Patterns of hospital use, family history and co-existing conditions among urban African-American and Hispanic-American children with insulin-dependent diabetes mellitus.

Patterns of hospital use, family history and co-existing conditions among urban African-American and Hispanic-American children with insulin-dependent diabetes mellitus.
复制标题

患有胰岛素依赖型糖尿病的城市非裔美国人和西班牙裔美国人儿童的医院使用模式、家族史和共存状况。

DOI:
10.1016/s0168-8227(96)90026-1
复制
发表时间:
1996
影响因子:
5.1
通讯作者:
Lipton,RB
Lipton,RB
中科院分区:
医学3区
文献类型:
--
作者:
Lipton,RB

文献摘要

参考文献

被引文献

相似文献

关于胰岛素依赖型糖尿病(IDDM)在美国少数民族中发生的信息很少。在芝加哥测定了18岁以下的非裔美国人和西班牙裔儿童的胰岛素依赖型糖尿病发病率。使用医院记录作为病例的主要来源,并从病历中收集少量额外数据。病例来自伊利诺伊州库克县37家医院的记录。登记了居住在芝加哥且发病时< 18岁的使用胰岛素的非洲裔美国人和西班牙裔患者。使用了三个二级来源,总体确定率估计为86%。在1985年至1990年的6年期间,有413例新病例。年龄标化发病率为13.2/10万(95%可信区间(C.I.)11.8- 14.8)和10.8/100 000(95% C.I. 9.5- 12.3)在西班牙裔。非裔美国人和西班牙裔美国人的医院使用情况不同,可能是基于地理,文化和经济因素。糖尿病在两个民族儿童的一级亲属中很常见,最常见的共病是哮喘和肥胖。芝加哥的胰岛素依赖型糖尿病风险是全世界非洲裔和西班牙裔儿童中最高的。在芝加哥,哮喘和肥胖的患病率与非糖尿病儿童的高患病率相平行。非胰岛素依赖型糖尿病(NIDDM)在非洲裔美国人和美国西班牙裔美国人中的持续流行可能是大量少数民族IDDM患者一级亲属患有糖尿病的原因。
Little information is available about insulin-dependent diabetes mellitus (IDDM) when it occurs among US minorities. The incidence of IDDM among African-American and Hispanic children < 18 years of age was determined in the city of Chicago. Hospital records were used as the primary source of cases, and a small amount of additional data was collected from the medical charts. Cases were drawn from records at 37 hospitals in Cook County, IL. African-American and Hispanic patients using insulin, residing in the city of Chicago, and < 18-years-old at onset were registered. Three secondary sources were used and overall ascertainment was estimated at 86%. There were 413 new cases during the 6-year interval 1985 through 1990. The age-standardized incidence of IDDM was 13.2/100 000 (95% confidence interval (C.I.) 11.8 – 14.8) among African-Americans and 10.8/100 000 (95% C.I. 9.5 – 12.3) among Hispanics. Hospital use differed between African-Americans and Hispanics, presumably based on geographic, cultural and financial factors. Diabetes among the first degree relatives of children from both ethnic groups was common, and the most frequently listed co-morbid conditions were asthma and obesity. The risk for IDDM in Chicago is among the highest for both African-origin and Hispanic children worldwide. The prevalence of asthma and obesity parallels the high prevalence of these conditions among non-diabetic children in Chicago. The ongoing epidemic of non-insulin-dependent diabetes mellitus (NIDDM) among African-Americans and US Hispanics is likely to be the reason for the large number of minority IDDM patients who have a first-degree relative with diabetes.
1979 年至 1988 年美属维尔京群岛儿童 IDDM 的流行病学:20 世纪 80 年代初流行的证据以及种族混合程度的变化
DOI: 10.2337/diacare.14.7.558
发表时间: 1991
期刊: Diabetes Care
影响因子: 16.2
作者:
E. Tull;J. Roseman;C. Christian
通讯作者: C. Christian
DOI: 10.2337/diacare.17.9.1022
发表时间: 1994-09
期刊: Diabetes Care
影响因子: 16.2
作者:
Martha S Sereday;M. Martí;M. Damiano;Marcela E C Moser
通讯作者: Martha S Sereday;M. Martí;M. Damiano;Marcela E C Moser
论出生率、死亡率的推算方法及登记范围(摘录)
DOI: 10.1198/0003130042935
发表时间: 1949
期刊: The American Statistician
影响因子: --
作者:
C. Sekar;W. Deming
通讯作者: W. Deming
调整1990年人口普查。
DOI: 10.1126/science.252.5010.1233
发表时间: 1991
期刊: Science
影响因子: 56.9
作者:
D. Freedman
通讯作者: D. Freedman
DOI: 10.1056/nejm198702053160601
发表时间: 1987-02-05
影响因子: 158.5
作者:
WINTER, WE;MACLAREN, NK;SPILLAR, RP
通讯作者: SPILLAR, RP