Diabetes's 'Health Shock' To Schooling And Earnings: Increased Dropout Rates And Lower Wages And Employment In Young Adults
Diabetes's 'Health Shock' To Schooling And Earnings: Increased Dropout Rates And Lower Wages And Employment In Young Adults
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DOI：
10.1377/hlthaff.2011.0862
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发表时间：
2012-01-01
期刊：
影响因子：
9.7
通讯作者：
Richards, Michael R.
中科院分区：
文献类型：
--
作者：
Fletcher, Jason M.;Richards, Michael R.
尽管糖尿病危机日益严重，但对年轻人的非医学影响实际上尚未被探索。我们调查了糖尿病对该年龄段的两个关键结果--学校教育和收入--的影响，发现它对两者都带来了越来越常见的“健康冲击”。我们确定了教育程度的几项措施的影响，包括高中辍学率比没有这种疾病的年轻人高出6个百分点。我们还发现就业率和工资较低：与未患糖尿病的同龄人相比，保守估计，糖尿病患者在其工作生涯中可能会损失超过16万美元。对于患有糖尿病的年轻人来说，父母一方患有糖尿病也会导致比父母中多一方没有糖尿病更糟糕的结果例如，即使在孩子的健康状况得到控制后，上大学的可能性也会降低4到6个百分点。这些结果突出了解决这一日益严重的健康问题的紧迫性，以及需要采取措施，如在学校筛查糖尿病对个人学习和表现的影响是否在临床糖尿病的典型表现出现之前就开始了。
Despite a growing diabetes crisis, the nonmedical implications for young adults have gone virtually unexplored. We investigated the effects of diabetes on two key outcomes for this age group-schooling and earnings-and found that it delivers an increasingly common "health shock" to both. We identified effects in several measures of educational attainment, including a high school dropout rate that was six percentage points higher than among young adults without the disease. We also found lower employment and wages: A person with diabetes can conservatively expect to lose more than $160,000 over his or her working life, compared to a peer without the disease. For young adults with diabetes, having a parent with diabetes also leads to poorer outcomes than if one more parents do not have the disease-for example, reducing the likelihood of attending college by four to six percentage points, even after the child's health status is controlled for. These results highlight the urgency of attacking this growing health problem, as well as the need for measures such as in-school screening for whether diabetes's impact on individual learning and performance begins before the classic manifestations of clinical diabetes appear.