Prevalence and incidence of type 1 diabetes in children aged 0–14years old in New Zealand in 2021

AimNational prevalence and incidence data are important for understanding population trends and allocating health‐care resources. We aimed to provide a current national snapshot of prevalence and annual incidence rates for children aged 0–14 with type 1 diabetes (T1D) in Aotearoa New Zealand and to...

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Veröffentlicht in:Journal of paediatrics and child health 2023-03, Vol.59 (3), p.519-525
Hauptverfasser: Wu, Rachel, Burnside, Mercedes, Davies, Hannah, Jefferies, Craig, Wheeler, Benjamin, Ryan, Paul, Wiltshire, Esko, de Bock, Martin, Williman, Jonathan
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container_end_page 525
container_issue 3
container_start_page 519
container_title Journal of paediatrics and child health
container_volume 59
creator Wu, Rachel
Burnside, Mercedes
Davies, Hannah
Jefferies, Craig
Wheeler, Benjamin
Ryan, Paul
Wiltshire, Esko
de Bock, Martin
Williman, Jonathan
description AimNational prevalence and incidence data are important for understanding population trends and allocating health‐care resources. We aimed to provide a current national snapshot of prevalence and annual incidence rates for children aged 0–14 with type 1 diabetes (T1D) in Aotearoa New Zealand and to identify differences associated with demographic variables.MethodsPaediatric diabetes centres across Aotearoa were invited to record anonymised demographic and diabetes data on children under their services between 1 October 2020 and 30 September 2021. National prevalence and incidence were calculated using usually resident population counts from the 2018 census. The effect of ethnicity on prevalence and incidence was assessed using Poisson regression.ResultsThere were 1209 children aged 0–14 with T1D in October 2021. The national prevalence was 131/100 000 (95% confidence interval (CI) 124–139). European children had twice the prevalence as those of Māori or Pacific ethnicity (P 
doi_str_mv 10.1111/jpc.16342
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We aimed to provide a current national snapshot of prevalence and annual incidence rates for children aged 0–14 with type 1 diabetes (T1D) in Aotearoa New Zealand and to identify differences associated with demographic variables.MethodsPaediatric diabetes centres across Aotearoa were invited to record anonymised demographic and diabetes data on children under their services between 1 October 2020 and 30 September 2021. National prevalence and incidence were calculated using usually resident population counts from the 2018 census. The effect of ethnicity on prevalence and incidence was assessed using Poisson regression.ResultsThere were 1209 children aged 0–14 with T1D in October 2021. The national prevalence was 131/100 000 (95% confidence interval (CI) 124–139). European children had twice the prevalence as those of Māori or Pacific ethnicity (P &lt; 0.001). There was no effect by gender (P = 0.3) and prevalence predictably increased with age. The annualised incidence of T1D was 23/100 000 (95% CI 20–26). European children were 2.6 times as likely as Māori children to be diagnosed with T1D in that year (incidence rate ratio = 2.6, 95% CI 1.7–4.2). Regional differences in prevalence and incidence were noted, potentially due to the ethnicity differences across regions. Unadjusted prevalence and incidence decreased with lower socio‐economic status, likely due to an over‐representation of non‐Europeans living in the most deprived areas.ConclusionsT1D affects an ethnically diverse population in Aotearoa and important regional differences exist that may impact workforce planning.</description><identifier>ISSN: 1034-4810</identifier><identifier>EISSN: 1440-1754</identifier><identifier>DOI: 10.1111/jpc.16342</identifier><language>eng</language><publisher>Oxford: Blackwell Publishing Ltd</publisher><subject>Age groups ; Diabetes ; Epidemiology ; Ethnicity ; Pediatrics</subject><ispartof>Journal of paediatrics and child health, 2023-03, Vol.59 (3), p.519-525</ispartof><rights>2023. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids></links><search><creatorcontrib>Wu, Rachel</creatorcontrib><creatorcontrib>Burnside, Mercedes</creatorcontrib><creatorcontrib>Davies, Hannah</creatorcontrib><creatorcontrib>Jefferies, Craig</creatorcontrib><creatorcontrib>Wheeler, Benjamin</creatorcontrib><creatorcontrib>Ryan, Paul</creatorcontrib><creatorcontrib>Wiltshire, Esko</creatorcontrib><creatorcontrib>de Bock, Martin</creatorcontrib><creatorcontrib>Williman, Jonathan</creatorcontrib><title>Prevalence and incidence of type 1 diabetes in children aged 0–14years old in New Zealand in 2021</title><title>Journal of paediatrics and child health</title><description>AimNational prevalence and incidence data are important for understanding population trends and allocating health‐care resources. We aimed to provide a current national snapshot of prevalence and annual incidence rates for children aged 0–14 with type 1 diabetes (T1D) in Aotearoa New Zealand and to identify differences associated with demographic variables.MethodsPaediatric diabetes centres across Aotearoa were invited to record anonymised demographic and diabetes data on children under their services between 1 October 2020 and 30 September 2021. National prevalence and incidence were calculated using usually resident population counts from the 2018 census. The effect of ethnicity on prevalence and incidence was assessed using Poisson regression.ResultsThere were 1209 children aged 0–14 with T1D in October 2021. The national prevalence was 131/100 000 (95% confidence interval (CI) 124–139). European children had twice the prevalence as those of Māori or Pacific ethnicity (P &lt; 0.001). There was no effect by gender (P = 0.3) and prevalence predictably increased with age. The annualised incidence of T1D was 23/100 000 (95% CI 20–26). European children were 2.6 times as likely as Māori children to be diagnosed with T1D in that year (incidence rate ratio = 2.6, 95% CI 1.7–4.2). Regional differences in prevalence and incidence were noted, potentially due to the ethnicity differences across regions. Unadjusted prevalence and incidence decreased with lower socio‐economic status, likely due to an over‐representation of non‐Europeans living in the most deprived areas.ConclusionsT1D affects an ethnically diverse population in Aotearoa and important regional differences exist that may impact workforce planning.</description><subject>Age groups</subject><subject>Diabetes</subject><subject>Epidemiology</subject><subject>Ethnicity</subject><subject>Pediatrics</subject><issn>1034-4810</issn><issn>1440-1754</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNqNTEtuwjAUtCoqFUoXvcGTWIe-5zhNWKNWrBCLrrpBxn60iSwn2IGKHXfghj0J4XMAZjMzmo8Qr4Rj6vBWNWZM76mSD6JPSmFCeaZ6ncZUJaogfBKDGCtElFlW9IVZBN5px94waG-h9Ka0F1evod03DAS21CtuOXYhmN_S2cAe9A9bwP_DkdSedYhQu_Ma5vwH36zd9QwkShqKx7V2kV9u_CxGnx9f01nShHqz5dguq3obfBctZT6hgnKFk_S-1gnJxklW</recordid><startdate>20230301</startdate><enddate>20230301</enddate><creator>Wu, Rachel</creator><creator>Burnside, Mercedes</creator><creator>Davies, Hannah</creator><creator>Jefferies, Craig</creator><creator>Wheeler, Benjamin</creator><creator>Ryan, Paul</creator><creator>Wiltshire, Esko</creator><creator>de Bock, Martin</creator><creator>Williman, Jonathan</creator><general>Blackwell Publishing Ltd</general><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>20230301</creationdate><title>Prevalence and incidence of type 1 diabetes in children aged 0–14years old in New Zealand in 2021</title><author>Wu, Rachel ; Burnside, Mercedes ; Davies, Hannah ; Jefferies, Craig ; Wheeler, Benjamin ; Ryan, Paul ; Wiltshire, Esko ; de Bock, Martin ; Williman, Jonathan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-proquest_journals_27918174093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Age groups</topic><topic>Diabetes</topic><topic>Epidemiology</topic><topic>Ethnicity</topic><topic>Pediatrics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, Rachel</creatorcontrib><creatorcontrib>Burnside, Mercedes</creatorcontrib><creatorcontrib>Davies, Hannah</creatorcontrib><creatorcontrib>Jefferies, Craig</creatorcontrib><creatorcontrib>Wheeler, Benjamin</creatorcontrib><creatorcontrib>Ryan, Paul</creatorcontrib><creatorcontrib>Wiltshire, Esko</creatorcontrib><creatorcontrib>de Bock, Martin</creatorcontrib><creatorcontrib>Williman, Jonathan</creatorcontrib><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><jtitle>Journal of paediatrics and child health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Rachel</au><au>Burnside, Mercedes</au><au>Davies, Hannah</au><au>Jefferies, Craig</au><au>Wheeler, Benjamin</au><au>Ryan, Paul</au><au>Wiltshire, Esko</au><au>de Bock, Martin</au><au>Williman, Jonathan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence and incidence of type 1 diabetes in children aged 0–14years old in New Zealand in 2021</atitle><jtitle>Journal of paediatrics and child health</jtitle><date>2023-03-01</date><risdate>2023</risdate><volume>59</volume><issue>3</issue><spage>519</spage><epage>525</epage><pages>519-525</pages><issn>1034-4810</issn><eissn>1440-1754</eissn><abstract>AimNational prevalence and incidence data are important for understanding population trends and allocating health‐care resources. We aimed to provide a current national snapshot of prevalence and annual incidence rates for children aged 0–14 with type 1 diabetes (T1D) in Aotearoa New Zealand and to identify differences associated with demographic variables.MethodsPaediatric diabetes centres across Aotearoa were invited to record anonymised demographic and diabetes data on children under their services between 1 October 2020 and 30 September 2021. National prevalence and incidence were calculated using usually resident population counts from the 2018 census. The effect of ethnicity on prevalence and incidence was assessed using Poisson regression.ResultsThere were 1209 children aged 0–14 with T1D in October 2021. The national prevalence was 131/100 000 (95% confidence interval (CI) 124–139). European children had twice the prevalence as those of Māori or Pacific ethnicity (P &lt; 0.001). There was no effect by gender (P = 0.3) and prevalence predictably increased with age. The annualised incidence of T1D was 23/100 000 (95% CI 20–26). European children were 2.6 times as likely as Māori children to be diagnosed with T1D in that year (incidence rate ratio = 2.6, 95% CI 1.7–4.2). Regional differences in prevalence and incidence were noted, potentially due to the ethnicity differences across regions. Unadjusted prevalence and incidence decreased with lower socio‐economic status, likely due to an over‐representation of non‐Europeans living in the most deprived areas.ConclusionsT1D affects an ethnically diverse population in Aotearoa and important regional differences exist that may impact workforce planning.</abstract><cop>Oxford</cop><pub>Blackwell Publishing Ltd</pub><doi>10.1111/jpc.16342</doi></addata></record>
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subjects Age groups
Diabetes
Epidemiology
Ethnicity
Pediatrics
title Prevalence and incidence of type 1 diabetes in children aged 0–14years old in New Zealand in 2021
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