Shanghai, China, Has the Lowest Confirmed Incidence of Childhood Diabetes in the World

  1. Naoko Tajima, MD, MS
  1. Department of Preventive Medicine, Jikei University, School of Medicine Tokyo, Japan
  2. School of Public Health and the Department of Endocrinology, Jikei University, School of Medicine Tokyo, Japan
  3. Hospital of Pediatrics, Shanghai Medical University; the Division of Maternal and Child Health Care, Jikei University, School of Medicine Tokyo, Japan
  4. Shanghai Municipal Health Bureau Shanghai, China; the Department of Epidemiology, Jikei University, School of Medicine Tokyo, Japan
  5. Graduate School of Public Health, University of Pittsburgh Pittsburgh, Pennsylvania; and the Third Department of Internal Medicine, Jikei University, School of Medicine Tokyo, Japan
  1. Address correspondence and reprint requests to Fu Hua, MD, P.O. Box 203, Department of Preventive Medicine, School of Public Health, Shanghai Medical University, Shanghai, China 200032.

Abstract

OBJECTIVE To determine the incidence of insulin-dependent diabetes mellitus in 0- to 14-year-old children in Shanghai, China, from 1980 to 1991.

RESEARCH DESIGN AND METHODS Data were collected from hospitals with pediatric departments. The secondary source of validation was primary and middle schools.

RESULTS The average crude annual incidence rate was 0.61/100,000 (95% confidence interval, 0.48–0.77). The ascertainment-corrected incidence rates were 0.72/100,000 (0.57–0.91).

CONCLUSIONS The incidence of childhood diabetes in Shanghai, China, was one of the lowest, if not the lowest, in the world.

  • Received March 30, 1993.
  • Revision received May 12, 1994.
  • Accepted May 12, 1994.
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