Soliman A T, al-Salmi I S, Asfour M G
National Diabetes Centre, WHO Collaborative Centre, Royal Hospital, Muscat, Sultanate of Oman.
Diabet Med. 1996 Jun;13(6):582-6. doi: 10.1002/(SICI)1096-9136(199606)13:6<582::AID-DIA114>3.0.CO;2-E.
This study assessed the updated incidence of IDDM in 0 to 14-year-old children in the Sultanate of Oman, which is located in the southern-eastern part of the Arabian peninsula. Incident cases were recorded prospectively from January 1993 to the end of December 1994. Incidence rates were standardized on the basis of the National Population Census. The degree of ascertainment was above 96% from the primary source. During two full calendar years, 31 new cases of IDDM in children were diagnosed in Oman (10 health regions). The standardized incidence rates were 2.45 and 2.62/100,000 per year during 1993 and 1994, respectively. The sex-specific rates among males and females were 3.23 and 1.99/100,000, respectively, in 1993 and 2.91 and 1.95/100,000, respectively in 1994. The age-specific incidence rates during the 2 years were higher in the 10-14 age group (3.69 and 4.22/100,000, respectively) vs those in the 5-9 age group (2.32 and 2.79/100,000, respectively) and 0.4 age group (1.54 and 0.97/100,000 respectively). The number of new cases/month was markedly higher in the relatively cooler months (September through March) of the year. The incidence rate of IDDM in children under the age of 15 years in Oman was lower than the reported incidence in Kuwait (another gulf country located north-west to Oman) which might reflect the north-south gradient reported in several previous studies. However this incidence rate was higher than those reported for many countries in Asia.
本研究评估了位于阿拉伯半岛东南部的阿曼苏丹国0至14岁儿童中胰岛素依赖型糖尿病（IDDM）的最新发病率。前瞻性记录了1993年1月至1994年12月底的发病病例。发病率根据全国人口普查进行了标准化。主要来源的确诊率超过96%。在整整两个日历年中，阿曼（10个卫生区域）诊断出31例儿童IDDM新病例。1993年和1994年的标准化发病率分别为每年2.45和2.62/10万。1993年男性和女性的性别特异性发病率分别为3.23和1.99/10万，1994年分别为2.91和1.95/10万。两年期间，10 - 14岁年龄组的年龄特异性发病率较高（分别为3.69和4.22/10万），而5 - 9岁年龄组（分别为2.32和2.79/10万）和0 - 4岁年龄组（分别为1.54和0.97/10万）则较低。每年相对较凉爽的月份（9月至3月）每月的新病例数明显更高。阿曼15岁以下儿童的IDDM发病率低于科威特（位于阿曼西北方向的另一个海湾国家）报告的发病率，这可能反映了此前多项研究报道的南北梯度差异。然而，该发病率高于亚洲许多国家报告的发病率。
