2.50
Hdl Handle:
http://hdl.handle.net/10755/152675
Type:
Presentation
Title:
An Epidemic of Type 1 Diabetes in Black Children in Philadelphia 1995-1999
Abstract:
An Epidemic of Type 1 Diabetes in Black Children in Philadelphia 1995-1999
Conference Sponsor:Sigma Theta Tau International
Conference Year:2003
Conference Date:July 10-12, 2003
Author:Lipman, Terri
P.I. Institution Name:University of Pennsylvania
Co-Authors:Abbas F. Jaward, Kathryn M. Murphy, Lorraine E.L. Katz
Objective:The purpose of this study was to describe the incidence of IDDM in children from 1995-2000 via a retrospective population based registry, and to determine if the incidence of diabetes is increasing or if there has been an epidemic during those years. Design: A retrospective chart review of all hospitals in Philadelphia that admit children. Population: The charts of all children meeting the following WHO registry criteria were reviewed; (1) newly diagnosed Type 1(discharged on insulin); (2) 0-14 yrs; (3) residing in Phila; (4) diagnosed 1/1/95-12/31/99. Methods: Standard registry data were abstracted. Variables: Age, race, gender, date of diagnosis, socioeconomic status. Findings: A total of 232 cases were indentified; overall incidence rate was 14.5/100,000/yr. As in the previous Philadelphia registries, the highest incidence was in Hispanic children- (15.5). For the first time, the incidence was greater in Black children than in white (14.3 vs 11.9). There was an extremely high rate in Blacks 10-14 yr (25.3); more than twice the rate in white children. This may represent a misclassification of Type 1 diabetes. Epidemics of Type 2 diabetes in black adolescents have been reported in other populations, but the 10-14 yr age group is younger than reported in most epidemics of Type 2 . In addition, the incidence rate of 14.1, is the highest ever reported in black children 5-9 yr. Conclusions: We conclude that the overall incidence of Type 1 diabetes in Philadelphia from 1995-2000 is similar to the years 1985-1995. However, the updated registry demonstrates an epidemic of diabetes in black children. We are expanding our research to include the investigation of the typology of diabetes. Implications: The research on the typology of diabetes,, coupled with studies of environmental risk factors of Type 1 diabetes, will help to clarify the etiology of the epidemic of diabetes in black children. <!--Abstract 13869 modified by 216.158.59.91 on 11-5-2002-->
Repository Posting Date:
26-Oct-2011
Date of Publication:
10-Jul-2003
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAn Epidemic of Type 1 Diabetes in Black Children in Philadelphia 1995-1999en_GB
dc.identifier.urihttp://hdl.handle.net/10755/152675-
dc.description.abstract<table><tr><td colspan="2" class="item-title">An Epidemic of Type 1 Diabetes in Black Children in Philadelphia 1995-1999</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 10-12, 2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Lipman, Terri</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Pennsylvania</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">lipman@nursing.upenn.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Abbas F. Jaward, Kathryn M. Murphy, Lorraine E.L. Katz</td></tr><tr><td colspan="2" class="item-abstract">Objective:The purpose of this study was to describe the incidence of IDDM in children from 1995-2000 via a retrospective population based registry, and to determine if the incidence of diabetes is increasing or if there has been an epidemic during those years. Design: A retrospective chart review of all hospitals in Philadelphia that admit children. Population: The charts of all children meeting the following WHO registry criteria were reviewed; (1) newly diagnosed Type 1(discharged on insulin); (2) 0-14 yrs; (3) residing in Phila; (4) diagnosed 1/1/95-12/31/99. Methods: Standard registry data were abstracted. Variables: Age, race, gender, date of diagnosis, socioeconomic status. Findings: A total of 232 cases were indentified; overall incidence rate was 14.5/100,000/yr. As in the previous Philadelphia registries, the highest incidence was in Hispanic children- (15.5). For the first time, the incidence was greater in Black children than in white (14.3 vs 11.9). There was an extremely high rate in Blacks 10-14 yr (25.3); more than twice the rate in white children. This may represent a misclassification of Type 1 diabetes. Epidemics of Type 2 diabetes in black adolescents have been reported in other populations, but the 10-14 yr age group is younger than reported in most epidemics of Type 2 . In addition, the incidence rate of 14.1, is the highest ever reported in black children 5-9 yr. Conclusions: We conclude that the overall incidence of Type 1 diabetes in Philadelphia from 1995-2000 is similar to the years 1985-1995. However, the updated registry demonstrates an epidemic of diabetes in black children. We are expanding our research to include the investigation of the typology of diabetes. Implications: The research on the typology of diabetes,, coupled with studies of environmental risk factors of Type 1 diabetes, will help to clarify the etiology of the epidemic of diabetes in black children. &lt;!--Abstract 13869 modified by 216.158.59.91 on 11-5-2002--&gt;</td></tr></table>en_GB
dc.date.available2011-10-26T11:45:24Z-
dc.date.issued2003-07-10en_GB
dc.date.accessioned2011-10-26T11:45:24Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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