Long-term impact of childhood-onset type 1 diabetes on social life, quality of life and sexuality - 05/12/15
, S. Guilmin-Crépon a, b, c, P. Jacquin d, M. Labéguerie c, C. Lévy-Marchal e, f, C. Alberti a, b, c
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Abstract |
Aim |
This study describes the socio-professional outcomes, health-related quality of life (HRQOL) and sexuality of adults with childhood-onset type 1 diabetes (T1D).
Methods |
The study participants (n=388), recruited from a nationwide registry (age: 28.5±3.1 years; T1D duration: 17.0±2.7 years), completed a questionnaire (198 items); the results were compared with the French general population using standardized incidence ratios (SIRs) and Z scores matched for age, gender and period with/without education levels and patterns of family life. Linear regression models also investigated correlates of SF-36 Physical (PCS) and Mental Composite Scores (MCS).
Results |
Compared with the French general population, education levels of people with T1D were similar, with 68.6% having at least a high-school diploma or higher (SIR: 1.06, 95% CI: 0.93; 1.20), as were also their patterns of family life. Unemployment was higher in T1D women (15.3%, SIR: 1.50, 1.00; 2.05), but not in T1D men (8.6%, SIR: 0.96, 0.51; 1.57). Social discrimination was more common (SIR: 5.64, 4.64; 6.62), and frequency of daily alcohol consumption was higher (SIR: men, 3.34, 2.38; 4.54; women, 6.53, 4.57; 12.99). PCS and MCS were decreased moderately (mean±SD: 52.0±7.5; mean Z score: −0.2, 95% CI: −0.3; −0.1) and substantially (mean±SD: 42.1±12.4; mean Z score: −0.7, −0.8; −0.6), respectively. Fatigue and abandoning sports were predictive of a lower HRQOL. Both men and women were more frequently dissatisfied with their sex life. Prevalence of sexual problems was higher in women (SIR for: dysorgasmia, 1.91, 1.21–2.88; decreased/loss of desire: 2.11, 1.35–3.08), but similar in men. Participants with T1D-related complications had preserved social outcomes, but altered HRQOL.
Conclusion |
Young adults with T1D have satisfactory social participation. However, their higher alcohol consumption, lower MCS and frequent dissatisfaction with sexuality suggest a heavy impact of the disease on morale, especially in women. Improving the everyday well-being of these young adults represents a key challenge for diabetes healthcare.
Le texte complet de cet article est disponible en PDF.Keywords : Pediatric type 1 diabetes, Long-term outcomes, Education, Social status, Quality of life, Sexuality
Abbreviations : GP, HRQOL, INSEE, MFI-20, SF-36, SIR, T1D
Plan
Vol 41 - N° 6
P. 489-497 - décembre 2015 Retour au numéro
Article précédent
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