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Relative changes in earned income five years after diagnosis with diabetes: a register based study 1996-2012

Relative changes in earned income five years after diagnosis with diabetes: a register based study 1996-2012
Relative changes in earned income five years after diagnosis with diabetes: a register based study 1996-2012
Objective: With previous studies indicating that diabetes affects employment status and life-time earnings, the aim of this study was to determine the impact on earnings in the immediate period after diagnosis. Recognising that earnings and employment status are dynamic over the life course, we matched people with diabetes to counterparts in the general population and compared nominal growth in earned income five calendar years after diagnosis.

Research Design and Methods: The study draws upon Danish population registers. Residents aged 25-62 years between 1996 and 2007 were included in the study. We identified an indi-vidually matched control group from approximately 2,800,000 ‘diabetes-free’ Danish adults using propensity score matching. Matching was based on age, gender, residence, earned in-come, growth in earned income, and unemployment in the calendar year before diagnosis.

Results: 91,090 people with diabetes were included in the study and matched to 91,090 con-trols in the general population. The analysis revealed highly significant loss of earnings for people with diabetes when compared with people without diabetes, with an overall relative loss of US $ 3,694 (8.01%) among men and US $ 924 (3.03%) among women. The effect was generally largest in the youngest age-group, in lower earners and among men.

Conclusions: The results clearly indicate that a diagnosis of diabetes has a significant impact on earnings. Age and earnings at the time of diagnosis appear to play a moderating role.
1056-8727
Cleal, Bryan
fe79568c-017b-4930-81b0-34dbde85e669
Panton, Ulrik Haagen
427afbde-9f0d-46ac-9986-0a0597464d6a
Willaing, Ingrid
91761202-569c-4a78-873c-516fcbdeb056
Holt, Richard I.G.
d54202e1-fcf6-4a17-a320-9f32d7024393
Cleal, Bryan
fe79568c-017b-4930-81b0-34dbde85e669
Panton, Ulrik Haagen
427afbde-9f0d-46ac-9986-0a0597464d6a
Willaing, Ingrid
91761202-569c-4a78-873c-516fcbdeb056
Holt, Richard I.G.
d54202e1-fcf6-4a17-a320-9f32d7024393

Cleal, Bryan, Panton, Ulrik Haagen, Willaing, Ingrid and Holt, Richard I.G. (2017) Relative changes in earned income five years after diagnosis with diabetes: a register based study 1996-2012. Journal of Diabetes and its Complications, 31 (10). (doi:10.1016/j.jdiacomp.2017.07.003).

Record type: Article

Abstract

Objective: With previous studies indicating that diabetes affects employment status and life-time earnings, the aim of this study was to determine the impact on earnings in the immediate period after diagnosis. Recognising that earnings and employment status are dynamic over the life course, we matched people with diabetes to counterparts in the general population and compared nominal growth in earned income five calendar years after diagnosis.

Research Design and Methods: The study draws upon Danish population registers. Residents aged 25-62 years between 1996 and 2007 were included in the study. We identified an indi-vidually matched control group from approximately 2,800,000 ‘diabetes-free’ Danish adults using propensity score matching. Matching was based on age, gender, residence, earned in-come, growth in earned income, and unemployment in the calendar year before diagnosis.

Results: 91,090 people with diabetes were included in the study and matched to 91,090 con-trols in the general population. The analysis revealed highly significant loss of earnings for people with diabetes when compared with people without diabetes, with an overall relative loss of US $ 3,694 (8.01%) among men and US $ 924 (3.03%) among women. The effect was generally largest in the youngest age-group, in lower earners and among men.

Conclusions: The results clearly indicate that a diagnosis of diabetes has a significant impact on earnings. Age and earnings at the time of diagnosis appear to play a moderating role.

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Accepted/In Press date: 5 July 2017
e-pub ahead of print date: 9 July 2017
Published date: October 2017

Identifiers

Local EPrints ID: 412685
URI: http://eprints.soton.ac.uk/id/eprint/412685
ISSN: 1056-8727
PURE UUID: 11f748bc-a05a-4c27-9a5b-baf89e263e1b
ORCID for Richard I.G. Holt: ORCID iD orcid.org/0000-0001-8911-6744

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Date deposited: 26 Jul 2017 16:30
Last modified: 16 Mar 2024 05:34

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Contributors

Author: Bryan Cleal
Author: Ulrik Haagen Panton
Author: Ingrid Willaing

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