当前位置: X-MOL 学术Econ. Hum. Biol. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
The effect of type 2 diabetes diagnosis in the elderly.
Economics & Human Biology ( IF 2.5 ) Pub Date : 2020-02-21 , DOI: 10.1016/j.ehb.2019.100830
Alessio Gaggero 1
Affiliation  

In this paper, I use a novel approach based on biomarkers data to examine the effect of type 2 diabetes (T2D) diagnosis on both physical and mental health for a sample of individuals aged 50 and above. In order to retrieve reliable estimates, I exploit the fact that medical guidelines cause a discontinuity in the probability that General Practitioners (GP) diagnose their patients with T2D as a function of exact blood test cut-off in a regression discontinuity design (RDD) approach. Using data from the English Longitudinal Study of Ageing (ELSA), I find compelling evidence that health information, in the form of T2D diagnosis, influences the protection of health into old age. Specifically, after receiving T2D diagnosis, over time, individuals reported a 2.1 lower body mass index (BMI) as well as 5.5 cm lower waist circumference, relative to their counterparts. With respect to self-reported physical health, the results imply that those diagnosed with T2D reported a 0.19 and 0.70 higher score in increased activities of daily living (ADL) and body mobility indexes, respectively. Finally, while I find evidence that T2D-diagnosed patients reported a significant, 0.5 higher, score in the word listening test, I find no evidence that T2D diagnosis impacted self-reported depression levels. I provide a wide variety of evidence on the validity of the results.

中文翻译:

老年人2型糖尿病诊断的效果。

在本文中,我使用了一种基于生物标志物数据的新颖方法,以研究2型糖尿病(T2D)诊断对50岁及50岁以上人群的身心健康的影响。为了获取可靠的估计值,我利用了以下事实,即医学准则会导致不连续性,这是根据回归不连续性设计(RDD)方法将全科医生(GP)诊断出患有T2D的患者作为确切的血液检验标准的函数。 。使用来自英国纵向衰老研究(ELSA)的数据,我发现令人信服的证据表明,以T2D诊断的形式提供的健康信息会影响到老年人的健康保护。具体来说,在接受T2D诊断后,随着时间的流逝,个体报告的体重指数(BMI)降低了2.1,腰围降低了5.5厘米,相对于他们的同行。关于自我报告的身体健康,结果暗示那些被诊断为T2D的人在日常生活活动(ADL)和身体活动指数上的得分分别高出0.19和0.70。最后,虽然我发现有证据表明经T2D诊断的患者在单词听力测试中得分显着高出0.5分,但我没有发现有证据表明T2D诊断会影响自我报告的抑郁水平。关于结果的有效性,我提供了各种各样的证据。在单词听力测试中的得分,我没有发现证据表明T2D诊断会影响自我报告的抑郁水平。关于结果的有效性,我提供了各种各样的证据。在单词听力测试中的得分,我没有发现证据表明T2D诊断会影响自我报告的抑郁水平。关于结果的有效性,我提供了各种各样的证据。
更新日期:2020-03-31
down
wechat
bug