| Learning Objective #1: Describe the incidence of Type 1 diabetes in children in Philadelphia | |||
| Learning Objective #2: Explain the racial differences in the incidence of pediatric Type 1 diabetes in Philadelphia |
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.
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Back to 14th International Nursing Research Congress
Sigma Theta Tau International
10-12 July 2003