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Early Career Progression in Young Adults With Coeliac Disease-A Register-Based Retrospective Cohort Study
Katarina Johansson1,2, Fredrik Norström3, Anneli Ivarsson3
1Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
Aim:
To investigate early career progression and national insurance use in young adults with paediatric coeliac disease.
Methods:
We performed a register study of a population born in Sweden between 1976 and 1992. Coeliac disease was diagnosed before 15 years of age. The comparison population was matched 4:1 by sex, region of residence at birth and birth year/month. We analysed education, employment, income, job position and national insurance use (sickness benefits, parental leave benefits and social welfare provision) at 25 and 30 years of age.
Results:
We identified 1812 individuals with coeliac disease (6888 comparison population) at 25 years of age and 263 individuals (984 comparison population) at 30 years of age. No statistically significant differences were seen in education, employment, income, job position, use of parental leave benefits or social welfare provision. More individuals with coeliac disease used sickness benefits at age 25 years (OR 1.34 [95% CI 1.12-1.59]).
Conclusion:
In this register study, we showed that coeliac disease diagnosed in childhood does not cause disadvantages on career progression on a population level. However, findings suggest that coeliac disease increases the risk for sickness benefit use.
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