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

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Effect of type 1 diabetes on school performance in a dynamic world : new analysis exploring Swedish register data. / Swedish Childhood Diabetes Study Group; Persson, Emma.

In: Applied Economics, 23.12.2018.

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TY - JOUR

T1 - Effect of type 1 diabetes on school performance in a dynamic world

T2 - Applied Economics

AU - Swedish Childhood Diabetes Study Group

AU - Persson, Emma

AU - Persson, Sofie

AU - Gerdtham, Ulf G.

AU - Steen Carlsson, Katarina

PY - 2018/12/23

Y1 - 2018/12/23

N2 - 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.

AB - 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.

KW - education

KW - register data

KW - school performance

KW - Type 1 diabetes

U2 - 10.1080/00036846.2018.1558347

DO - 10.1080/00036846.2018.1558347

M3 - Article

JO - Applied Economics

JF - Applied Economics

SN - 1466-4283

ER -