Williams Valerie F, Stahlman Shauna, Hu Zheng
MSMR. 2017 Jan;24(1):8-11.
From 2008 through 2015, a total of 9,092 incident cases of diabetes mellitus (DM) were reported among active component service members (incidence rate 82.8 cases per 100,000 person-years [p-yrs]). The overall incidence rate of type 1 DM was 3.0 cases per 100,000 p-yrs. The rate of type 2 DM was 74.5 cases per 100,000 p-yrs and rates doubled within each successive age group. Male service members had higher rates of both types of DM, compared to female service members. Black, non-Hispanic service members; service members of other or unknown race/ethnicity; and Hispanic service members had much higher rates of type 2 DM, compared to white, non-Hispanic service members. Rates of type 2 DM were highest among service members of the Army and the Navy, and lowest among Marine Corps members. Crude annual rates of type 2 DM peaked in 2010 and thereafter steadily decreased. During 2010-2015, decreases in rates of type 2 DM were observed for both sexes, those aged 25 years or older, all race/ethnicity groups, and all services except the Marine Corps. Potential explanations for these differences are discussed.
2008年至2015年期间，现役军人中总共报告了9092例糖尿病（DM）新发病例（发病率为每10万人年82.8例）。1型糖尿病的总体发病率为每10万人年3.0例。2型糖尿病的发病率为每10万人年74.5例，且在每个连续的年龄组中发病率翻倍。与女性军人相比，男性军人患这两种糖尿病的比例更高。与非西班牙裔白人军人相比，黑人非西班牙裔军人、其他或种族/族裔不明的军人以及西班牙裔军人患2型糖尿病的比例要高得多。2型糖尿病的发病率在陆军和海军军人中最高，在海军陆战队军人中最低。2型糖尿病的粗年发病率在2010年达到峰值，此后稳步下降。在2010 - 2015年期间，观察到2型糖尿病发病率在两性、25岁及以上人群、所有种族/族裔群体以及除海军陆战队外的所有军种中均有所下降。文中讨论了这些差异的潜在原因。
