社区社会经济变化与糖尿病风险：来自芝加哥儿童糖尿病登记处的研究结果。
Neighborhood socioeconomic change and diabetes risk: findings from the Chicago childhood diabetes registry.
机构信息
Department of Kinesiology and Community Health and Division of Nutritional Sciences, University of Illinois at Urbana Champaign, Urbana, Illinois, USA.
出版信息
Diabetes Care. 2010 May;33(5):1065-8. doi: 10.2337/dc09-1894. Epub 2010 Feb 11.
Abstract
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.
摘要
目的
探讨芝加哥 30 年来社会经济特征的变化模式是否与青少年糖尿病发病风险的社区分布相关。
研究设计与方法
1994 年至 2003 年间，通过芝加哥儿童期糖尿病登记处（Chicago Childhood Diabetes Registry），确定了 0-17 岁青少年的新发糖尿病病例。根据发病类型，将临床表现类似 2 型糖尿病或有相关指标的病例归为非 1 型糖尿病患者，其余病例被认为是 1 型糖尿病患者。
结果
与稳定多样化的社区相比，居住在新兴低收入社区的低龄儿童（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]）患 1 型糖尿病的风险显著增加。对于非 1 型糖尿病，居住在沙漠化社区的大龄青少年患病风险增加（1.47[1.09-1.99]）。
结论
芝加哥社区的社会经济特征可能与青少年患糖尿病的风险有关。
相似文献
1
Neighborhood socioeconomic change and diabetes risk: findings from the Chicago childhood diabetes registry.社区社会经济变化与糖尿病风险：来自芝加哥儿童糖尿病登记处的研究结果。
Diabetes Care. 2010 May;33(5):1065-8. doi: 10.2337/dc09-1894. Epub 2010 Feb 11.
2
Social environment and year of birth influence type 1 diabetes risk for African-American and Latino children.社会环境和出生年份会影响非裔美国人和拉丁裔儿童患1型糖尿病的风险。
Diabetes Care. 1999 Jan;22(1):78-85. doi: 10.2337/diacare.22.1.78.
3
Ethnic differences in mortality from insulin-dependent diabetes mellitus among people less than 25 years of age.25岁以下胰岛素依赖型糖尿病患者死亡率的种族差异。
Pediatrics. 1999 May;103(5 Pt 1):952-6. doi: 10.1542/peds.103.5.952.
4
High risk of IDDM in African-American and Hispanic children in Chicago, 1985-1990.1985 - 1990年芝加哥非裔美国儿童和西班牙裔儿童患胰岛素依赖型糖尿病的高风险。
Diabetes Care. 1995 Apr;18(4):476-82. doi: 10.2337/diacare.18.4.476.
5
Community violence and urban childhood asthma: a multilevel analysis.社区暴力与城市儿童哮喘：多层次分析。
Eur Respir J. 2010 Dec;36(6):1400-9. doi: 10.1183/09031936.00003010. Epub 2010 Apr 22.
6
An investigation of racial and ethnic disparities in birth weight in Chicago neighborhoods.芝加哥各社区出生体重的种族和民族差异调查。
Demography. 2003 Nov;40(4):701-25. doi: 10.1353/dem.2003.0039.
7
Racial/Ethnic Inequities in Access to High-Quality Dialysis Treatment in Chicago: Does Neighborhood Racial/Ethnic Composition Matter?芝加哥高质量透析治疗获取中的种族/民族不平等：邻里的种族/民族构成是否重要？
J Racial Ethn Health Disparities. 2020 Oct;7(5):854-864. doi: 10.1007/s40615-020-00708-8. Epub 2020 Feb 5.
8
Patterns of hospital use, family history and co-existing conditions among urban African-American and Hispanic-American children with insulin-dependent diabetes mellitus.患有胰岛素依赖型糖尿病的城市非裔美国儿童和西班牙裔美国儿童的医院使用模式、家族病史及并存疾病情况。
Diabetes Res Clin Pract. 1996 Oct;34 Suppl:S173-9. doi: 10.1016/s0168-8227(96)90026-1.
9
The protective effect of community factors on childhood asthma.社区因素对儿童哮喘的保护作用。
J Allergy Clin Immunol. 2009 Jun;123(6):1297-304.e2. doi: 10.1016/j.jaci.2009.03.039. Epub 2009 May 17.
10
Neighborhood-level racial/ethnic residential segregation and incident cardiovascular disease: the multi-ethnic study of atherosclerosis.社区层面的种族/族裔居住隔离与心血管疾病事件：动脉粥样硬化多民族研究
Circulation. 2015 Jan 13;131(2):141-8. doi: 10.1161/CIRCULATIONAHA.114.011345. Epub 2014 Dec 1.
引用本文的文献
1
Disaggregation of Green Space Access, Walkability, and Behavioral Risk Factor Data for Precise Estimation of Local Population Characteristics.绿地可达性、可步行性和行为风险因素数据的分解，用于精确估计当地人口特征。
Int J Environ Res Public Health. 2024 Jun 14;21(6):771. doi: 10.3390/ijerph21060771.
2
Neighborhood-Level Risk Factors for Severe Hyperglycemia among Emergency Department Patients without a Prior Diabetes Diagnosis.社区层面的风险因素与无既往糖尿病诊断的急诊科患者重度高血糖相关。
J Urban Health. 2023 Aug;100(4):802-810. doi: 10.1007/s11524-023-00771-6. Epub 2023 Aug 14.
3
Exposure to neighborhood poverty from adolescence through emerging adulthood and sleep duration in US adults.美国成年人从青春期到成年早期接触邻里贫困与睡眠时间。
Health Place. 2023 May;81:103004. doi: 10.1016/j.healthplace.2023.103004. Epub 2023 Mar 20.
4
Using Convolutional Neural Networks to Derive Neighborhood Built Environments from Google Street View Images and Examine Their Associations with Health Outcomes.利用卷积神经网络从谷歌街景图像中提取邻里建成环境并研究其与健康结果的关系。
Int J Environ Res Public Health. 2022 Sep 24;19(19):12095. doi: 10.3390/ijerph191912095.
5
Neighborhood Conditions and Type 2 Diabetes Risk among Latino Adolescents with Obesity in Phoenix.凤凰城肥胖拉丁裔青少年的邻里环境条件与 2 型糖尿病风险
Int J Environ Res Public Health. 2022 Jun 28;19(13):7920. doi: 10.3390/ijerph19137920.
6
Google Street View-Derived Neighborhood Characteristics in California Associated with Coronary Heart Disease, Hypertension, Diabetes.加利福尼亚州谷歌街景衍生的社区特征与冠心病、高血压、糖尿病的关系
Int J Environ Res Public Health. 2021 Oct 3;18(19):10428. doi: 10.3390/ijerph181910428.
7
Analyzing Associations Between Chronic Disease Prevalence and Neighborhood Quality Through Google Street View Images.通过谷歌街景图像分析慢性病患病率与邻里环境质量之间的关联。
IEEE Access. 2020;8:6407-6416. doi: 10.1109/access.2019.2960010. Epub 2019 Dec 16.
8
Effects of family and neighborhood risks on glycemic control among young black adolescents with type 1 diabetes: Findings from a multi-center study.家庭和邻里风险对黑人青少年 1 型糖尿病患者血糖控制的影响：一项多中心研究的结果。
Pediatr Diabetes. 2021 May;22(3):511-518. doi: 10.1111/pedi.13176. Epub 2021 Jan 16.
9
Racial/Ethnic Disparities in Household Food Insecurity During the COVID-19 Pandemic: a Nationally Representative Study.新冠疫情期间的家庭粮食不安全状况中的种族/民族差异：一项全国代表性研究。
J Racial Ethn Health Disparities. 2021 Oct;8(5):1300-1314. doi: 10.1007/s40615-020-00892-7. Epub 2020 Oct 14.
10
Correlating the global increase in type 1 diabetes incidence across age groups with national economic prosperity: A systematic review.将各年龄组1型糖尿病发病率的全球增长与国家经济繁荣程度相关联：一项系统综述。
World J Diabetes. 2019 Dec 15;10(12):560-580. doi: 10.4239/wjd.v10.i12.560.
本文引用的文献
1
Incidence trends for childhood type 1 diabetes in Europe during 1989-2003 and predicted new cases 2005-20: a multicentre prospective registration study.1989 - 2003年欧洲儿童1型糖尿病发病率趋势及2005 - 2020年预测新发病例：一项多中心前瞻性登记研究
Lancet. 2009 Jun 13;373(9680):2027-33. doi: 10.1016/S0140-6736(09)60568-7. Epub 2009 May 27.
2
Variations in incidence of type 1 diabetes in different municipalities of stockholm.斯德哥尔摩不同自治市1型糖尿病发病率的差异。
Ann N Y Acad Sci. 2008 Dec;1150:200-7. doi: 10.1196/annals.1447.057.
3
Incidence of childhood type I and non-type 1 diabetes mellitus in a diverse population: the Chicago Childhood Diabetes Registry, 1994 to 2003.不同人群中儿童1型和非1型糖尿病的发病率：芝加哥儿童糖尿病登记处，1994年至2003年
J Pediatr Endocrinol Metab. 2007 Oct;20(10):1093-107. doi: 10.1515/jpem.2007.20.10.1093.
4
Perception of neighborhood problems, health behaviors, and diabetes outcomes among adults with diabetes in managed care: the Translating Research Into Action for Diabetes (TRIAD) study.管理式医疗中糖尿病成年人对邻里问题、健康行为及糖尿病结局的认知：糖尿病研究成果转化行动（TRIAD）研究
Diabetes Care. 2008 Feb;31(2):273-8. doi: 10.2337/dc07-1111. Epub 2007 Nov 13.
5
Incidence of diabetes in youth in the United States.美国青少年糖尿病的发病率。
JAMA. 2007 Jun 27;297(24):2716-24. doi: 10.1001/jama.297.24.2716.
6
Mechanisms linking obesity to insulin resistance and type 2 diabetes.将肥胖与胰岛素抵抗及2型糖尿病联系起来的机制。
Nature. 2006 Dec 14;444(7121):840-6. doi: 10.1038/nature05482.
7
Independent effects of socioeconomic status and place of residence on the incidence of childhood type 1 diabetes in Western Australia.社会经济地位和居住地点对西澳大利亚州儿童1型糖尿病发病率的独立影响。
Pediatr Diabetes. 2006 Apr;7(2):94-100. doi: 10.1111/j.1399-543X.2006.00153.x.
8
Obesity at the onset of diabetes in an ethnically diverse population of children: what does it mean for epidemiologists and clinicians?不同种族儿童糖尿病发病时的肥胖问题：这对流行病学家和临床医生意味着什么？
Pediatrics. 2005 May;115(5):e553-60. doi: 10.1542/peds.2004-1448.
9
Increasing incidence of type 2 diabetes in children and adolescents: treatment considerations.儿童和青少年2型糖尿病发病率上升：治疗考量
Paediatr Drugs. 2002;4(4):209-21. doi: 10.2165/00128072-200204040-00001.
10
Incidence of childhood type 1 diabetes worldwide. Diabetes Mondiale (DiaMond) Project Group.全球儿童1型糖尿病发病率。糖尿病全球（DiaMond）项目组。
Diabetes Care. 2000 Oct;23(10):1516-26. doi: 10.2337/diacare.23.10.1516.
Zotero 插件