Small-area geographical variation in the prevalence of diabetes amongst Australian youth aged <20 years in 2021.

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health Pub Date : 2025-03-28 DOI:10.1016/j.anzjph.2025.100234

Ewan Cameron, Song Zhang, Aveni Haynes, Peter W Gething

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引用次数: 0

Abstract

Objectives: To characterise small-area geographical variation in the prevalence of diabetes in Australian youth.

Methods: A 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.

Results: The 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.

Conclusion: Diabetes 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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2021年澳大利亚20岁以下青年糖尿病患病率的小区域地理差异

目的：描述澳大利亚青少年糖尿病患病率的小区域地理差异。方法：采用统计重建和小区域估计相结合的算法对2021年澳大利亚人口普查的隐私调制数据进行分析。通过与以医院为基础的登记册和社区登记册进行比较，检查了普查工具和重建的准确性。糖尿病患病率地图是根据小区域估计绘制的。结果：在我们的地理空间平滑模型下，小区域单位估计的糖尿病患病率的中位数和四分位数范围为0-14岁的每1000人中有1.76[1.49-1.97]例，15-19岁的每1000人中有5.2[4.4-5.9]例。在昆士兰东南部、新南威尔士州和维多利亚州的区域城镇附近，发现了患病率升高的浓度。在澳大利亚五个最大的城市中，青年糖尿病患病率从远郊到市中心呈下降趋势。结论：与城市居民相比，澳大利亚农村和城郊居民青年的糖尿病负担更高。对公共卫生的影响：区域流行热点应引起公共卫生当局的注意。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian and New Zealand Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

5.70%

发文量

121

审稿时长

6-12 weeks

期刊介绍： The Australian and New Zealand Journal of Public Health (ANZJPH) is concerned with public health issues. The research reported includes formal epidemiological inquiries into the correlates and causes of diseases and health-related behaviour, analyses of public policy affecting health and disease, and detailed studies of the cultures and social structures within which health and illness exist. The Journal is multidisciplinary and aims to publish methodologically sound research from any of the academic disciplines that constitute public health.