Diabetes in African American Youth

Mayer-Davis, Elizabeth J.; Beyer, Jennifer; Bell, Ronny A.; Dabelea, Dana; D'Agostino, Ralph; Imperatore, Giuseppina; Lawrence, Jean M.; Liese, Angela D.; Liu, Lenna; Marcovina, Santica; Rodriguez, Beatriz; for the SEARCH for Diabetes in Youth Study Group

doi:10.2337/dc09-s203

Cited by 180Diabetes Management and ResearchDiabetes and associated disordersDiabetes, Cardiovascular Risks, and Lipoproteins

Diabetes in African American Youth

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Mayer-Davis, Elizabeth J., Beyer, Jennifer, Bell, Ronny A., Dabelea, Dana, D'Agostino, Ralph, Imperatore, Giuseppina, Lawrence, Jean M., Liese, Angela D. +4 more·2009·Diabetes Care

DOI 10.2337/dc09-s203PMC PMC2647692

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Abstract

OBJECTIVE—To report the prevalence and incidence of type 1 and type 2 diabetes among African American youth and to describe demographic, clinical, and behavioral characteristics. RESEARCH DESIGN AND METHODS—Data from the SEARCH for Diabetes in Youth Study, a population-based, multicenter observational study of youth with clinically diagnosed diabetes aged 0–19 years, were used to estimate the prevalence for calendar year 2001 (692 cases) and incidence based on 748 African American case subjects diagnosed in 2002–2005. Characteristics of these youth were obtained during a research visit for 436 African American youth with type 1 diabetes and 212 African American youth with type 2 diabetes. RESULTS—Among African American youth aged 0–9 years, prevalence (per 1,000) of type 1 diabetes was 0.57 (95% CI 0.47–0.69) and for those aged 10–19 years 2.04 (1.85–2.26). Among African American youth aged 0–9 years, annual type 1 diabetes incidence (per 100,000) was 15.7 (13.7–17.9) and for those aged 10–19 years 15.7 (13.8–17.8). A1C was ≥9.5% among 50% of youth with type 1 diabetes aged ≥15 years. Across age-groups and sex, 44.7% of African American youth with type 1 diabetes were overweight or obese. Among African American youth aged 10–19 years, prevalence (per 1,000) of type 2 diabetes was 1.06 (0.93–1.22) and annual incidence (per 100,000) was 19.0 (16.9–21.3). About 60% of African American youth with type 2 diabetes had an annual household income of <$25,000. Among those aged ≥15 years, 27.5% had an A1C ≥9.5%, 22.5% had high blood pressure, and, across subgroups of age and sex, >90% were overweight or obese. CONCLUSIONS—Type 1 diabetes presents a serious burden among African American youth aged <10 years, and African American adolescents are impacted substantially by both type 1 and type 2 diabetes.

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African American SEARCH youth type 1 diabetes incidence for 0-9 and 10-19 year olds during 2002-05 was 15.7 per 100,000.
“The incidence of T1D for 0–9 year olds and 10–19 year olds during 2002–05 was 15.7/100,000.”
From Epidemiology of type 1 diabetes (2010) · cites this paper as [37]
Among African American SEARCH youth with type 1 diabetes who attended the research visit, 50% of those aged 15 years or older had A1c ≥9.5% and 44.7% were overweight or obese.
“Of the African American youth that attended the research visit with T1D, 50% of those ≥15 years had A1c ≥9.5% and 44.7% were either overweight or obese.”
From Epidemiology of type 1 diabetes (2010) · cites this paper as [37]
In African American SEARCH youth, type 1 diabetes prevalence was 0.57 per 1,000 (95% CI 0.47-0.69) for ages 0-9 and 2.04 per 1,000 (95% CI 1.85-2.26) for ages 10-19.
“In African American youth in the SEARCH study, the prevalence of T1D was 0.57/1,000 (95% CI 0.47– 0.69) for youth age 0–9 years and 2.04/1,000 (1.85–2.26) for youth 10–19 years.”
From Epidemiology of type 1 diabetes (2010) · cites this paper as [37]

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Blood-based bioenergetic profiling is related to differences in brain morphology in African Americans with Type 2 diabetes
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Population‐based survey of the prevalence of type 1 and type 2 diabetes in school children in P hiladelphia (费城学龄儿童1型与2型糖尿病患病率基于人口的调查)
Lipman, T. H., Ratcliffe, S. J., Cooper, R., & Katz, L. E. L. (2013) · Journal of Diabetes · doi:10.1111/1753-0407.12039 · Cited by 15 · see citing works
Prescribing Patterns for Outpatient Treatment of Constipation, Irritable Bowel Syndrome-Related Constipation, and Opioid-Induced Constipation: A Retrospective Cross-Sectional Study
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Diabetes in African American Youth: Prevalence, incidence, and clinical characteristics: the SEARCH for Diabetes in Youth Study
Beyer, J., Marcovina, S., Dabelea, D., D’Agostino, R., Imperatore, G., Bell, R. A., Liu, L., Lawrence, J. M., Liese, A. D., Mayer‐Davis, E. J., et al. (2020) · Carolina Digital Repository (University of North Carolina at Chapel Hill) · doi:10.17615/11xt-d169 · Cited by 14 · see citing works
Self-citation
Diabetes in Hispanic American Youth: Prevalence, incidence, demographics, and clinical characteristics: the SEARCH for Diabetes in Youth Study
Mayer‐Davis, E. J., Hamman, R. F., Marcovina, S. M., Agostino, R. B. D., Reynolds, K., Beyer, J., Pettitt, D. J., Imperatore, G., & Lawrence, J. M. (2020) · Carolina Digital Repository (University of North Carolina at Chapel Hill) · doi:10.17615/p686-ap11 · Cited by 6 · see citing works
Self-citation
Diabetes in Hispanic American Youth
Lawrence, J. M., Mayer-Davis, E. J., Reynolds, K., Beyer, J., Pettitt, D. J., D'Agostino, R. B., Marcovina, S. M., Imperatore, G., Hamman, R. F., & for the SEARCH for Diabetes in Youth Study Group (2009) · Diabetes Care · doi:10.2337/dc09-s204 · Cited by 150 · see citing works
Self-citation
Diabetes in Non-Hispanic White Youth
Bell, R. A., Mayer-Davis, E. J., Beyer, J. W., D'Agostino, R. B., Lawrence, J. M., Linder, B., Liu, L. L., Marcovina, S. M., Rodriguez, B. L., Williams, D., et al. (2009) · Diabetes Care · doi:10.2337/dc09-s202 · Cited by 209 · see citing works
Self-citation
Incidence of diabetes in youth in the United States
SEARCH for Diabetes in Youth Study Group*, T. W. G. F. T. (2007) · JAMA · doi:10.1001/jama.297.24.2716 · Cited by 991 · see citing works

Authors: Mayer-Davis, E. J., Beyer, J., Bell, R. A., Dabelea, D., D'Agostino, R., Imperatore, G., Lawrence, J. M., Liese, A. D., Liu, L., Marcovina, S., Rodriguez, B., & for the SEARCH for Diabetes in Youth Study Group
Affiliations: Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
Wake Forest University Health Sciences (US)
University of Colorado Denver (US)
Centers for Disease Control and Prevention (US)
Kaiser Permanente (US)
University of South Carolina (US)
University of Washington (US)
Northwest Research Laboratory, Seattle, Washington
Department of Geriatric Medicine, Pacific Health Research Institute, University of Hawaii at Manoa, Honolulu, Hawaii
ORCID: Bell, Ronny A.
Dabelea, Dana
Imperatore, Giuseppina
Lawrence, Jean M.
Liese, Angela D.
Marcovina, Santica
Venue: Diabetes Care
Publisher: American Diabetes Association
Published: 2009-03-01
Volume: 32
Issue: Supplement_2
Pages: S112-S122
ISSN: 0149-5992 (ISSN-L)
1935-5548
DOI: 10.2337/dc09-s203
PMC: PMC2647692
OpenAlex: W2049104279
Cited by: 180
References: 59
Citations by year: 2026: 1 · 2025: 4 · 2024: 5 · 2023: 2 · 2022: 7 · 2021: 11 · 2020: 7 · 2019: 10 · 2018: 10 · 2017: 10 · 2016: 6 · 2015: 13 · 2014: 14 · 2013: 27 · 2012: 23
FWCI: 12.83
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc-nd
Locations: Diabetes Care (publishedVersion, cc-by-nc-nd)
PubMed Central (publishedVersion, cc-by-nc-nd)
PubMed (publishedVersion)
Funders: U.S. Public Health Service (PA 00097)
National Center for Research Resources (M01RR008084, M01RR001271, M01 RR00069, M01 RR-01070, M01RR001070, M01-RR 00037, M01RR000069, M01RR000037, M01-RR-08084)
National Center for Chronic Disease Prevention and Health Promotion (U01 DP-000247, U01-DP000246, U01-DP-000250, U01-DP-000254, U01DP000245, U01 DP000248, DP-05069, U01DP000244)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Diabetes and associated disorders
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords: type 1 diabetes, type 2 diabetes, African American youth, diabetes prevalence, diabetes incidence, SEARCH for Diabetes in Youth, childhood obesity, overweight, glycemic control, HbA1c, household income, adolescent diabetes, diabetes risk factors, hypertension, diabetes mortality, diabetes-related hospitalization
MeSH terms: Adolescent, Black or African American, Child, Child, Preschool, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Female, Humans, Infant, Infant, Newborn, Male, United States, Prevalence, Black People, Young Adult

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