2003).

report a history of cancer have higher levels of disability relative to the general population (Figures 2-13 and 2-14). By age group, they are more likely to report having limitations in ADLs (e.g., personal care needs) and functional limitations (e.g., walking, participating in social activities) (see Chapter 6 for a description of work limitations).

Results from other large, nationally representative surveys also associate a history of cancer with relatively high rates of disability (McNeil and Binette, 2001). In 1999, 2 percent of individuals with a history of cancer reported cancer as a main cause of disabilities, including ADL/IADLs, functional limitations, and work limitations. This finding came from the Census Bureau’s Survey of Income and Program Participation in which 36,700 households were represented. Cancer ranked 13th of the conditions most associated with disability (the leading causes of disability were arthritis or rheumatism, back or spine problems, and heart trouble).

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