Impact of childhood-onset type 1 diabetes on schooling: a population-based register study.
Persson, Sofie LU ; Dahlquist, G ; Gerdtham, Ulf LU
and Steen Carlsson, Katarina
LU
(2013)
In Diabetologia
56(6).
p.1254-1262
- Abstract
- AIMS/HYPOTHESIS: We investigated the impact of type 1 diabetes on educational achievements in compulsory and upper secondary school, as well as potential long-lasting effects. METHODS: Altogether 2,485 individuals with type 1 diabetes, diagnosed at the age of <15 years and born in 1972-1978, were selected from the Swedish Childhood Diabetes Register, which was linked to national population registers including the Swedish Education Register. For each individual, four controls from the general population, matched for year of birth and residence at the time of diagnosis, were selected by Statistics Sweden (n = 9,940). We analysed the impact of diabetes on final school grades at 16 years (compulsory school) and 19 years (upper secondary... (More)
- AIMS/HYPOTHESIS: We investigated the impact of type 1 diabetes on educational achievements in compulsory and upper secondary school, as well as potential long-lasting effects. METHODS: Altogether 2,485 individuals with type 1 diabetes, diagnosed at the age of <15 years and born in 1972-1978, were selected from the Swedish Childhood Diabetes Register, which was linked to national population registers including the Swedish Education Register. For each individual, four controls from the general population, matched for year of birth and residence at the time of diagnosis, were selected by Statistics Sweden (n = 9,940). We analysed the impact of diabetes on final school grades at 16 years (compulsory school) and 19 years (upper secondary school) and on participation in the labour market at 29 years using linear, logistic, ordered logistic and quantile regression analyses, controlling for demographics and socioeconomic background. RESULTS: Diabetes had a negative effect on mean final grades (scale of 1-5) in compulsory school (-0.07, p < 0.001) and theoretical programmes in upper secondary school (-0.07, p = 0.001). Children with early-onset diabetes (0-4 years) suffered a greater disadvantage as a result of the disease (-0.15, p = 0.001 in compulsory school). The strongest effect was seen in the lowest deciles of the conditional distribution on mean final grades. At age 29, individuals with diabetes were less likely to be gainfully employed (OR 0.82, 95% CI 0.73, 0.91). CONCLUSIONS/INTERPRETATION: The small but significant negative effect of type 1 diabetes on schooling could affect opportunities for further education and career development. Attention must be paid in school to the special needs of children with diabetes. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/3559494
- author
- Persson, Sofie
LU
; Dahlquist, G
; Gerdtham, Ulf
LU
and Steen Carlsson, Katarina
LU
- organization
- publishing date
- 2013
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Diabetologia
- volume
- 56
- issue
- 6
- pages
- 1254 - 1262
- publisher
- Springer
- external identifiers
-
- wos:000318787600008
- pmid:23435847
- scopus:84877744618
- pmid:23435847
- ISSN
- 1432-0428
- DOI
- 10.1007/s00125-013-2870-8
- language
- English
- LU publication?
- yes
- id
- 995a4ec6-258c-44ad-ba3f-d6ce14676594 (old id 3559494)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/23435847?dopt=Abstract
- date added to LUP
- 2016-04-01 10:56:41
- date last changed
- 2023-08-31 15:05:24
@article{995a4ec6-258c-44ad-ba3f-d6ce14676594,
abstract = {{AIMS/HYPOTHESIS: We investigated the impact of type 1 diabetes on educational achievements in compulsory and upper secondary school, as well as potential long-lasting effects. METHODS: Altogether 2,485 individuals with type 1 diabetes, diagnosed at the age of <15 years and born in 1972-1978, were selected from the Swedish Childhood Diabetes Register, which was linked to national population registers including the Swedish Education Register. For each individual, four controls from the general population, matched for year of birth and residence at the time of diagnosis, were selected by Statistics Sweden (n = 9,940). We analysed the impact of diabetes on final school grades at 16 years (compulsory school) and 19 years (upper secondary school) and on participation in the labour market at 29 years using linear, logistic, ordered logistic and quantile regression analyses, controlling for demographics and socioeconomic background. RESULTS: Diabetes had a negative effect on mean final grades (scale of 1-5) in compulsory school (-0.07, p < 0.001) and theoretical programmes in upper secondary school (-0.07, p = 0.001). Children with early-onset diabetes (0-4 years) suffered a greater disadvantage as a result of the disease (-0.15, p = 0.001 in compulsory school). The strongest effect was seen in the lowest deciles of the conditional distribution on mean final grades. At age 29, individuals with diabetes were less likely to be gainfully employed (OR 0.82, 95% CI 0.73, 0.91). CONCLUSIONS/INTERPRETATION: The small but significant negative effect of type 1 diabetes on schooling could affect opportunities for further education and career development. Attention must be paid in school to the special needs of children with diabetes.}},
author = {{Persson, Sofie and Dahlquist, G and Gerdtham, Ulf and Steen Carlsson, Katarina}},
issn = {{1432-0428}},
language = {{eng}},
number = {{6}},
pages = {{1254--1262}},
publisher = {{Springer}},
series = {{Diabetologia}},
title = {{Impact of childhood-onset type 1 diabetes on schooling: a population-based register study.}},
url = {{http://dx.doi.org/10.1007/s00125-013-2870-8}},
doi = {{10.1007/s00125-013-2870-8}},
volume = {{56}},
year = {{2013}},
}