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Work disability and diabetes.

J A Mayfield1, P Deb, L Whitecotton

  • 1Department of Family Practice, Bowen Research Center, Indiana University, Indianapolis, USA.

Diabetes Care
|July 2, 1999
PubMed
Summary
This summary is machine-generated.

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Individuals with diabetes experience significantly higher work disability rates and earnings loss compared to those without diabetes. Older individuals and women bear a disproportionate burden of this disability.

Area of Science:

  • Public Health
  • Health Economics
  • Epidemiology

Background:

  • Diabetes is a prevalent chronic condition affecting millions globally.
  • Work disability among individuals with diabetes has significant economic and social implications.
  • Understanding the determinants of work disability is crucial for targeted interventions.

Purpose of the Study:

  • To determine the rates and demographic factors associated with work disability in individuals with diabetes.
  • To analyze the impact of diabetes on work hours, work-loss days, and wages.
  • To quantify the economic burden of work disability in the diabetic population.

Main Methods:

  • Cross-sectional population-based survey (National Medical Expenditures Survey--2, 1987) of the U.S. noninstitutionalized civilian population.

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  • Probit regression analysis applied to a sample of 1,502 individuals with diabetes and 20,405 without diabetes (aged ≥25 years).
  • Work disability defined as self-reported inability to work for ≥2 quarters due to illness or disability in 1987.
  • Main Results:

    • Work disability was reported by 25.6% of individuals with diabetes versus 7.8% of controls.
    • Higher work disability rates observed in older individuals, females, and African-Americans; lower rates in Hispanics and those with higher non-wage income.
    • Individuals with diabetes had more work-loss days and significantly lower predicted mean earnings, totaling $4.7 million in lost earnings in 1987.

    Conclusions:

    • Work disability is substantially higher in individuals with diabetes across all ages, leading to decreased earnings.
    • Older individuals and women with diabetes disproportionately experience work disability.
    • Further research is needed to better understand the determinants of work disability in this population.