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Diabetes Affects Worker
Productivity and Salary

NEW YORK (Reuters Health) - Diabetes takes a substantial toll on patients' pocketbooks as well as their health, researchers report.

People with type 1 and type 2 diabetes are more likely to miss work than their healthy colleagues. As a result, their annual income may be reduced by as much as one-third, according to study findings published in the January issue of Diabetes Care.

The report, based on data from 1989, found that diabetes reduced the annual income of US workers anywhere from $3,700 to $8,700. For example, the average healthy white American man aged 55 or older earned about $27,500, while a similar man with diabetes earned about $18,800, Dr. Ying Chu Ng, from Hong Kong Baptist University in China, and colleagues explain.

People with diabetes were 3.5% less likely to be in the labor force than those without the disease, after adjusting for age, social circumstances and health status, the authors note.

Diabetics who also have complications were 12% less likely to be employed, compared with diabetics who do not suffer from medical complications. And those with complications worked 3.2 fewer days every 2 weeks, results show.

``In sum, diabetes complications have an enormous effect on work loss,'' study co-author Dr. Philip Jacobs, from the Institute of Health Economics in Edmonton, Alberta, Canada, told Reuters Health.

Diabetes accounted for $27 billion in direct medical costs and $32 billion in indirect or lost productivity costs in 1997, according to the American Diabetes Association.

``The avoidance or retardation of complications will have an impact on indirect health-related costs,'' the researchers conclude.

The findings are based on an analysis of national data on more than 1,300 people with diabetes. Data included workforce participation, hours of work, job and demographic variables, and health status. The study included blue- and white-collar workers.

SOURCE: Diabetes Care 2001;24:257-261.

Reference Source 89

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