Socio-economic Parameters and Mortality in Turner Syndrome

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Background: Turner syndrome (TS) is characterized by hypogonadism, short adult height, increased morbidity and mortality; contrasted by self-reported normal quality of life and perception of health. Small studies have indicated a similar level of education compared to the background population.Aim: To study the socio-economic profile in TS and the impact of these factors on mortality.Materials and methods: Register study using Danish nationwide registries. 979 TS females and 94,850 controls were included. Information concerning cohabitation, motherhoods, level of education (bachelor degree), income, retirement and death were obtained. 103 TS and 5,989 controls died during the study period. For the socio-economic parameters, median age at first relevant episode was calculated. Income was analyzed using conditional logistic regression, and the other parameters using Cox regression.Results: In comparison with controls TS had significantly fewer partnerships (hazard ratio (HR): 0.45), fewer motherhoods (HR: 0.18) and retired earlier (HR: 1.8). After the diagnosis of Turner syndrome the risk of retiring was increased. Educational attainment (HR: 1.0) as well as risk of unemployment was similar. Before the age of 30, low income was significantly more frequent; hereafter it was similar to controls. Mortality was significantly increased (HR: 2.9) and slightly lower after adjustment for cohabitation and education (HR: 2.7).Conclusions: A divergent socio-economic profile is apparent, with a reduced proportion of Turner syndrome persons finding a partner and becoming mothers. The educational level was similar to controls. The increased mortality in Turner syndrome was not materially affected after adjustment for cohabitation and education.
TidsskriftEuropean Journal of Endocrinology
StatusUdgivet - 2012

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