title: Work ability among Finnish workers with type 1 diabetes.
abstract: BACKGROUND
  Work ability represents the balance between individual resources, health status and job demands. As far as we are aware, these issues have not been examined in working people with type 1 diabetes (T1D).
  
  
  OBJECTIVE
  To examine how work-related and diabetes-related factors are associated with work ability among male and female workers.
  
  
  METHODS
  Questionnaires were mailed to a random sample of 2500 people with T1D from the Medication Reimbursement Register of The Social Insurance Institution of Finland. The associations of the predictors of poor work ability were examined in a logistic regression analysis.
  
  
  RESULTS
  The final sample comprised 767 working people aged 18-64 with T1D; overall response rate 49%. One in every three working men and women with T1D had poor work ability. High job demands and low job control were associated with poor work ability in both genders. Physical work and low worktime control were significantly associated with poor work ability in men but not in women with T1D. A self-reported high value of glycosylated haemoglobin was the only diabetes-related variable associated with poor work ability in both men and women.
  
  
  CONCLUSIONS
  Work-related factors and poor glycaemic control were associated with poor work ability in individuals with T1D. Thus, job control and worktime control should be taken into account in supporting the work ability of workers with T1D.
authors.affiliation: School of Medicine, Institute of Public Health and Clinical Nutrition, University of Eastern Finland, FI-70211 Kuopio, Finland, pirjoirene.hakkarainen@uef.fi.
authors.forename: P
authors.initials: P
authors.lastname: Hakkarainen
authors.affiliation: Department of Medicine, Kuopio University Hospital, FI-70210 Kuopio, Finland.
authors.forename: L
authors.initials: L
authors.lastname: Moilanen
authors.affiliation: Department of Social Sciences, University of Eastern Finland, FI-70211 Kuopio, Finland.
authors.forename: V
authors.initials: V
authors.lastname: Hänninen
authors.affiliation: School of Medicine, Institute of Public Health and Clinical Nutrition, University of Eastern Finland, FI-70211 Kuopio, Finland.
authors.forename: J
authors.initials: J
authors.lastname: Heikkinen
authors.affiliation: School of Medicine, Institute of Public Health and Clinical Nutrition, University of Eastern Finland, FI-70211 Kuopio, Finland.
authors.forename: K
authors.initials: K
authors.lastname: Räsänen
mesh_terms: D000328:Adult; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000150:complications; D005260:Female; D005387:Finland; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D008297:Male; D008875:Middle Aged; D011209:Power, Psychological; D057566:Self Report; D012737:Sex Factors; D011795:Surveys and Questionnaires; D014937:Work; D014938:Work Capacity Evaluation; D016526:Workload; D055815:Young Adult
chemical_list: D006442:Glycated Hemoglobin
keywords: Gender; population; postal survey; questionnaire; type 1 diabetes; work ability.