Type 2 diabetes mellitus among Florida children and adolescents, 1994 through 1998

Christine J. Macaluso, Ursula E. Bauer, Larry C. Deeb, John I. Malone, Monika Chaudhari, Janet Silverstein, Margaret Eidson, Ronald B. Goldberg, Bonnie Gaughan-Bailey, Robert G. Brooks, Arlan L. Rosenbloom

Research output: Contribution to journalArticlepeer-review

72 Scopus citations

Abstract

Objectives. This study was undertaken to examine the trends in the diagnosis of Type 2 diabetes mellitus among children and adolescents with new-onset diabetes seen from 1994 through 1998 at the three university-based diabetes centers in Florida. Methods. Data were abstracted from medical records and patients were categorized as having Type 1 or Type 2 diabetes. Results. There were 569 patients classified with Type 1 diabetes and 92 with Type 2 diabetes. The proportion of patients diagnosed with Type 2 diabetes increased over the five years from 9.4% in 1994 to 20.0% in 1998 (chi-square test for trend = 8.2; p=0.004). There was not an associated net increase in the total number of new diabetes patients referred over time (chi-square test for trend = 0.6, p=0.4). Those with Type 2 diabetes were more likely to have a body mass index in the 85th-94th percentile [odds ratio (OR) = 8.5; 95% confidence interval (CI) 2.5, 28.8], have a body mass index ≥95th percentile (OR = 6.8; 95% CI 2.6, 17.7), Hispanic ethnicity (OR = 6.2; 95% CI 2.2, 17.9), black race (OR = 2.8; 95% CI 1.3, 6.2), female gender (OR = 2.2; 95% CI 1.2, 4.3), and older age (OR = 1.4 for each one-year increment in age; 95% CI 1.3, 1.6), compared with those having Type 1 diabetes. Conclusions. From 1994 through 1998, there was a significant overall increase in the percentage of children referred with new-onset diabetes who were considered to have Type 2 diabetes. Factors associated with the diagnosis of Type 2 diabetes relative to Type 1 diabetes include body mass index ≥85th percentile, Hispanic ethnicity, black race, female gender, and older age.

Original languageEnglish (US)
Pages (from-to)373-379
Number of pages7
JournalPublic health reports
Volume117
Issue number4
DOIs
StatePublished - Jan 1 2002

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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