Working people with type 1 diabetes in the Finnish population

BMC Public Health

Research Article

Reijo Sund¹  Martti Arffman²  Leena Moilanen³  Vilma Hänninen⁴  Pirjo Hakkarainen⁵  Kimmo Räsänen⁵  Sari Koski⁶ 

[1] Centre for Research Methods, Department of Social Research, University of Helsinki, Helsinki, Finland;School of Medicine, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland;Department of Health and Social Care Systems, National Institute for Health and Welfare, Helsinki, Finland;Department of Medicine, Kuopio University Hospital, Kuopio, Finland;Department of Social Sciences, University of Eastern Finland, Kuopio, Finland;School of Medicine, Institute of Public Health and Clinical Nutrition, University of Eastern Finland, P.O. Box 1627, Kuopio Campus, FI-70211, Kuopio, Finland;The Finnish Diabetes Association, Tampere, Finland;

关键词: Type 1 diabetes;    Incidence;    Prevalence;    Employment;    Work;    Self-rated health;    Work ability;    Retirement;    Occupational health care;    Finland;   

DOI  :  10.1186/s12889-017-4723-8

 received in 2017-03-31, accepted in 2017-09-06,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThe incidence of type 1 diabetes is increasing worldwide. Since so little is known about work life of individuals with type 1 diabetes, we examined incidence and prevalence trends of type 1 diabetes among working-aged Finns. We also investigated the employment rate and how workers with type 1 diabetes perceive their health and work ability, and their intended retirement age.MethodsWe analyzed changes in the incidence, prevalence, and employment rate using nationwide multi-register-based FinDM data, and estimated a Self-Rated Health, Work Ability Score, and inquired about retirement intentions of 767 working individuals with type 1 diabetes in a cross-sectional survey. All estimates were compared to the corresponding data of the Finnish general population.ResultsThe average annual age-standardized incidence rate of type 1 diabetes among men aged 18–39 was 29 per 100,000/year; the incidence rate has increased by 33% from 1992 to 2007. Among women, the incidence remained at 16 per 100,000/year. Among working-aged (18–64) people, the age-standardized prevalence of type 1 diabetes increased by 39% among women and 33% among men. Two out of every three working aged individuals with type 1 diabetes were in the labor force; this is about 10% lower than in the Finnish population. The average age-standardized employment rate among those individuals with type 1 diabetes belonging to the labor force was 82%, compared to 84% in the general population. Working individuals with type 1 diabetes rated their health and work ability as being slightly lower than the general working population, but nonetheless, there were no significant differences in retirement intentions.ConclusionsBetween 1992 and 2007, the number of working-aged people and workers with type 1 diabetes increased by 35%. Most workers with type 1 diabetes manage as well at work as the general population. Special attention should be paid to workers with type 1 diabetes when they are diagnosed and/or report moderate or poor work ability.

【 授权许可】

CC BY   
© The Author(s). 2017