Libman I M, Laporte R E, Tull E S, Matsushima M
Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, PA 15261.
Diabete Metab. 1993;19(1 Pt 2):74-9.
During the past twenty years there has been a rapid rise in the numbers of papers evaluating the incidence of childhood diabetes. Childhood diabetes has emerged as the non-communicable disease with the largest geographic coverage across the world. The incidence data are employed to forecast into the future. It is evident that both the United States and Europe will be confronted with an ever increasing burden of diabetes. It is argued that the monitoring of childhood diabetes should move into the public health sphere by making it a reportable disease. This would set the stage for public health surveillance of not only childhood diabetes but of all non-communicable diseases in the 21st century. The current paper overviews where we have come in the area of insulin-dependent diabetes mellitus epidemiology. Moreover, it projects into the future as to where Type 1 diabetes epidemiology can head. It is argued that Type 1 diabetes epidemiology can become the model disease to transform the current global approaches to health.
在过去二十年中,评估儿童糖尿病发病率的论文数量迅速增加。儿童糖尿病已成为全球范围内地理覆盖范围最广的非传染性疾病。发病率数据被用于预测未来。显然,美国和欧洲都将面临日益增加的糖尿病负担。有人认为,应将儿童糖尿病监测纳入公共卫生领域,使其成为一种应报告的疾病。这将为21世纪不仅对儿童糖尿病而且对所有非传染性疾病的公共卫生监测奠定基础。本文概述了我们在胰岛素依赖型糖尿病流行病学领域的进展。此外,它还预测了1型糖尿病流行病学的未来走向。有人认为,1型糖尿病流行病学可以成为改变当前全球健康方法的典范疾病。