Working people with type 1 diabetes in the Finnish population

被引:11
|
作者
Hakkarainen, Pirjo [1 ]
Sund, Reijo [2 ,3 ]
Arffman, Martti [4 ]
Koski, Sari [5 ]
Hanninen, Vilma [6 ]
Moilanen, Leena [7 ]
Rasanen, Kimmo [1 ]
机构
[1] Univ Eastern Finland, Inst Publ Hlth & Clin Nutr, Sch Med, Kuopio Campus,POB 1627, FI-70211 Kuopio, Finland
[2] Univ Helsinki, Dept Social Res, Ctr Res Methods, Helsinki, Finland
[3] Univ Eastern Finland, Inst Clin Med, Sch Med, Kuopio, Finland
[4] Natl Inst Hlth & Welf, Dept Hlth & Social Care Syst, Helsinki, Finland
[5] Finnish Diabet Assoc, Tampere, Finland
[6] Univ Eastern Finland, Dept Social Sci, Kuopio, Finland
[7] Kuopio Univ Hosp, Dept Med, Kuopio, Finland
来源
BMC PUBLIC HEALTH | 2017年 / 17卷
关键词
Type; 1; diabetes; Incidence; Prevalence; Employment; Work; Self-rated health; Work ability; Retirement; Occupational health care; Finland; SELF-RATED HEALTH; YOUNG-ADULTS; LIFE EXPECTANCY; CHILDHOOD; PREVALENCE; FINLAND; TRENDS; COHORT; EMPLOYMENT; WORKPLACE;
D O I
10.1186/s12889-017-4723-8
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: The 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. Methods: We analyzed changes in the incidence, prevalence, and employment rate using nationwide multiregister- 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. Results: The 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. Conclusions: Between 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.
引用
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页数:11
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