title: Labor market consequences of childhood onset type 1 diabetes.
abstract: This paper examines the effect of the onset of Type 1 Diabetes Mellitus (T1DM) before 15 years of age on labor market outcomes and contributes to the literature on effects of childhood health on adult socioeconomic status. Using national Swedish socioeconomic register data 1991-2010 for 2485 individuals born 1972-1978 with onset of T1DM in 1977-1993, we find that T1DM in childhood has a negative effect on labor market outcomes later in life. Part of the T1DM effect is channeled through occupational field which may be related to both choice and opportunities. Although the magnitude of the effect is only directly generalizable to illnesses with similar attributes as T1DM, the results suggest that causality in the often observed correlation between health and socioeconomic status, at least partly, is explained by an effect running from health to earnings. This has implications for research and policy on strategies to reduce socioeconomic-related health inequality. Our findings also shed light on productivity losses, measured by employment status and earnings due to childhood onset T1DM, which have implications for both the individual and society.
authors.affiliation: Health Economics Unit, Department of Clinical Sciences Malmö, Lund University, Lund, Sweden; Health Economics Program, Lund University, Lund, Sweden. Electronic address: sofie.persson@med.lu.se.
authors.forename: Sofie
authors.initials: S
authors.lastname: Persson
authors.affiliation: Health Economics Unit, Department of Clinical Sciences Malmö, Lund University, Lund, Sweden; Health Economics Program, Lund University, Lund, Sweden; Department of Economics, Lund University, Lund, Sweden.
authors.forename: Ulf-G
authors.initials: UG
authors.lastname: Gerdtham
authors.affiliation: Health Economics Unit, Department of Clinical Sciences Malmö, Lund University, Lund, Sweden; Health Economics Program, Lund University, Lund, Sweden.
authors.forename: Katarina
authors.initials: K
authors.lastname: Steen Carlsson
mesh_terms: D000328:Adult; D017668:Age of Onset; D003922:Diabetes Mellitus, Type 1 / Q000191:economics* / Q000453:epidemiology*; D004651:Employment / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007182:Income / Q000706:statistics & numerical data*; D008297:Male; D012923:Social Class; D055815:Young Adult
keywords: Childhood health; Chronic disease; Earnings; Employment; Type 1 diabetes