ArticleEuropean journal of epidemiology2008
Changing geographical distribution of diabetes mellitus type 1 incidence in Austrian children 1989--2005.
Article in European journal of epidemiology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Effects of family and neighborhood risks on glycemic control among young black adolescents with type 1 diabetes: Findings from a multi-center study.Pediatric diabetes · 2021Article
- Neighborhood context and incidence of type 1 diabetes: the SEARCH for Diabetes in Youth study.Health & place · 2012Article
- A review of spatial methods in epidemiology, 2000-2010.Annual review of public health · 2012Review
- The Generation R Study: design and cohort update 2010.European journal of epidemiology · 2010Article
- Evaluating geographic variation in type 1 and type 2 diabetes mellitus incidence in youth in four US regions.Health & place · 2010Article
Corrections and comments
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Authors and funding
4 authors.
Funding
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Abstract
objectivesWe investigated whether the significant spatial West/East trend of incidence of Diabetes mellitus Type 1 in Austrian children changed between 1989 and 2005. Additionally we tested, whether population density and mean body mass index of newborns is associated with incidence. STUDY DESIGN AND
settingAll newly diagnosed cases aged 0-14 years in Austria (n = 2644), prospectively registered from 1989 to 2005 were allocated to 99 districts. Ecological regression and analysis was done by Bayesian hierarchical models including spatially correlated risks.
resultsIn Austria, the incidence rose from 9.1/100.000 in 1989--1994 to 14.9/100.000 in 2001--2005. The spatial trend in the period 1989--1995, showing high incidence in the Eastern parts of Austria, disappeared. In the period 2001--2005 a significant inverse negative association of population density with incidence was found. Mean body mass index of newborns in the Austrian population is significantly positively associated with incidence.
conclusionThe observation of higher incidence in rural areas in Austria during recent years may reflect a lower exposure to protective environmental factors, e.g. infections early in life. The observed association with the BMI in newborns indicates that neonatal or prenatal metabolic aspects may modulate the risk for childhood diabetes. We cannot explain the change in the spatial distribution of incidence.
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