Educational trajectories after childhood cancer: When illness experience matters
Résumé
With the increase in survival from childhood cancer , research has increasingly focused on the educational and professional achievements of childhood cancer survivors. Yet , if large-‐scale studies provide an acute description of the current situation of childhood cancer survivors , little is known about their trajectories and the social processes shaping these trajectories. Using a qualitative methodology , drawing from a life course perspective , this study sought to describe the role of childhood cancer and its side effects in educational trajectories , as perceived by the participants. We investigated related processes of social adjustment to cancer , that is to say , choices or decisions that survivors related to the illness in the making of their career plans. Eighty long-‐term French childhood cancer survivors participating in the Euro2K longitudinal study were interviewed through in-‐depth , face-‐to-‐face interviews undertaken in 2011-‐2012. There were various types of impact described by respondents of the diagnosis of cancer on their occupational trajectories. These varied according to gender. In women , childhood cancer tended to result in poor educational achievement , or in steering the individual towards a health care or child care occupation. This was justified by a desire to return the support that had been offered to them as patients. In men , however , childhood cancer led to a shift in career plans , because of physical sequelae , or because of concerns about their future health. Paradoxically , this limitation had a positive impact in their occupational achievement , as most of these men disregarded blue-‐collar jobs and chose more qualified white-‐collar occupations. Overall , findings suggest that childhood cancer influenced educational trajectories and , thus , socioeconomic status in adulthood , through mechanisms embedded in gender norms. These mechanisms could explain gender inequalities in educational achievement after childhood cancer reported in large-‐scale cohort studies .
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