No Cover Image

Journal article 276 views 67 downloads

Educational Attainment and Childhood-Onset Type 1 Diabetes

Robert French Orcid Logo, Dylan Kneale, Justin T. Warner, Holly Robinson, Jim Rafferty Orcid Logo, Adrian Sayers, Peter Taylor, John W. Gregory, Colin M. Dayan

Diabetes Care, Volume: 45, Issue: 12, Pages: 2852 - 2861

Swansea University Author: Jim Rafferty Orcid Logo

  • 62129.pdf

    PDF | Version of Record

    This is an open access article distributed under the terms of the Creative Commons CC BY license

    Download (752.7KB)

Check full text

DOI (Published version): 10.2337/dc21-0693

Abstract

OBJECTIVETo quantify associations of educational outcomes with type 1 diabetes status and glycemic management (HbA1c).RESEARCH DESIGN AND METHODSThis was a record linkage study of schools and higher (college) education data sets linked to national diabetes audits. The population includes all Welsh c...

Full description

Published in: Diabetes Care
ISSN: 0149-5992 1935-5548
Published: American Diabetes Association 2022
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa62129
Tags: Add Tag
No Tags, Be the first to tag this record!
first_indexed 2023-01-09T10:49:43Z
last_indexed 2023-01-13T19:23:23Z
id cronfa62129
recordtype SURis
fullrecord <?xml version="1.0"?><rfc1807><datestamp>2023-01-09T10:53:01.1492097</datestamp><bib-version>v2</bib-version><id>62129</id><entry>2022-12-06</entry><title>Educational Attainment and Childhood-Onset Type 1 Diabetes</title><swanseaauthors><author><sid>52effe759a718bd36eb12cdd10fe1a09</sid><ORCID>0000-0002-1667-7265</ORCID><firstname>Jim</firstname><surname>Rafferty</surname><name>Jim Rafferty</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2022-12-06</date><deptcode>HDAT</deptcode><abstract>OBJECTIVETo quantify associations of educational outcomes with type 1 diabetes status and glycemic management (HbA1c).RESEARCH DESIGN AND METHODSThis was a record linkage study of schools and higher (college) education data sets linked to national diabetes audits. The population includes all Welsh children attending school between 2009 and 2016, yielding eight academic cohorts with attainment data, including 263,426 children without diabetes and 1,212 children diagnosed with type 1 diabetes. Outcomes include standardized educational attainment for those aged 16 years, higher education participation for those aged &#x2265;18 years, and school absences among those aged 6&#x2013;16 years.RESULTSComparison between children with type 1 diabetes and children without diabetes showed no strong evidence of associations for student attainment (0.001 SD, 95% CI &#x2212;0.047 to 0.049, P &lt; 0.96, n = 1,212 vs. 263,426) or higher education entry rates (odds ratio 1.067, 95% CI 0.919&#x2013;1.239, P &lt; 0.39, n = 965 vs. 217,191), despite nine more sessions of absence from school annually (P &lt; 0.0001). However, attainment in children in the most optimal HbA1c quintile was substantially better than for children without diabetes (0.267 SD, 95% CI 0.160&#x2013;0.374, P &lt; 0.001) while being worse than for children without diabetes in the least optimal quintile (&#x2212;0.395 SD, 95% CI &#x2212;0.504 to &#x2212;0.287, P &lt; 0.001). Attainment did not differ by duration of &#x201C;exposure&#x201D; to diabetes based on age at diagnosis.CONCLUSIONSDespite more school absences, diabetes diagnosis is not associated with educational attainment or entry into higher education, although attainment does vary by HbA1c level, which may be explained in part (or wholly) by unobserved shared personal, family, or socioeconomic characteristics associated with both success in education and effective glycemic self-management.</abstract><type>Journal Article</type><journal>Diabetes Care</journal><volume>45</volume><journalNumber>12</journalNumber><paginationStart>2852</paginationStart><paginationEnd>2861</paginationEnd><publisher>American Diabetes Association</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>0149-5992</issnPrint><issnElectronic>1935-5548</issnElectronic><keywords/><publishedDay>1</publishedDay><publishedMonth>12</publishedMonth><publishedYear>2022</publishedYear><publishedDate>2022-12-01</publishedDate><doi>10.2337/dc21-0693</doi><url/><notes/><college>COLLEGE NANME</college><department>Health Data Science</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>HDAT</DepartmentCode><institution>Swansea University</institution><apcterm/><funders>This study was funded by the U.K. Medical Research Council MR/N015428/1 and the U.K. Economic and Social Research Council (ES/V017314/1).</funders><projectreference/><lastEdited>2023-01-09T10:53:01.1492097</lastEdited><Created>2022-12-06T14:07:13.3136135</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Medicine</level></path><authors><author><firstname>Robert</firstname><surname>French</surname><orcid>0000-0002-9064-9721</orcid><order>1</order></author><author><firstname>Dylan</firstname><surname>Kneale</surname><order>2</order></author><author><firstname>Justin T.</firstname><surname>Warner</surname><order>3</order></author><author><firstname>Holly</firstname><surname>Robinson</surname><order>4</order></author><author><firstname>Jim</firstname><surname>Rafferty</surname><orcid>0000-0002-1667-7265</orcid><order>5</order></author><author><firstname>Adrian</firstname><surname>Sayers</surname><order>6</order></author><author><firstname>Peter</firstname><surname>Taylor</surname><order>7</order></author><author><firstname>John W.</firstname><surname>Gregory</surname><order>8</order></author><author><firstname>Colin M.</firstname><surname>Dayan</surname><order>9</order></author></authors><documents><document><filename>62129__26213__26261766b8b149908bdc9c6056ea5ef4.pdf</filename><originalFilename>62129.pdf</originalFilename><uploaded>2023-01-09T10:50:22.1608656</uploaded><type>Output</type><contentLength>770767</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>This is an open access article distributed under the terms of the Creative Commons CC BY license</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language><licence>https://creativecommons.org/licenses/</licence></document></documents><OutputDurs/></rfc1807>
spelling 2023-01-09T10:53:01.1492097 v2 62129 2022-12-06 Educational Attainment and Childhood-Onset Type 1 Diabetes 52effe759a718bd36eb12cdd10fe1a09 0000-0002-1667-7265 Jim Rafferty Jim Rafferty true false 2022-12-06 HDAT OBJECTIVETo quantify associations of educational outcomes with type 1 diabetes status and glycemic management (HbA1c).RESEARCH DESIGN AND METHODSThis was a record linkage study of schools and higher (college) education data sets linked to national diabetes audits. The population includes all Welsh children attending school between 2009 and 2016, yielding eight academic cohorts with attainment data, including 263,426 children without diabetes and 1,212 children diagnosed with type 1 diabetes. Outcomes include standardized educational attainment for those aged 16 years, higher education participation for those aged ≥18 years, and school absences among those aged 6–16 years.RESULTSComparison between children with type 1 diabetes and children without diabetes showed no strong evidence of associations for student attainment (0.001 SD, 95% CI −0.047 to 0.049, P < 0.96, n = 1,212 vs. 263,426) or higher education entry rates (odds ratio 1.067, 95% CI 0.919–1.239, P < 0.39, n = 965 vs. 217,191), despite nine more sessions of absence from school annually (P < 0.0001). However, attainment in children in the most optimal HbA1c quintile was substantially better than for children without diabetes (0.267 SD, 95% CI 0.160–0.374, P < 0.001) while being worse than for children without diabetes in the least optimal quintile (−0.395 SD, 95% CI −0.504 to −0.287, P < 0.001). Attainment did not differ by duration of “exposure” to diabetes based on age at diagnosis.CONCLUSIONSDespite more school absences, diabetes diagnosis is not associated with educational attainment or entry into higher education, although attainment does vary by HbA1c level, which may be explained in part (or wholly) by unobserved shared personal, family, or socioeconomic characteristics associated with both success in education and effective glycemic self-management. Journal Article Diabetes Care 45 12 2852 2861 American Diabetes Association 0149-5992 1935-5548 1 12 2022 2022-12-01 10.2337/dc21-0693 COLLEGE NANME Health Data Science COLLEGE CODE HDAT Swansea University This study was funded by the U.K. Medical Research Council MR/N015428/1 and the U.K. Economic and Social Research Council (ES/V017314/1). 2023-01-09T10:53:01.1492097 2022-12-06T14:07:13.3136135 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Robert French 0000-0002-9064-9721 1 Dylan Kneale 2 Justin T. Warner 3 Holly Robinson 4 Jim Rafferty 0000-0002-1667-7265 5 Adrian Sayers 6 Peter Taylor 7 John W. Gregory 8 Colin M. Dayan 9 62129__26213__26261766b8b149908bdc9c6056ea5ef4.pdf 62129.pdf 2023-01-09T10:50:22.1608656 Output 770767 application/pdf Version of Record true This is an open access article distributed under the terms of the Creative Commons CC BY license true eng https://creativecommons.org/licenses/
title Educational Attainment and Childhood-Onset Type 1 Diabetes
spellingShingle Educational Attainment and Childhood-Onset Type 1 Diabetes
Jim Rafferty
title_short Educational Attainment and Childhood-Onset Type 1 Diabetes
title_full Educational Attainment and Childhood-Onset Type 1 Diabetes
title_fullStr Educational Attainment and Childhood-Onset Type 1 Diabetes
title_full_unstemmed Educational Attainment and Childhood-Onset Type 1 Diabetes
title_sort Educational Attainment and Childhood-Onset Type 1 Diabetes
author_id_str_mv 52effe759a718bd36eb12cdd10fe1a09
author_id_fullname_str_mv 52effe759a718bd36eb12cdd10fe1a09_***_Jim Rafferty
author Jim Rafferty
author2 Robert French
Dylan Kneale
Justin T. Warner
Holly Robinson
Jim Rafferty
Adrian Sayers
Peter Taylor
John W. Gregory
Colin M. Dayan
format Journal article
container_title Diabetes Care
container_volume 45
container_issue 12
container_start_page 2852
publishDate 2022
institution Swansea University
issn 0149-5992
1935-5548
doi_str_mv 10.2337/dc21-0693
publisher American Diabetes Association
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 1
active_str 0
description OBJECTIVETo quantify associations of educational outcomes with type 1 diabetes status and glycemic management (HbA1c).RESEARCH DESIGN AND METHODSThis was a record linkage study of schools and higher (college) education data sets linked to national diabetes audits. The population includes all Welsh children attending school between 2009 and 2016, yielding eight academic cohorts with attainment data, including 263,426 children without diabetes and 1,212 children diagnosed with type 1 diabetes. Outcomes include standardized educational attainment for those aged 16 years, higher education participation for those aged ≥18 years, and school absences among those aged 6–16 years.RESULTSComparison between children with type 1 diabetes and children without diabetes showed no strong evidence of associations for student attainment (0.001 SD, 95% CI −0.047 to 0.049, P < 0.96, n = 1,212 vs. 263,426) or higher education entry rates (odds ratio 1.067, 95% CI 0.919–1.239, P < 0.39, n = 965 vs. 217,191), despite nine more sessions of absence from school annually (P < 0.0001). However, attainment in children in the most optimal HbA1c quintile was substantially better than for children without diabetes (0.267 SD, 95% CI 0.160–0.374, P < 0.001) while being worse than for children without diabetes in the least optimal quintile (−0.395 SD, 95% CI −0.504 to −0.287, P < 0.001). Attainment did not differ by duration of “exposure” to diabetes based on age at diagnosis.CONCLUSIONSDespite more school absences, diabetes diagnosis is not associated with educational attainment or entry into higher education, although attainment does vary by HbA1c level, which may be explained in part (or wholly) by unobserved shared personal, family, or socioeconomic characteristics associated with both success in education and effective glycemic self-management.
published_date 2022-12-01T04:21:31Z
_version_ 1763754420264239104
score 11.012678

Similar Items