Multi‐Dimensional Barriers for Work Productivity and Possible Solutions to Overcome Presenteeism in Young‐Onset Diabetes: A Mixed‐Methods Study
Authors' conclusion
In YOD, presenteeism is associated with interpersonal, work and societal factors accompanied by psychological distress, suboptimal diabetes care, self-management challenges
Study context
- Population
- Participants with young-onset non-T1D (age at diagnosis ≤ 40) in the PRISM-RCT16 in focus group discussions (FGDs)
- Participants
- 465 / 103 / 16
- Comparison
- Employees vs non-employees with YOD
- Employeesn = 465
- Non-employeesn = 103reference
- FGDn = 16
- Outcome
- Presenteeism among employees
- Follow-up
- Preceding year
Methodological detailsvalidated questionnaires, semi-structured focus group discussions, inductive thematic analysis
- Validated questionnaires
- Semi-structured focus group discussions
- Inductive thematic analysis
Main finding
As reported in the abstract
| Group | Value | Mean presenteeism score (out of 10) |
|---|---|---|
| Employees | 67.4% | 7.1 ± 1.6 |
Employees
Value67.4%
Mean presenteeism score (out of 10)7.1 ± 1.6
- Increased presenteeism independently associated with diabetes-related emotional burden
- β = −0.08, p = 0.029
- Increased presenteeism independently associated with suboptimal health-related quality of life (HRQoL)
- β = 3.30, p = 0.041
Further findings
Cardiometabolic, psychological and HRQoL profiles
- Employees had better cardiometabolic, psychological and HRQoL profiles than non-employees
FGD themes
- Distress contributors: inter-personal (psychological/physical status, family collectivism), work (schedules/types, absence justification, colleagues' attitudes) and societal factors (relationships with providers, out-of-pocket payment, stigmatisation)
- Enablers: public awareness, early diagnosis (genetic testing for offspring, regular health-check), peer support, treatment choices autonomy, insurance coverage
Original publication
Multi‐Dimensional Barriers for Work Productivity and Possible Solutions to Overcome Presenteeism in Young‐Onset Diabetes: A Mixed‐Methods Study. Diabetes Obes Metab. Published 26 August 2026. doi:10.
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