INCIDENCE OF INSULIN-DEPENDENT DIABETES-MELLITUS IN COLORADO

被引:48
作者
KOSTRABA, JN
GAY, EC
CAI, Y
CRUICKSHANKS, KJ
REWERS, MJ
KLINGENSMITH, GJ
CHASE, HP
HAMMAN, RF
机构
[1] Department of Preventive Medicine and Biometrics, University of Colorado School of Medicine, Denver, CO
[2] Department of Ophthalmology, University of Wisconsin, Madison, WI
[3] The Children’s Hospital, Denver, CO
[4] Department of Pediatrics, University of Colorado School of Medicine, Denver, CO
关键词
INSULIN-DEPENDENT DIABETES-MELLITUS; EPIDEMIOLOGY; REGISTRIES; HISPANIC AMERICANS; INCIDENCE; SEASONALITY; COLORADO; ETHNIC GROUPS; AGE; GENDER;
D O I
10.1097/00001648-199205000-00008
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We examined the incidence of insulin-dependent diabetes mellitus in children 0-17 years of age in Colorado from 1978 to 1988. Cases were ascertained from a statewide registry based on physician surveillance. A total of 1,376 children were diagnosed during this interval in a population averaging 860,000 children. The degree of ascertainment was estimated to be 93.3%. The age-adjusted incidence rate of insulin-dependent diabetes mellitus was 14.8/100,000 person-years. The rate was lower in individuals of Spanish origin (Hispanics) (8.7/100,000 person-years) compared with non-Hispanic individuals (15.5/100,000 person-years) (incidence rate ratio = 0.6, 95% confidence interval = 0.4-0.8). Incidence rates were higher in winter and lower in summer for children 5-17 years old. Children diagnosed before the age of 5 years showed no significant seasonal pattern, although peak incidences were observed in autumn and spring. No temporal trend in diabetes incidence was observed overall or by ethnic group. The increasing insulin-dependent diabetes incidence reported by registries in Europe during this time period was not observed in Colorado.
引用
收藏
页码:232 / 238
页数:7
相关论文
共 38 条
[1]  
Geographic patterns of childhood insulin-dependent diabetes mellitus, Diabetes, 37, pp. 1113-1119, (1988)
[2]  
Lorenzi M., Cagliero E., Schmidt N.J., Racial differences in incidence of juvenile-onset Type 1 diabetes: Epidemiologic studies in southern California, Diabetologia, 28, pp. 734-738, (1985)
[3]  
Gay E.C., Hamman R.F., Carosone-Link P.J., Lezotte D.C., Cook M., Stroheker R., Klingensmith G., Chase P.I.P., Colorado IDDM Registry: Lower incidence of IDDM in Hispanics: Comparison of disease characteristics and care patterns in biethnic population, Diabetes Care, 12, pp. 701-708, (1989)
[4]  
Laporte R.E., Tajima N., Dorman J.S., Cruickshanks K.J., Eberhardt M.S., Rabin B.S., Atchison R.W., Wagener D.K., Becker D.J., Orchard T.J., Songer T.J., Slemenda C.W., Kuller L.H., Drash A.L., Differences between blacks and whites in the epidemiology of insulin-dependent diabetes mellitus in Allegheny County, Pennsylvania, Am J Epidemiol, 123, pp. 592-603, (1986)
[5]  
Dahlquist G., Gustavsson K.H., Holmgren G., Hagglof B., Larsson Y., Nilsson K.O., Samuelsson G., Sterky G., Thalme B., Wall S., The incidence of diabetes mellitus in Swedish children 0–14 years of age, Acta Paediatr Scand, 71, pp. 7-14, (1982)
[6]  
Tajima N., Laporte R.E., Hibi I., Kitagawa T., Fujita H., Drash A.L., A comparison of the epidemiology of youth-onset insulin-dependent diabetes mellitus between Japan and the United States (Allegheny County, Pennsylvania), Diabetes Care, 8, pp. 17-23, (1985)
[7]  
Siemiatycki J., Colle E., Aubert D., Campbell S., Belmonte M.M., The distribution of type 1 (Insulin-dependent) diabetes mellitus by age, sex, secular trend, seasonality, time clusters, and spacetime clusters: Evidence from Montreal, 1971–1983, Am J Epidemiol, 124, pp. 545-560, (1986)
[8]  
Serrano Rios M., Moy C.S., Martin Serrano R., Minuesa Asenio A., De Tomas Labat M.E., Zarandieta Romero G., Herrera J., Incidence of Type 1 (Insulin-dependent) diabetes mellitus in subjects 0–14 years of age in the Comunidad of Madrid, Spain, Diabetologia, 33, pp. 422-424, (1990)
[9]  
Jones R.H., Ford P.M., Hamman R.F., Seasonality comparisons among groups using incidence data, Biometrics, 44, pp. 1131-1144, (1988)
[10]  
Mason D.R., Scott R.S., Darlow B.A., Epidemiology of insulin-dependent diabetes mellitus in Canterbury, New Zealand, Diabetes Res Clin Pract, 3, pp. 21-29, (1987)