Songer T J, Laporte R E, Lave J R, Dorman J S, Becker D J
Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA.
Department of Health Services Administration, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA.
Work. 1997;9(2):121-8. doi: 10.3233/WOR-1997-9204.
To examine the influence of diabetes on the employment patterns of parents of children living with diabetes.
A case-control study of 197 families with an IDDM child and 142 control families without IDDM children was conducted. Case families were identified from a population-based diabetes registry. Brothers and sisters of the parents in the IDDM families were asked to participate as controls. Employment rates, absenteeism related to child care, and changes in work status were assessed by means of a questionnaire. Surveys were obtained from 85% of the families (172 case; 118 control).
No difference was found between the IDDM and control families in the overall rate of employment and changes in work patterns. However, IDDM families were more likely to report absences from work related to child care (58% vs. 45%, P < 0.05). This impact was greatest for the working mothers. The greatest impact of IDDM on employment may be faced by single parents, who reported lower rates of employment and higher rates of absenteeism and changes in work patterns.
Families face decisions regarding employment and the appropriate level of care for children with diabetes. These data illustrate that most families with an IDDM child have employment experiences similar to those of families without diabetic children. Larger sample sizes of single parent families are necessary to confirm these findings.
探讨糖尿病对患有糖尿病儿童的父母就业模式的影响。
对197个有1型糖尿病患儿的家庭和142个无1型糖尿病患儿的对照家庭进行了病例对照研究。病例家庭从基于人群的糖尿病登记处中识别出来。1型糖尿病家庭中父母的兄弟姐妹被要求作为对照参与研究。通过问卷调查评估就业率、与照顾孩子相关的缺勤情况以及工作状态的变化。85%的家庭（172个病例组；118个对照组）完成了调查。
1型糖尿病家庭和对照家庭在总体就业率和工作模式变化方面没有差异。然而，1型糖尿病家庭更有可能报告因照顾孩子而缺勤（58%对45%，P<0.05）。这种影响对在职母亲最为明显。1型糖尿病对就业的最大影响可能由单亲家长面临，他们报告的就业率较低，缺勤率和工作模式变化率较高。
家庭面临着关于就业和对糖尿病患儿适当护理水平的决策。这些数据表明，大多数有1型糖尿病患儿的家庭的就业经历与没有糖尿病患儿的家庭相似。需要更大样本量的单亲家庭来证实这些发现。
