Department of Kinesiology and Community Health and Division of Nutritional Sciences, University of Illinois at Urbana Champaign, Urbana, Illinois, USA.
Diabetes Care. 2010 May;33(5):1065-8. doi: 10.2337/dc09-1894. Epub 2010 Feb 11.
To examine whether patterns in socioeconomic characteristics in Chicago over a 30-year period are associated with neighborhood distribution of youth diabetes risk.
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.
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]).
Neighborhood socioeconomic characteristics in Chicago may be associated with the risk of diabetes in youth.
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。
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。
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]）。
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。
