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© 2003 by the American Diabetes Association, Inc.
Epidemiology/Health Services/Psychosocial Research |
Prevalence of Diagnosed Diabetes Among African-American and Non-Hispanic White Youth, 1999
1 Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina
2 Pediatric Endocrine Specialty Care, Columbia, South Carolina
Address correspondence and reprint requests to John Oeltmann, Arnold School of Public Health, University of South Carolina, 2718 Middleburg Dr., 2nd Floor, Columbia, SC 29204. E-mail: je03{at}cdc.gov
OBJECTIVE—To document diabetes prevalence among African-American and non-Hispanic white youth in a two-county region in South Carolina.
RESEARCH DESIGN AND METHODS—We conducted a population-based surveillance effort to identify case subjects aged 0–18.9 years with a physician diagnosis of diabetes residing in a two-county region in 1999. Case subjects were ascertained from hospitals, the sole office of pediatric endocrinology, and several smaller sources. Case subjects were classified according to the diagnosis made by a pediatric endocrinologist. As a completeness check, eight randomly selected physicians were queried for eligible case subjects. Capture-recapture provided an additional measure of completeness. Prevalence estimates used U.S. 2000 Census data for the two-county denominator.
RESULTS—Crude total diabetes prevalence was 1.7 cases per 1,000 youth and similar between African-American and non-Hispanic white youth. Among younger youth (0–9.9 years), non-Hispanic white total prevalence was 1.1 per 1,000 and African-American prevalence was 0.6 per 1,000. Among older youth (10.0–18.9 years), non-Hispanic white total prevalence was 2.5 per 1,000 and African-American prevalence was 3.1 per 1,000. Type 2 diabetes was only confirmed among older prevalent cases. Ascertainment completeness was estimated to be 98%.
CONCLUSIONS—Our estimates suggest that total diabetes prevalence among non-Hispanic white youth is similar to rates observed over 20 years ago. Among African-American youth, the difference in prevalence noted between younger and older age-groups was notably greater than that observed among the non-Hispanic white youth, potentially reflecting a more marked increase in diabetes incidence with age.
Abbreviations: ADA, American Diabetes Association • RLDR, Richland/Lexington County Childhood and Adolescent Diabetes Registry
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