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Int. J. Environ. Res. Public Health 2017, 14(7), 712; doi:10.3390/ijerph14070712

Early Onset of Type 1 Diabetes and Educational Field at Upper Secondary and University Level: Is Own Experience an Asset for a Health Care Career?

1,2,†,* and 2,3,†
1
Swedish Institute for Food and Agricultural Economics, Lund University, SE-220 07 Lund, Sweden
2
Department of Clinical Sciences, Lund University, Malmö; Health Economics, SE-223 81 Lund, Sweden
3
The Swedish Institute for Health Economics, SE-220 02 Lund, Sweden
These authors represent the Swedish Childhood Diabetes Study Group.
*
Author to whom correspondence should be addressed.
Received: 14 May 2017 / Revised: 16 June 2017 / Accepted: 26 June 2017 / Published: 30 June 2017
View Full-Text   |   Download PDF [386 KB, uploaded 30 June 2017]

Abstract

Ill health in early life has a significant negative impact on school grades, grade repetition, educational level, and labor market outcomes. However, less is known about qualitative socio-economic consequences of a health shock in childhood or adolescence. We investigate the relationship between onset of type 1 diabetes up to age 15 and the probability of choosing and completing a health-oriented path at upper secondary and university level of education. We analyze the Swedish Childhood Diabetes Register, the National Educational Register, and other population registers in Sweden for 2756 people with type 1 diabetes and 10,020 matched population controls. Educational decisions are modeled as unsorted series of binary choices to assess the choice of educational field as a potential mechanism linking early life health to adult outcomes. The analyses reject the hypothesis of no systematic differences in choice of educational field between people with and without type 1 diabetes at both levels. The results are robust to selection on ability proxies and across sensitivity analysis. We conclude that the observed pro health-oriented educational choices among people with type 1 diabetes in our data are consistent with disease onset in childhood and adolescence having qualitative impact on life-course choices. View Full-Text
Keywords: early life health; educational choices; comparative advantages; type 1 diabetes; long-term consequences; socioeconomic status; real world data; health data registers; Swedish Childhood Diabetes Study early life health; educational choices; comparative advantages; type 1 diabetes; long-term consequences; socioeconomic status; real world data; health data registers; Swedish Childhood Diabetes Study
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Lovén, I.; Steen Carlsson, K. Early Onset of Type 1 Diabetes and Educational Field at Upper Secondary and University Level: Is Own Experience an Asset for a Health Care Career? Int. J. Environ. Res. Public Health 2017, 14, 712.

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