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

Hua Fu; Shui-Xian Shen; Zhao-Wen Chen; Jia-Jun Wang; Ting-Ting Ye; Ronald E LaPorte; Naoko Tajima

doi:10.2337/diacare.17.10.1206

Short Reports

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

Hua Fu, MD, MPH, MB,
Shui-Xian Shen, MD,
Zhao-Wen Chen,
Jia-Jun Wang,
Ting-Ting Ye, MD,
Ronald E LaPorte, PHD and
Naoko Tajima, MD, MS

Department of Preventive Medicine, Jikei University, School of Medicine Tokyo, Japan
School of Public Health and the Department of Endocrinology, Jikei University, School of Medicine Tokyo, Japan
Hospital of Pediatrics, Shanghai Medical University; the Division of Maternal and Child Health Care, Jikei University, School of Medicine Tokyo, Japan
Shanghai Municipal Health Bureau Shanghai, China; the Department of Epidemiology, Jikei University, School of Medicine Tokyo, Japan
Graduate School of Public Health, University of Pittsburgh Pittsburgh, Pennsylvania; and the Third Department of Internal Medicine, Jikei University, School of Medicine Tokyo, Japan

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.

Diabetes Care 1994 Oct; 17(10): 1206-1208. https://doi.org/10.2337/diacare.17.10.1206

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.