Spousal diabetes status as a risk factor for incident type 2 diabetes: a prospective cohort study and meta-analysis

Appiah, Duke; Schreiner, Pamela J.; Selvin, Elizabeth; Demerath, Ellen W.; Pankow, James S.

doi:10.1007/s00592-019-01311-y

Cited by 26 publications

(23 citation statements)

References 59 publications

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“…Furthermore, previous research has shown that there is spousal concordance concerning cardiovascular risk factors, such as smoking habits, sedentary life, overweight and high blood pressure [36], high alcohol consumption and a poor diet [37]. Recent meta-analyses have also confirmed high rates of spousal concordance for hypertension [38] and diabetes [39]. The spouses of stroke survivors observed in our sample had more comorbidities compared to the controls, which support these findings.…”

Section: Discussionsupporting

confidence: 88%

Employment transitions for spouses of stroke survivors: evidence from Swedish national registries

2020

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Background The sudden occurrence of stroke often leads to impaired physical, emotional, and cognitive abilities. Many stroke survivors therefore require support from their family members. However, little is known about the effects of a stroke event on the spouses’ employment transition probabilities. The aim of this study was twofold 1) to investigate whether a first ever stroke has an effect on employment transition probabilities for employed and unemployed spouses and 2) to analyze whether heterogeneity with respect to age, gender, education and comorbidities influence the size of the effect. Method Data for this population-based cohort study were extracted from Swedish national registries from 2005 to 2016. The national sample consisted of 1818 spouses of first ever stroke survivors during 2010 and 2011, and 7399 matched controls that were employed or unemployed during 5 years prior stroke onset. Effects of stroke on spousal employment transitions were analyzed using linear regression, stratified by employment status prior to stroke onset. Results Employed spouses prior stroke onset reduced their employment by − 1.3 percentage points (95% CI, − 2.4, − 0.2). The data also indicated that employed spouses with lower age, comorbid conditions, and low educational attainment may be at even greater risk of transitioning to unemployment. On the other hand, stroke events appear to have limited impact on spouses that were unemployed prior to stroke onset. Conclusion The risk of transitioning to unemployment appears to increase after stroke onset for spouses of stroke survivors, and disadvantaged groups may be at even greater risk. Thus, it is important for policy-makers to implement interventions to ensure that these groups of spouses have the possibilities to combine their caregiving role and remaining in the labor market.

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Section: Discussionsupporting

confidence: 88%

Employment transitions for spouses of stroke survivors: evidence from Swedish national registries

2020

View full text Add to dashboard Cite

show abstract

“…Furthermore, previous research has shown that there is spousal concordance concerning cardiovascular risk factors, such as smoking habits, sedentary life, overweight and high blood pressure (35), high alcohol consumption and a poor diet (36). Recent meta-analyses have also con rmed high rates of spousal concordance for hypertension (37) and diabetes (38). The spouses of stroke survivors observed in our sample had more comorbidities compared to the controls, which support these ndings.…”

Section: Discussionsupporting

confidence: 88%

Employment transitions for spouses of stroke survivors: Evidence from Swedish national registries

Persson

Hensing

2020

Preprint

View full text Add to dashboard Cite

Background: The sudden occurrence of stroke often leads to impaired physical, emotional, and cognitive abilities. Many stroke survivors therefore require support from their family members. However, little is known about the effects of a stroke event on the spouses’ employment transition probabilities. Thus, the aim of this study was to investigate whether a first ever stroke has an effect on employment transition probabilities for employed and unemployed spouses. The aim was also to analyze whether heterogeneity with respect to age, gender, education and comorbidities influence the size of the effect. Method: Data for this population-based cohort study were extracted from Swedish national registries from 2005 to 2016. The national sample consisted of 1,818 spouses of first ever stroke survivors during 2010 and 2011, and 7,399 matched controls that were employed or unemployed during five years prior stroke onset. Effects of stroke on spousal employment transitions were analyzed using linear regression, stratified by employment status prior to stroke onset.Results: Employed spouses prior stroke onset reduced their employment by -1.3 percentage points (95% CI: -2.4, -0.2). The data also indicated that employed spouses with lower age, comorbid conditions, and low educational attainment may be at even greater risk of transitioning to unemployment. On the other hand, stroke events appear to have limited impact on spouses that were unemployed prior to stroke onset. Conclusion: The risk of transitioning to unemployment appears to increase after stroke onset for spouses of stroke survivors, and disadvantaged groups may be at even greater risk. Thus, it is important for policy-makers to implement interventions to ensure that these groups of spouses have the possibilities to combine their caregiving role and remaining in the labor market.

show abstract

“…Furthermore, previous research has shown that there is spousal concordance concerning cardiovascular risk factors, such as smoking habits, sedentary life, overweight and high blood pressure (36), high alcohol consumption and a poor diet (37). Recent meta-analyses have also con rmed high rates of spousal concordance for hypertension (38) and diabetes (39). The spouses of stroke survivors observed in our sample had more comorbidities compared to the controls, which support these ndings.…”

Section: Discussionsupporting

confidence: 88%

Employment transitions for spouses of stroke survivors: Evidence from Swedish national registries

Persson

Hensing

Bonander

2020

Preprint

View full text Add to dashboard Cite

Background: The sudden occurrence of stroke often leads to impaired physical, emotional, and cognitive abilities. Many stroke survivors therefore require support from their family members. However, little is known about the effects of a stroke event on the spouses’ employment transition probabilities. The aim of this study was twofold 1) to investigate whether a first ever stroke has an effect on employment transition probabilities for employed and unemployed spouses and 2) to analyze whether heterogeneity with respect to age, gender, education and comorbidities influence the size of the effect. Method: Data for this population-based cohort study were extracted from Swedish national registries from 2005 to 2016. The national sample consisted of 1,818 spouses of first ever stroke survivors during 2010 and 2011, and 7,399 matched controls that were employed or unemployed during five years prior stroke onset. Effects of stroke on spousal employment transitions were analyzed using linear regression, stratified by employment status prior to stroke onset. Results: Employed spouses prior stroke onset reduced their employment by -1.3 percentage points (95% CI: -2.4, -0.2). The data also indicated that employed spouses with lower age, comorbid conditions, and low educational attainment may be at even greater risk of transitioning to unemployment. On the other hand, stroke events appear to have limited impact on spouses that were unemployed prior to stroke onset. Conclusion: The risk of transitioning to unemployment appears to increase after stroke onset for spouses of stroke survivors, and disadvantaged groups may be at even greater risk. Thus, it is important for policy-makers to implement interventions to ensure that these groups of spouses have the possibilities to combine their caregiving role and remaining in the labor market.

show abstract

Spousal diabetes status as a risk factor for incident type 2 diabetes: a prospective cohort study and meta-analysis

Cited by 26 publications

References 59 publications

Employment transitions for spouses of stroke survivors: evidence from Swedish national registries

Employment transitions for spouses of stroke survivors: evidence from Swedish national registries

Employment transitions for spouses of stroke survivors: Evidence from Swedish national registries

Employment transitions for spouses of stroke survivors: Evidence from Swedish national registries

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