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Diabetes and work participation at older ages: evidence from the HEAF cohort
Dunya Tomic1, Stefania D'Angelo2, Dianna J Magliano3,4
1Monash Centre for Occupational and Environmental Health, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia.
Objective:
To examine associations between diabetes and work participation in adults aged 50-64 years, by treatment regimen.
Methods:
Diabetes of all types was ascertained through Clinical Practice Research Datalink linkage in the Health and Employment After Fifty cohort and categorised by treatment (no glucose-lowering medication, oral medication, insulin). Health-related job loss (HRJL) and prolonged sickness absence over nine years were examined among 4,813 employed adults using mixed-effects logistic regression.
Results:
Compared with no diabetes, diabetes treated with oral glucose-lowering medication (OR 1.89, 95%CI 1.26-2.82) and insulin (OR 3.07, 95%CI 1.83-5.15) was associated with HRJL. No treatment category was associated with prolonged sickness absence.
Conclusions:
Diabetes at older ages is associated with HRJL, most strongly among those on insulin. Treatment regimen likely marks disease severity and self-management burden rather than itself increasing risk.
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