Associations between type 1 diabetes and educational outcomes: an Aotearoa/New Zealand nationwide birth cohort study using the Integrated Data Infrastructure
Authors' conclusion
In this whole NZ birth cohort study, type 1 diabetes was associated with lower educational outcomes spanning secondary school and into university enrolment. Ongoing efforts to support students with type 1 diabetes are needed, particularly for those with a greater risk profile.
Study context
- Population
- All people born in NZ 1993–2001; educational outcomes measured from age 13 until 20 years; mean (SD) age at T1D diagnosis 7.7 (3.4) yearsbirth cohort
- Participants
- 442,320 people
- Exposure
- T1D vs no T1D
- T1Dn = 2,058
- Outcome
- Educational outcomes: high school attainment, high school attendance and university enrolment
- Follow-up
- Age 13 years until 20 years
Methodological detailslinked administrative data (Integrated Data Infrastructure), adjusted for sociodemographic and maternal characteristics
- Linked administrative data (Integrated Data Infrastructure)
- Adjusted for sociodemographic and maternal characteristics
Main finding
As reported in the abstract
Educational outcomes
Each group vs no T1DEstimate (95% CI)
T1D
RR, any high school qualification 0.97(0.95–0.99)
T1D
RR, university entrance-level high school attainment 0.88(0.84–0.92)
T1D
RR, regular high school attendance 0.91(0.85–0.97)
T1D
RR, university enrolment 0.93(0.88–0.98)
Observational data: associations, not effects.
Further findings
- Educational outcomes substantially lower for those with post T1D diagnosis hospitalisations for DKA and hypoglycaemia
Original publication
Associations between type 1 diabetes and educational outcomes: an Aotearoa/New Zealand nationwide birth cohort study using the Integrated Data Infrastructure. Diabetologia. Published 23 October 2023. doi:10.
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