Educational outcomes and the role of comorbidity among adolescents with type 1‐diabetes in Denmark
Authors' conclusion
Type 1 diabetes affects educational attainment and participation among adolescents. Psychiatric comorbidity contributes to adverse educational outcomes in this group, and there is a tendency that somatic comorbidity also plays a role.
Study context
- Population
- Individuals born 1991–2003 in Denmark diagnosed with T1D before age 16, matched with up to four individuals without T1Dmatched cohort
- Exposure
- T1D vs matched peers without T1D
- T1Dn = 3,370
- Outcome
- Completion of compulsory school (9th grade) and enrolment in secondary education
- Follow-up
- By age 18 years
Methodological detailsmatched on age, gender, parents' educational level and immigration status
- Matched on age, gender, parents' educational level and immigration status
Main finding
As reported in the abstract
Not completing compulsory school; not enrolled in upper secondary education by age 18
T1D vs Peers without T1DOdds ratio (95% CI)
Not completing compulsory school
1.44(1.26–1.64)
Not enrolled in upper secondary education by age 18
1.50(1.31–1.73)
Observational data: associations, not effects.
Further findings
| Outcome | OR (95% CI) | |
|---|---|---|
| Adverse educational outcomes, T1D with psychiatric comorbidity vs T1D onlyT1D + psychiatric comorbidityvs T1D onlyNot completing compulsory school | 2.47 (1.54–3.96) | |
| Adverse educational outcomes, T1D with psychiatric comorbidity vs T1D onlyT1D + psychiatric comorbidityvs T1D onlyNot enrolled in upper secondary education by age 18 | 3.66 (2.27–5.91) | |
| 0.20.5125Odds ratio (log scale) |
Adverse educational outcomes, somatic comorbidity among adolescents with T1D
| OR (95% CI) | ||
|---|---|---|
| Somatic comorbidityTendency towards an association | 1.25 (0.97–1.63) | |
| Somatic comorbidityTendency towards an association | 1.26 (0.95–1.66) | |
| 0.512Odds ratio (log scale) |
Comorbidity among individuals with T1D
- At least one somatic or psychiatric comorbidity
- 1869 (56%)
- Somatic comorbidity
- 1709
- Psychiatric comorbidity
- 389
Adverse educational outcomes, somatic comorbidity among adolescents with T1D
- Associations differed markedly between diagnostic comorbidity groups
Original publication
Educational outcomes and the role of comorbidity among adolescents with type 1‐diabetes in Denmark. Diabet Med. Published 3 January 2024. doi:10.
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