Type 1 diabetes, quality of life, occupational status and education level - A comparative population-based study

•Adults with type 1 diabetes differ from the general population.•Type 1 diabetes were related to lower HRQoL.•Type 1 diabetes were related to lower levels of employment and more sick leave.•However, type 1 diabetes were related to slightly higher educational level.•Differences in HRQoL and level of employment were greatest among women and elderly.

AimType 1 diabetes requires extensive self-management to avoid complications and may have negative effects on the everyday life of people with the disease. The aim of this study was to compare adults with type 1 diabetes to the general population in terms of health-related quality of life, occupational status (level of employment, working hours and sick leave) and education level.Methods2415 adults (aged 18-98 years) with type 1 diabetes were compared to 48,511 adults (aged 18-103 years) from the general population. Data were obtained from two cross-sectional surveys conducted in 2010 and 2011 of adults living or treated in the Capital Region in Denmark. Differences between adults with type 1 diabetes and the general population were standardised for age and sex and analyzed using linear probability models and negative binomial regression. Differences were further analyzed in subgroups.ResultsCompared to the general population, adults with type 1 diabetes experienced lower health-related quality of life, were more frequently unemployed, had more sick leave per year and were slightly better educated. Differences in health-related quality of life and employment increased with age and were larger among women, as compared to men. No significant differences were found with regard to working hours.ConclusionOur findings suggest that type 1 diabetes is associated with lower health-related quality of life, higher unemployment and additional sick leave. The negative association with type 1 diabetes is more pronounced in women and older adults.