Neighborhood Socioeconomic Change and Diabetes Risk Findings from the Chicago Childhood Diabetes Registry

Neighborhood Socioeconomic Change and Diabetes Risk Findings from the Chicago Childhood Diabetes Registry
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DOI:
10.2337/dc09-1894
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发表时间:
2010-05-01
期刊:
影响因子:
16.2
通讯作者:
Kubo, Jessica
Kubo, Jessica
中科院分区:
医学1区
文献类型:
--
作者:
Grigsby-Toussaint, Diana S.;Lipton, Rebecca;Kubo, Jessica

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目的探讨是否在芝加哥的社会经济特征的模式,在30年的时间内与社区分布的青年糖尿病risk.RESEARCH设计和方法糖尿病的发病情况下,在0-17岁的青少年被确定从芝加哥儿童糖尿病登记处1994年和2003年之间。有2型糖尿病样临床病程或相关指标者归为非1型糖尿病;结果与稳定多样性社区相比,研究发现,居住在新兴低收入社区的儿童与1型糖尿病有显著的相关性(相对风险0.56 [95%CI 0.36-0.90])和居住在新兴高收入社区的大龄儿童(1.52 [1.17-1.98])。对于非1型糖尿病,老年青年居住在荒漠化社区的风险增加(1.47 [1.09-1.99])。结论社区的社会经济特征在芝加哥可能与糖尿病的风险在青年。
OBJECTIVE To examine whether patterns in socioeconomic characteristics in Chicago over a 30-year period are associated with neighborhood distribution of youth diabetes risk.RESEARCH DESIGN AND METHODS Incident cases of diabetes in youth aged 0-17 years were identified from the Chicago Childhood Diabetes Registry between 1994 and 2003. Those with a type 2 diabetes like clinical course or related indicators were classified as non type 1 diabetic; the remaining cases were considered to have type 1 diabetes.RESULTS Compared with stable diversity neighborhoods, significant associations for type 1 diabetes were found for younger children residing in emerging low-income neighborhoods (relative risk 0.56 [95% CI 0.36-0.90]) and older children residing in emerging high-income neighborhoods (1.52 [1.17-1.98]). For non type 1 diabetes, older youth residing in desertification neighborhoods were at increased risk (1.47 [1.09-1.99]).CONCLUSIONS Neighborhood socioeconomic characteristics in Chicago may be associated with the risk of diabetes in youth.