Impact of childhood-onset type 1 diabetes on schooling: a population-based register study
Impact of childhood-onset type 1 diabetes on schooling: a population-based register study
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DOI：
10.1007/s00125-013-2870-8
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发表时间：
2013-06-01
期刊：
影响因子：
8.2
通讯作者：
Carlsson, K. Steen
中科院分区：
文献类型：
--
作者：
Persson, S.;Dahlquist, G.;Carlsson, K. Steen
我们调查了1型糖尿病对义务教育和高中教育成绩的影响，以及潜在的长期影响。所有2485名出生于1972-1978年、15岁时被诊断为1型糖尿病的人都是从瑞典儿童糖尿病登记册中挑选出来的，该登记册与包括瑞典教育登记册在内的国家人口登记相关联。对于每个人，瑞典统计局从一般人群中选择了四个与诊断时出生年份和居住年份相匹配的对照(n=9940)。我们分析了糖尿病对16年(义务教育)和19年(高中)期末成绩的影响，以及对29年劳动力市场参与度的影响，控制了人口统计学和社会经济背景。糖尿病对义务教育平均期末成绩(-0.07p<；0.001)和高中理论课程(-0.07p=0.001)有负面影响。早发性糖尿病儿童(0.001-4岁)因这种疾病而处于更大的不利地位(-0.15，p=0.15，在义务教育阶段)。条件分布的最低分位数对平均期末成绩的影响最大。在29岁时，糖尿病患者不太可能找到有收入的工作(OR 0.82，95%CI 0.73，0.91)。1型糖尿病对教育的轻微但显著的负面影响可能会影响继续教育和职业发展的机会。在学校必须注意糖尿病儿童的特殊需要。
We investigated the impact of type 1 diabetes on educational achievements in compulsory and upper secondary school, as well as potential long-lasting effects.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.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).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.