A1 Journal article (refereed)
Work-loss years among people diagnosed with diabetes : a reappraisal from a life course perspective (2018)

von Bonsdorff, M., von Bonsdorff, M., Haanpää, M., Salonen, M., Mikkola, T. M., Kautiainen, H., & Eriksson, J. G. (2018). Work-loss years among people diagnosed with diabetes : a reappraisal from a life course perspective. Acta Diabetologica, 55(5), 485-491. https://doi.org/10.1007/s00592-018-1119-x

JYU authors or editors

Bonsdorff von, Mikaela
von Bonsdorff, Monika

Publication details

All authors or editors: von Bonsdorff, Mikaela; von Bonsdorff, Monika; Haanpää, Maija; Salonen, Minna; Mikkola, Tuija M.; Kautiainen, Hannu; Eriksson, Johan G.

Journal or series: Acta Diabetologica

ISSN: 0940-5429

eISSN: 1432-5233

Publication year: 2018

Volume: 55

Issue number: 5

Pages range: 485-491

Publisher: Springer

Publication country: Germany

Publication language: English

DOI: https://doi.org/10.1007/s00592-018-1119-x

Publication open access: Openly available

Publication channel open access: Partially open access channel

Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/57531

Abstract

Aims
Early exit from the workforce has been proposed to be one of the unfavorable consequences of diabetes. We examined whether early exit from the workforce differed between persons who were and were not diagnosed with diabetes during their work career.

Methods
The cohort included 12,726 individuals of the Helsinki Birth Cohort Study, born between 1934 and 1944. Using data from nationwide registers, the cohort was followed up from early adulthood until they transitioned into retirement or died. Work-loss years were estimated using the restricted mean work years method.

Results
During a follow-up of 382,328 person-years for men and 349 894 for women, 36.8% transitioned into old age pension and 63.2% exited workforce early. Among men, 40.5% of those with and 32.8% of those without diabetes transitioned into old age pension (p=0.003). The corresponding numbers for women were 48.6% and 40.4% (p = 0.013), respectively. Mean age at exit from the workforce was 60.1 (95% confidence interval [CI], 59.6 to 60.7) years among men with diabetes and 57.6 (95% CI, 57.2 to 58.0) years among men without diabetes (p = 0.016). Among women, corresponding ages were 61.4 (95% CI, 60.8 to 61.9) years for those with diabetes and 59.5 (95% CI, 59.3 to 59.7) years for those without diabetes (p < 0.001). The difference in mean restricted work-loss years according to diabetes was 2.5 (95% CI 0.5 to 4.6) for men and 1.9 (95% CI 1.0 to 2.8) for women.

Conclusion
Among individuals followed up throughout their work career, those with a diabetes diagnosis exited the workforce approximately two years later compared to those without diabetes.

Keywords: diabetes; pharmacotherapy; retirement; incapacity for work; disability pensions; epidemiology

Free keywords: diabetes mellitus; diabetes medication; early exit from workforce; disability pension; life course; aging

Fields of science: