Educational achievement, employment and living situation in long-term young adult survivors of childhood XXXX in the Netherlands.

@entity1 @entity1313 @entity5 @entity1778 @entity1893
This paper investigated educational achievement, employment status, living situation, marital status and offspring in 500 Dutch long-term young adults survivors of childhood @entity5 (age range, 16-49 years, 47% female). The results were compared with a reference group of 1092 @entity1 with no history of @entity5 (age range, 15-33 years, 55% female). The impact of demographic and medical characteristics on psychosocial adjustment was studied. All @entity1 completed a self-report questionnaire. The results showed that, although many survivors are functioning well and leading normal lives, a subgroup of survivors were less likely to complete high-school, to attain an advanced graduate degree, to follow normal elementary or secondary school and had to be enrolled more often on learning disabled programs. The percentage of employed survivors was lower than the percentage of employed controls in the comparison group, but more survivors were student or homemaker. Survivors had lower rates of marriage and parenthood, and worried more about their fertility and the risk of their @entity1 having @entity5 . Survivors, especially males, lived more often with their parents. Cranial irradiation dose <or=25 Gy was an important independent prognostic factor of lower educational achievement. Survivors with a history of @entity1313 had a higher risk of being single than survivors with a diagnosis of @entity1778 / @entity1893 . These results indicate that important aspects of life are affected in a substantial number of @entity1 who have been diagnosed with @entity5 during childhood or adolescence.
