Effect of type 1 diabetes on school performance in a dynamic world: new analysis exploring Swedish register data

Research output: Contribution to journalArticle


This paper investigates if the effect of type 1 diabetes mellitus (T1DM) on school performance, documented in prior research, has changed in more recent birth cohorts of children using national Swedish population register data. The issue is of interest because management and treatment of the disease have improved over the last decades and, furthermore, because of changes in the educational grading system. Despite these changes, data indicate a persistent negative effect of T1DM on compulsory and upper secondary school grades with a standardized effect size of −0.109 and −0.070, respectively, and the results appear only marginally smaller compared to earlier findings in cohorts completing school under the previous grading system. Moreover, the results are consistent for alternative model specifications and econometric estimation strategies. Whereas access to new treatment technologies and improved diabetes management strategies has reduced the burden of diabetes in daily life, the results from this study indicate that continued efforts are needed to improve the situation in school for children with T1DM to prevent potential long-term socio-economic consequences.


  • Swedish Childhood Diabetes Study Group
  • Emma Persson
External organisations
  • Umeå University
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Public Health, Global Health, Social Medicine and Epidemiology
  • Endocrinology and Diabetes


  • education, register data, school performance, Type 1 diabetes
Original languageEnglish
Pages (from-to)2606-2622
JournalApplied Economics
Issue number24
Early online date2018 Dec 23
Publication statusPublished - 2019
Publication categoryResearch

Related research output

Persson, E., Sofie Persson, Ulf Gerdtham & Katarina Steen Carlsson, 2016 Oct 24, Lund: Department of Economics, Lund Universtiy, 34 p. (Working Papers; vol. 2016, no. 28).

Research output: Working paper

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