The employment discrimination experiences of younger and older Americans with cancer under Title I of the Americans with

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The employment discrimination experiences of younger and older Americans with cancer under Title I of the Americans with Disabilities Act David R. Strauser 1,2 & Mykal J. Leslie 3 & Phillip Rumrill 3,4 & Brian McMahon 5 & Chelsea Greco 1 Received: 5 December 2019 / Accepted: 13 February 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020

Abstract Purpose The goal of the research was to describe discrimination, both actual and perceived, that has occurred against younger individuals with cancer (i.e., 35 years of age and under) in comparison with older individuals with cancer (i.e., over age 35) through analysis of the US Equal Employment Opportunity Commission (EEOC) Integrated Mission System (IMS) database. Methods An ex post facto, causal comparative quantitative design was used to examine Americans with Disabilities Act Amendments Act (ADAAA) Title I complaints received by the EEOC from younger people with cancer from 2009 through 2016 (n = 1001) in comparison with older people with cancer over the same time period (n = 8874). Results Results revealed statistically significant differences in the patterns of issues alleged by the two groups. When compared with older charging parties with cancer, the younger charging parties with cancer had proportionally more individuals who were male and who identified as African American and proportionally fewer individuals who identified as Caucasian. Conclusions Younger people with cancer were more likely to allege discrimination in the areas of promotion, training, reinstatement, and referrals to other employers. They were less likely to allege discrimination in the area of benefits. The younger group was also significantly less likely than the older group to find that EEOC investigations of their allegations resulted in merit-based case resolutions, that is, discrimination had indeed occurred. Implications for Cancer Survivors Psychosocial programs and vocational programming assisting young adults with career development should focus on the types of discrimination that young adults experience, which is unique compared with older adult cancer survivors. Keywords: Cancer . Workplace Discrimination . Vocational Rehabilitation

Young adults (18–35 years of age) with a history of cancer experience significant problems obtaining employment [1–3]. A recent meta-analysis revealed that adult survivors of childhood cancer are twice as likely to be unemployed when compared with their healthy controls [4]. Secondary health

* David R. Strauser [email protected] 1

University of Illinois at Urbana-Champaign, 213A Huff Hall, MC-588, 1206 South Fourth StreetM, Champaign, IL 61802, USA

2

National Changhua University of Education, Changhua City, Taiwan

3

Kent State University, Kent, OH, USA

4

Department of Early Childhood Special Education,and Counselor Education - and Human Development Institute, University of Kentucky, Lexington, KY, USA

5

Virginia Commonwealth University, VA Richmond, USA

concerns such as depression, fatigue, cardiovascular disease, vi