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https://hdl.handle.net/2440/128579
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Type: | Journal article |
Title: | Educational outcomes among children with type 1 diabetes: whole-of-population linked-data study |
Author: | Begum, M. Chittleborough, C. Pilkington, R. Mittinty, M. Lynch, J. Penno, M. Smithers, L. |
Citation: | Pediatric Diabetes, 2020; 21(7):1353-1361 |
Publisher: | Wiley |
Issue Date: | 2020 |
ISSN: | 1399-543X 1399-5448 |
Statement of Responsibility: | Mumtaz Begum, Catherine Chittleborough, Rhiannon Pilkington, Murthy Mittinty, John Lynch, Megan Penno, Lisa Smithers |
Abstract: | Background: Challenges with type 1 diabetes (T1D) blood glucose management and illness-related school absences potentially influence children's educational outcomes. However, evidence about the impact of T1D on children's education is mixed. The objectives were to estimate the effects of T1D on children's educational outcomes, and compare time since T1D diagnosis (recent diagnosis (≤2 years) and 3-10 years long exposure) on educational outcomes. Methods: This whole-of-population study used de-identified, administrative linked-data from the South Australian Early Childhood Data Project. T1D was identified from hospital ICD-10-AM diagnosis codes (E10, ranging E101 to E109), from 2001 to 2014. Educational outcomes were measured in grade 5 by the National Assessment Program-Literacy and Numeracy (NAPLAN, 2008-2015) for children born from 1999-2005. Analyses were conducted using augmented inverse probability of treatment weighting. Multiple imputation was used to impute missing data. Results: Among 61,445 children born in South Australia who had undertaken NAPLAN assessments, 162 had T1D. There were negligible differences in the educational outcomes of children with and without T1D, and between recently diagnosed and those with longer exposure. For example, the mean reading score was 482.8±78.9 for children with T1D and 475.5±74.3 for other children. The average treatment effect of 6.8 (95% CI -6.3-19.9) reflected one-tenth of a standard deviation difference in the mean reading score of children with and without T1D. Conclusion: Children with T1D performed similarly on literacy and numeracy in grade 5 (age ~10-years) compared to children without type 1 diabetes. This could be due to effective type 1 diabetes management. |
Keywords: | Augmented inverse probability weighting; childhood; educational outcomes; linked-data; type 1 diabetes |
Rights: | © 2020 John Wiley & Sons A/S . Published by John Wiley & Sons Ltd |
DOI: | 10.1111/pedi.13107 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/1099422 http://purl.org/au-research/grants/nhmrc/1056888 |
Published version: | http://dx.doi.org/10.1111/pedi.13107 |
Appears in Collections: | Aurora harvest 4 Public Health publications |
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