The impact of type 1 diabetes mellitus in childhood on academic performance: a matched population‐based cohort study

Rebecca J. Mitchell; Anne McMaugh; Helen Woodhead; Reidar P. Lystad; Yvonne Zurynski; Tim Badgery‐Parker; Cate M. Cameron; Tien‐Ming Hng

doi:10.1111/pedi.13317

The impact of type 1 diabetes mellitus in childhood on academic performance: a matched population‐based cohort study

Rebecca J. Mitchell, Anne McMaugh, Helen Woodhead, Reidar P. Lystad, Yvonne Zurynski, Tim Badgery‐Parker, Cate M. Cameron, Tien‐Ming Hng

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Abstract

Background and Objective: The impact of type 1 diabetes mellitus (T1D) on academic performance is inconclusive. This study aims to compare scholastic performance and high-school completion in young people hospitalized with T1D compared to matched peers not hospitalized with diabetes.

Research Design: Retrospective case-comparison cohort study.

Method: A population-level matched case-comparison study of people aged ≤18 hospitalized with T1D during 2005-2018 in New South Wales, Australia using linked health-related and education records. The comparison cohort was matched on age, gender, and residential postcode. Generalized linear mixed modeling examined risk of school performance below the national minimum standard (NMS) and generalized linear regression examined risk of not completing high school for young people hospitalized with T1D compared to peers. Adjusted relative risks (ARR) were calculated.

Results: Young females and males hospitalized with T1D did not have a higher risk of not achieving the NMS compared to peers for numeracy (ARR: 1.19; 95%CI 0.77-1.84 and ARR: 0.74; 95%CI 0.46-1.19) or reading (ARR: 0.98; 95%CI 0.63-1.50 and ARR: 0.85; 95%CI 0.58-1.24), respectively. Young T1D hospitalized females had a higher risk of not completing year 11 (ARR: 1.73; 95%CI 1.19-2.53) or 12 (ARR: 1.65; 95%CI 1.17-2.33) compared to peers, while hospitalized T1D males did not.

Conclusions: There was no difference in academic performance in youth hospitalized with T1D compared to peers. Improved glucose control and T1D management may explain the absence of school performance decrements in students with T1D. However, females hospitalized with T1D had a higher risk of not completing high school. Potential associations of this increased risk, with attention to T1D and psycho-social management, should be investigated.

Original language	English
Pages (from-to)	411-420
Number of pages	10
Journal	Pediatric Diabetes
Volume	23
Issue number	3
Early online date	3 Feb 2022
DOIs	https://doi.org/10.1111/pedi.13317
Publication status	Published - May 2022

Bibliographical note

Copyright the Author(s) 2022. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

type 1 diabetes
young people
school performance
high school completion

Access to Document

10.1111/pedi.13317Licence: CC BY-NC

Publisher version (open access)Final published version, 1.2 MBLicence: CC BY-NC

Cite this

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title = "The impact of type 1 diabetes mellitus in childhood on academic performance: a matched population‐based cohort study",

abstract = "Background and Objective: The impact of type 1 diabetes mellitus (T1D) on academic performance is inconclusive. This study aims to compare scholastic performance and high-school completion in young people hospitalized with T1D compared to matched peers not hospitalized with diabetes.Research Design: Retrospective case-comparison cohort study.Method: A population-level matched case-comparison study of people aged ≤18 hospitalized with T1D during 2005-2018 in New South Wales, Australia using linked health-related and education records. The comparison cohort was matched on age, gender, and residential postcode. Generalized linear mixed modeling examined risk of school performance below the national minimum standard (NMS) and generalized linear regression examined risk of not completing high school for young people hospitalized with T1D compared to peers. Adjusted relative risks (ARR) were calculated.Results: Young females and males hospitalized with T1D did not have a higher risk of not achieving the NMS compared to peers for numeracy (ARR: 1.19; 95%CI 0.77-1.84 and ARR: 0.74; 95%CI 0.46-1.19) or reading (ARR: 0.98; 95%CI 0.63-1.50 and ARR: 0.85; 95%CI 0.58-1.24), respectively. Young T1D hospitalized females had a higher risk of not completing year 11 (ARR: 1.73; 95%CI 1.19-2.53) or 12 (ARR: 1.65; 95%CI 1.17-2.33) compared to peers, while hospitalized T1D males did not.Conclusions: There was no difference in academic performance in youth hospitalized with T1D compared to peers. Improved glucose control and T1D management may explain the absence of school performance decrements in students with T1D. However, females hospitalized with T1D had a higher risk of not completing high school. Potential associations of this increased risk, with attention to T1D and psycho-social management, should be investigated.",

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note = "Copyright the Author(s) 2022. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.",

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AU - Zurynski, Yvonne

AU - Badgery‐Parker, Tim

AU - Cameron, Cate M.

AU - Hng, Tien‐Ming

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AB - Background and Objective: The impact of type 1 diabetes mellitus (T1D) on academic performance is inconclusive. This study aims to compare scholastic performance and high-school completion in young people hospitalized with T1D compared to matched peers not hospitalized with diabetes.Research Design: Retrospective case-comparison cohort study.Method: A population-level matched case-comparison study of people aged ≤18 hospitalized with T1D during 2005-2018 in New South Wales, Australia using linked health-related and education records. The comparison cohort was matched on age, gender, and residential postcode. Generalized linear mixed modeling examined risk of school performance below the national minimum standard (NMS) and generalized linear regression examined risk of not completing high school for young people hospitalized with T1D compared to peers. Adjusted relative risks (ARR) were calculated.Results: Young females and males hospitalized with T1D did not have a higher risk of not achieving the NMS compared to peers for numeracy (ARR: 1.19; 95%CI 0.77-1.84 and ARR: 0.74; 95%CI 0.46-1.19) or reading (ARR: 0.98; 95%CI 0.63-1.50 and ARR: 0.85; 95%CI 0.58-1.24), respectively. Young T1D hospitalized females had a higher risk of not completing year 11 (ARR: 1.73; 95%CI 1.19-2.53) or 12 (ARR: 1.65; 95%CI 1.17-2.33) compared to peers, while hospitalized T1D males did not.Conclusions: There was no difference in academic performance in youth hospitalized with T1D compared to peers. Improved glucose control and T1D management may explain the absence of school performance decrements in students with T1D. However, females hospitalized with T1D had a higher risk of not completing high school. Potential associations of this increased risk, with attention to T1D and psycho-social management, should be investigated.

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The impact of type 1 diabetes mellitus in childhood on academic performance: a matched population‐based cohort study

Abstract

Bibliographical note

Keywords

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Impact of chronic illness and injury on school performance and health outcomes of children pilot study

Time in hospital sets back tens of thousands of children’s learning each year, but targeted support can help them catch up

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The impact of type 1 diabetes mellitus in childhood on academic performance: a matched population‐based cohort study

Abstract

Bibliographical note

Keywords

Access to Document

Other files and links

Fingerprint

Projects

Impact of chronic illness and injury on school performance and health outcomes of children pilot study

Press/Media

Time in hospital sets back tens of thousands of children’s learning each year, but targeted support can help them catch up

Cite this