Summary
The incidence of diabetes among people aged 18–50 years has been studied prospectively in nine towns, chosen to encompass the range of socioeconomic conditions and spread of latitude in England and Wales. The incidence of Type 1 (insulindependent) diabetes in this age group varied little between the towns. However, the incidence of Type 2 (non-insulin-dependent) diabetes was markedly higher in the towns with ‘worse’ socio-economic conditions. The mean incidences were 23 per 100000 for the three ‘worse’ towns and 10 per 100000 for the three ‘better’ towns. This was not explicable by an association between the disease and social class. This finding has to be reconciled with known and hypothesised influences in the aetiology of Type 2 diabetes.
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References
West K (1978) Epidemiology of diabetes and its vascular lesions. Elsevier, North-Holland New York
Gardner MJ (1973) Using the environment to explain and predict mortality. J R Stat Soc Series A 136:421–440
Barker DJP, Gardner MJ, Power C, Hurt MSR (1979) Prevalence of gallstones at necropsy in nine British towns: a collaborative study. Br Med J 2:1389–1392
Keen H, Jarrett J (1978) Diabetes mellitus and its complications. Medicine 11:517–523
National Diabetes Data Group (1979) Classification and diagnosis of diabetes mellitus and other categories of glucose intolerance. Diabetes 28:1039–1057.
Cudworth AG, Festenstein H (1978) HLA genetic heterogeneity in diabetes mellitus. Br Med Bull 34:285–289
Pyke DA (1979) Diabetes: the genetic connections. Diabetologia 17:333–343
Malins JM, Fitzgerald MG, Wall M (1965) A change in the sex incidence of diabetes. Diabetologia 1:121–124
West R, Belmonte MM, Colle E, Crepeau MP, Wilkins J, Poirer R (1979) Epidemiological survey of juvenile-onset diabetes in Montreal. Diabetes 28:690–693
Christau B, Kromann H, Anderson OO, Christy M, Buschard K, Arnung K, Kristensen IH, Peitersen B, Steinrud J, Nerup J (1977) Incidence, seasonal and geographical patterns of juvenile-onset insulin-dependent diabetes mellitus in Denmark. Diabetologia 13:281–284
Office of Population Censuses and Surveys (1982) Studies on Medical and Population Subjects
Gardner MJ, Power C, Barker DJP, Padday R (1982) The prevalence of gout in three English towns. Int J Epidemiol 11:71–75
Barnett AH, Spiliopoulos AJ, Pyke DA, Stubbs WA, Burrin J, Alberti KGMM (1981) Metabolic studies in unaffected cotwins of non-insulin-dependent diabetics. Br med J 282: 1656–1658
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This study was carried out in collaboration with Dr. P. I. Adnitt, Chester Royal Infirmary; D. L. Alexander, North Staffordshire Hospital Centre, Stoke-on-Trent; Dr. J. P. Bingle, District Hospital, York; Dr. B. F. Brearley, Sharoe Green Hospital, Preston; Dr. J. L. Day, The Ipswich Hospital; Dr. R. Fletcher, Clayton Hospital, Wakefield; Dr. K. J. Gurling and Dr. H. L. Matthews, Derbyshire Royal Infirmary; Dr. H. J. Lloyd, Royal Gwent Hospital, Newport; Dr. K. R. Hunter, Freedom Fields Hospital, Plymouth.
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Barker, D.J.P., Gardner, M.J. & Power, C. Incidence of diabetes amongst people aged 18–50 years in nine British towns: A collaborative study. Diabetologia 22, 421–425 (1982). https://doi.org/10.1007/BF00282583
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DOI: https://doi.org/10.1007/BF00282583