ArticleAustralian and New Zealand journal of public health2025
Small-area geographical variation in the prevalence of diabetes amongst Australian youth aged <20 years in 2021.
Article in Australian and New Zealand journal of public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesTo characterise small-area geographical variation in the prevalence of diabetes in Australian youth.
methodsA combined statistical reconstruction and small-area estimation algorithm was applied to privacy-modulated data from the 2021 Australian Census. The census instrument and reconstruction accuracy was examined by comparisons against a hospital-based register and community register. Diabetes prevalence maps were created from the small-area estimates.
resultsThe median and interquartile range of estimated diabetes prevalence by small-area unit under our geospatial smoothing model were 1.76 [1.49-1.97] cases per 1000 population for those aged 0-14 years and 5.2 [4.4-5.9] cases per 1000 population for those aged 15-19 years old. Concentrations of elevated prevalence were identified in the vicinities of regional towns across South-East Queensland, regional New South Wales and regional Victoria. Across each of Australia's five largest cities a gradient of decreasing youth diabetes prevalence from the outer suburbs to the urban centre was identified.
conclusionDiabetes burden is systematically higher among rural and peri-urban resident youth in Australia compared with their urban counterparts. IMPLICATIONS FOR PUBLIC HEALTH: Hotspots of prevalence in regional areas deserve attention from public health authorities.
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