PMID: identifiant
de la référence Pubmed : |
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 (21562323)  |
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| titre : |
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Impact of diabetes on work cessation: data from the GAZEL cohort study. |
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| auteur(s) : |
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Eléonore Herquelot1, Alice Guéguen1, Sébastien Bonenfant1, Rosemary Dray-Spira ( ) 1 |
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| laboratoire : |
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| titre abrégé : |
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Impact of diabetes on work cessation |
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| résumé : |
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OBJECTIVE: To measure the impact of diabetes on work cessation, i.e., on the risks of work disability, early retirement, and death while in the labor force. RESEARCH DESIGN AND METHODS: We used data from the GAZEL prospective cohort of 20,625 employees of the French national gas and electricity company "EDF-GDF." We identified 506 employees with diabetes and randomly selected 2,530 nondiabetic employed control subjects matched for major sociodemographic and occupational characteristics. Using a multistate Cox model, we estimated hazard ratios (HRs) comparing the risks of transition from employment to disability, retirement, and death over time between participants with versus without diabetes. RESULTS: Employment rate decreased more rapidly in participants with diabetes (51.9 and 10.1% at 55 and 60 years, respectively) compared with nondiabetic participants (66.5 and 13.4%, respectively). Participants with diabetes had significantly increased risks of transition from employment to disability (HR 1.7 [95% CI 1.0-2.9]), retirement (HR 1.6 [1.5-1.8]), and death (HR 7.3 [3.6-14.6]) compared with participants without diabetes. Between 35 and 60 years, each participant with diabetes lost an estimated mean time of 1.1 year in the workforce (95% CI 0.99-1.14) compared with a nondiabetic participant. CONCLUSIONS: Our results provide evidence for a profound negative impact of diabetes on workforce participation in France. Social and economic consequences are major for patients, employers, and society-a burden that is likely to increase as diabetes becomes more and more common in the working-aged population. |
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| domaine : |
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Sciences du Vivant/Santé publique et épidémiologie
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langue du texte
intégral : |
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Anglais |
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| ISSN : |
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1935-5548 |
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| type de publication : |
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Articles dans des revues avec comité de lecture |
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| DOI : |
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10.2337/dc10-2225 |
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| journal : |
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| Diabetes Care (Diabetes Care) |
| Publisher |
American Diabetes Association |
| ISSN |
0149-5992 (eISSN : 0149-5992) |
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| Audience : |
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internationale |
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| date de publication : |
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06/2011 |
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date de publication
électronique : |
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11/05/2011 |
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| volume : |
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34 |
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| numéro : |
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6 |
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| page, identifiant, ... : |
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1344-9 |
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| Descripteur(s) MeSH : |
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Adult – Cohort Studies – Diabetes Mellitus – Disabled Persons – Female – France – Humans – Male – Middle Aged – Retirement – Risk – Work |
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