Diabetes and employment productivity: Does diabetes management matter?

H. Shelton Brown, Adriana Peŕez, Lisa Marie Yarnell, Jose Pagan, Craig L. Hanis, Susan P. Fisher-Hoch, Joseph B. McCormick

Research output: Contribution to journalArticle

Abstract

Objective: To determine whether labor market effects were the result of diabetes per se or rather depended on the degree to which diabetes was controlled through management of blood sugar levels. Methods: This study utilized data from a recently completed survey of households in Brownsville, Texas, a largely Mexican American community with a high prevalence of diabetes that is located on the Texas-Mexico border. Diabetes management, or control, was measured by blood sugar levels, glycosylated hemoglobin (A1C) levels, and interaction terms. Methods used were probit and Heckman regression. Results: Management of diabetes did not appear to have a discernible impact on labor market outcomes in the short run. However, diabetes was negatively associated with male productivity, particularly in males' propensity to work. The new American Diabetes Association (ADA) definition of diabetes is based on having an A1C level of <6.5%. Using the new ADA definition, diabetes was negatively associated with female productivity. Female productivity was also negatively associated with the new ADA definition of prediabetes (A1C levels between 5.7% and 6.4%). However, very few people with diabetes actually controlled their blood sugar or A1C levels. Conclusion: These results imply that in order to avoid productivity losses associated with diabetes, more scarce prevention resources should be spent on prevention of the onset of diabetes than on the management of A1C for those already diagnosed with diabetes. For women, the prevention of prediabetes is key.

Original languageEnglish (US)
Pages (from-to)569-576
Number of pages8
JournalAmerican Journal of Managed Care
Volume17
Issue number8
StatePublished - Aug 2011

Fingerprint

Blood Glucose
Prediabetic State
Glycosylated Hemoglobin A
Mexico
Surveys and Questionnaires

ASJC Scopus subject areas

  • Health Policy

Cite this

Brown, H. S., Peŕez, A., Yarnell, L. M., Pagan, J., Hanis, C. L., Fisher-Hoch, S. P., & McCormick, J. B. (2011). Diabetes and employment productivity: Does diabetes management matter? American Journal of Managed Care, 17(8), 569-576.

Diabetes and employment productivity : Does diabetes management matter? / Brown, H. Shelton; Peŕez, Adriana; Yarnell, Lisa Marie; Pagan, Jose; Hanis, Craig L.; Fisher-Hoch, Susan P.; McCormick, Joseph B.

In: American Journal of Managed Care, Vol. 17, No. 8, 08.2011, p. 569-576.

Research output: Contribution to journalArticle

Brown, HS, Peŕez, A, Yarnell, LM, Pagan, J, Hanis, CL, Fisher-Hoch, SP & McCormick, JB 2011, 'Diabetes and employment productivity: Does diabetes management matter?', American Journal of Managed Care, vol. 17, no. 8, pp. 569-576.
Brown HS, Peŕez A, Yarnell LM, Pagan J, Hanis CL, Fisher-Hoch SP et al. Diabetes and employment productivity: Does diabetes management matter? American Journal of Managed Care. 2011 Aug;17(8):569-576.
Brown, H. Shelton ; Peŕez, Adriana ; Yarnell, Lisa Marie ; Pagan, Jose ; Hanis, Craig L. ; Fisher-Hoch, Susan P. ; McCormick, Joseph B. / Diabetes and employment productivity : Does diabetes management matter?. In: American Journal of Managed Care. 2011 ; Vol. 17, No. 8. pp. 569-576.
@article{c805f8805bd443eea52e0f8bf4562660,
title = "Diabetes and employment productivity: Does diabetes management matter?",
abstract = "Objective: To determine whether labor market effects were the result of diabetes per se or rather depended on the degree to which diabetes was controlled through management of blood sugar levels. Methods: This study utilized data from a recently completed survey of households in Brownsville, Texas, a largely Mexican American community with a high prevalence of diabetes that is located on the Texas-Mexico border. Diabetes management, or control, was measured by blood sugar levels, glycosylated hemoglobin (A1C) levels, and interaction terms. Methods used were probit and Heckman regression. Results: Management of diabetes did not appear to have a discernible impact on labor market outcomes in the short run. However, diabetes was negatively associated with male productivity, particularly in males' propensity to work. The new American Diabetes Association (ADA) definition of diabetes is based on having an A1C level of <6.5{\%}. Using the new ADA definition, diabetes was negatively associated with female productivity. Female productivity was also negatively associated with the new ADA definition of prediabetes (A1C levels between 5.7{\%} and 6.4{\%}). However, very few people with diabetes actually controlled their blood sugar or A1C levels. Conclusion: These results imply that in order to avoid productivity losses associated with diabetes, more scarce prevention resources should be spent on prevention of the onset of diabetes than on the management of A1C for those already diagnosed with diabetes. For women, the prevention of prediabetes is key.",
author = "Brown, {H. Shelton} and Adriana Peŕez and Yarnell, {Lisa Marie} and Jose Pagan and Hanis, {Craig L.} and Fisher-Hoch, {Susan P.} and McCormick, {Joseph B.}",
year = "2011",
month = "8",
language = "English (US)",
volume = "17",
pages = "569--576",
journal = "American Journal of Managed Care",
issn = "1088-0224",
publisher = "Ascend Media",
number = "8",

}

TY - JOUR

T1 - Diabetes and employment productivity

T2 - Does diabetes management matter?

AU - Brown, H. Shelton

AU - Peŕez, Adriana

AU - Yarnell, Lisa Marie

AU - Pagan, Jose

AU - Hanis, Craig L.

AU - Fisher-Hoch, Susan P.

AU - McCormick, Joseph B.

PY - 2011/8

Y1 - 2011/8

N2 - Objective: To determine whether labor market effects were the result of diabetes per se or rather depended on the degree to which diabetes was controlled through management of blood sugar levels. Methods: This study utilized data from a recently completed survey of households in Brownsville, Texas, a largely Mexican American community with a high prevalence of diabetes that is located on the Texas-Mexico border. Diabetes management, or control, was measured by blood sugar levels, glycosylated hemoglobin (A1C) levels, and interaction terms. Methods used were probit and Heckman regression. Results: Management of diabetes did not appear to have a discernible impact on labor market outcomes in the short run. However, diabetes was negatively associated with male productivity, particularly in males' propensity to work. The new American Diabetes Association (ADA) definition of diabetes is based on having an A1C level of <6.5%. Using the new ADA definition, diabetes was negatively associated with female productivity. Female productivity was also negatively associated with the new ADA definition of prediabetes (A1C levels between 5.7% and 6.4%). However, very few people with diabetes actually controlled their blood sugar or A1C levels. Conclusion: These results imply that in order to avoid productivity losses associated with diabetes, more scarce prevention resources should be spent on prevention of the onset of diabetes than on the management of A1C for those already diagnosed with diabetes. For women, the prevention of prediabetes is key.

AB - Objective: To determine whether labor market effects were the result of diabetes per se or rather depended on the degree to which diabetes was controlled through management of blood sugar levels. Methods: This study utilized data from a recently completed survey of households in Brownsville, Texas, a largely Mexican American community with a high prevalence of diabetes that is located on the Texas-Mexico border. Diabetes management, or control, was measured by blood sugar levels, glycosylated hemoglobin (A1C) levels, and interaction terms. Methods used were probit and Heckman regression. Results: Management of diabetes did not appear to have a discernible impact on labor market outcomes in the short run. However, diabetes was negatively associated with male productivity, particularly in males' propensity to work. The new American Diabetes Association (ADA) definition of diabetes is based on having an A1C level of <6.5%. Using the new ADA definition, diabetes was negatively associated with female productivity. Female productivity was also negatively associated with the new ADA definition of prediabetes (A1C levels between 5.7% and 6.4%). However, very few people with diabetes actually controlled their blood sugar or A1C levels. Conclusion: These results imply that in order to avoid productivity losses associated with diabetes, more scarce prevention resources should be spent on prevention of the onset of diabetes than on the management of A1C for those already diagnosed with diabetes. For women, the prevention of prediabetes is key.

UR - http://www.scopus.com/inward/record.url?scp=80052079545&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80052079545&partnerID=8YFLogxK

M3 - Article

VL - 17

SP - 569

EP - 576

JO - American Journal of Managed Care

JF - American Journal of Managed Care

SN - 1088-0224

IS - 8

ER -