Childhood cancer survivors are twice as likely to be unemployed than those without a history of cancer as children, Dutch researchers have reported.
Their report in the Cancer journal says survivors of brain cancer or other central nervous system tumours are five times more likely to be unemployed.
It says women and Americans are especially vulnerable.
The analysis shows those who have survived blood-cell and bone marrow cancers like leukemia also have a slightly higher risk of being unemployed.
The researchers say people who have survived other types of cancer in childhood do not face an extra unemployment risk.
Most children diagnosed with cancer now survive it - the overall survival beyond five years for paediatric cancer is more than 70 per cent.
But children can face other health problems, such as heart disease, infertility, pain and fatigue.
The researchers from the Coronel Institute for Occupational Health at Academic Medical Centre in Amsterdam write: "Interventions aimed at obtaining and maintaining employment are needed, especially for the vulnerable subgroups".
They say childhood cancer survivors need special strategies to "mitigate the economic impact of surviving cancer and improve the quality of life".