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Impact of Diabetes on Work Cessation: Data from the GAZEL cohort study

OBJECTIVE: To measure the impact of diabetes on work cessation, i.e., on the risks of work disability, early retirement, and death while in the labor force. RESEARCH DESIGN AND METHODS: We used data from the GAZEL prospective cohort of 20,625 employees of the French national gas and electricity comp...

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Autores principales: Herquelot, Eléonore, Guéguen, Alice, Bonenfant, Sébastien, Dray-Spira, Rosemary
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Diabetes Association 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3114330/
https://www.ncbi.nlm.nih.gov/pubmed/21562323
http://dx.doi.org/10.2337/dc10-2225
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author Herquelot, Eléonore
Guéguen, Alice
Bonenfant, Sébastien
Dray-Spira, Rosemary
author_facet Herquelot, Eléonore
Guéguen, Alice
Bonenfant, Sébastien
Dray-Spira, Rosemary
author_sort Herquelot, Eléonore
collection PubMed
description OBJECTIVE: To measure the impact of diabetes on work cessation, i.e., on the risks of work disability, early retirement, and death while in the labor force. RESEARCH DESIGN AND METHODS: We used data from the GAZEL prospective cohort of 20,625 employees of the French national gas and electricity company “EDF-GDF.” We identified 506 employees with diabetes and randomly selected 2,530 nondiabetic employed control subjects matched for major sociodemographic and occupational characteristics. Using a multistate Cox model, we estimated hazard ratios (HRs) comparing the risks of transition from employment to disability, retirement, and death over time between participants with versus without diabetes. RESULTS: Employment rate decreased more rapidly in participants with diabetes (51.9 and 10.1% at 55 and 60 years, respectively) compared with nondiabetic participants (66.5 and 13.4%, respectively). Participants with diabetes had significantly increased risks of transition from employment to disability (HR 1.7 [95% CI 1.0–2.9]), retirement (HR 1.6 [1.5–1.8]), and death (HR 7.3 [3.6–14.6]) compared with participants without diabetes. Between 35 and 60 years, each participant with diabetes lost an estimated mean time of 1.1 year in the workforce (95% CI 0.99–1.14) compared with a nondiabetic participant. CONCLUSIONS: Our results provide evidence for a profound negative impact of diabetes on workforce participation in France. Social and economic consequences are major for patients, employers, and society—a burden that is likely to increase as diabetes becomes more and more common in the working-aged population.
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spelling pubmed-31143302012-06-01 Impact of Diabetes on Work Cessation: Data from the GAZEL cohort study Herquelot, Eléonore Guéguen, Alice Bonenfant, Sébastien Dray-Spira, Rosemary Diabetes Care Original Research OBJECTIVE: To measure the impact of diabetes on work cessation, i.e., on the risks of work disability, early retirement, and death while in the labor force. RESEARCH DESIGN AND METHODS: We used data from the GAZEL prospective cohort of 20,625 employees of the French national gas and electricity company “EDF-GDF.” We identified 506 employees with diabetes and randomly selected 2,530 nondiabetic employed control subjects matched for major sociodemographic and occupational characteristics. Using a multistate Cox model, we estimated hazard ratios (HRs) comparing the risks of transition from employment to disability, retirement, and death over time between participants with versus without diabetes. RESULTS: Employment rate decreased more rapidly in participants with diabetes (51.9 and 10.1% at 55 and 60 years, respectively) compared with nondiabetic participants (66.5 and 13.4%, respectively). Participants with diabetes had significantly increased risks of transition from employment to disability (HR 1.7 [95% CI 1.0–2.9]), retirement (HR 1.6 [1.5–1.8]), and death (HR 7.3 [3.6–14.6]) compared with participants without diabetes. Between 35 and 60 years, each participant with diabetes lost an estimated mean time of 1.1 year in the workforce (95% CI 0.99–1.14) compared with a nondiabetic participant. CONCLUSIONS: Our results provide evidence for a profound negative impact of diabetes on workforce participation in France. Social and economic consequences are major for patients, employers, and society—a burden that is likely to increase as diabetes becomes more and more common in the working-aged population. American Diabetes Association 2011-06 2011-05-20 /pmc/articles/PMC3114330/ /pubmed/21562323 http://dx.doi.org/10.2337/dc10-2225 Text en © 2011 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/licenses/by-nc-nd/3.0/ for details.
spellingShingle Original Research
Herquelot, Eléonore
Guéguen, Alice
Bonenfant, Sébastien
Dray-Spira, Rosemary
Impact of Diabetes on Work Cessation: Data from the GAZEL cohort study
title Impact of Diabetes on Work Cessation: Data from the GAZEL cohort study
title_full Impact of Diabetes on Work Cessation: Data from the GAZEL cohort study
title_fullStr Impact of Diabetes on Work Cessation: Data from the GAZEL cohort study
title_full_unstemmed Impact of Diabetes on Work Cessation: Data from the GAZEL cohort study
title_short Impact of Diabetes on Work Cessation: Data from the GAZEL cohort study
title_sort impact of diabetes on work cessation: data from the gazel cohort study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3114330/
https://www.ncbi.nlm.nih.gov/pubmed/21562323
http://dx.doi.org/10.2337/dc10-2225
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