title: Incidence of childhood-onset IDDM in black African-heritage populations in the Caribbean. The Caribbean African Heritage IDDM Study (CAHIS) Group.
abstract: OBJECTIVE
  To compare incidence rates of childhood-onset IDDM among black African-heritage populations age 0-19 years in the Caribbean region.
  
  
  METHODS
  Population-based registries for IDDM were established on the eastern Caribbean islands of Antigua, Barbados, Dominica, St. Croix, St. Kitts, St. Thomas, and Tortola using standardized criteria from the World Health Organization (WHO) Multinational Project for Childhood Diabetes (DiaMond). Average annual incidence rates (IR) with 95% CI for 0-19 years olds were computed using the DiaMond Registry program for the 5-year period from 1989 to 1993. Poisson regression analysis was used to determine differences in incidence rates.
  
  
  RESULTS
  The highest incidence rate for 0-19 year olds was for the black African-heritage population of St. Croix (IR 10.09 per 100,000; 95% CI 4.35-19.89), one of the U.S. Caribbean islands. A significant (P < 0.05) 3.9 variation in IDDM incidence across the registries was found when the IR for St. Croix was compared to the IR for Barbados (IR 2.57 per 100,000; 95% CI 0.90-4.64).
  
  
  CONCLUSIONS
  The variation in childhood-onset IDDM incidence rates among the black populations of the eastern Caribbean islands is consistent with the geographic variation in IDDM incidence seen among African Americans in the U.S. Variation in incidence rates of childhood diabetes in black populations may reflect differences in level of white genetic admixture or exposure to environmental diabetogenic agents.
authors.affiliation: Virgin Islands Center for Chronic Disease Research, Department of Epidemiology, University of Pittsburgh, Pennsylvania, USA.
authors.forename: E S
authors.initials: ES
authors.lastname: Tull
authors.forename: O W
authors.initials: OW
authors.lastname: Jordan
authors.forename: L
authors.initials: L
authors.lastname: Simon
authors.forename: M
authors.initials: M
authors.lastname: Laws
authors.forename: D O
authors.initials: DO
authors.lastname: Smith
authors.forename: H
authors.initials: H
authors.lastname: Vanterpool
authors.forename: C
authors.initials: C
authors.lastname: Butler
mesh_terms: D000293:Adolescent; D000349:Africa / Q000208:ethnology; D001741:Black or African American / Q000706:statistics & numerical data; D044383:Black People; D002648:Child; D002675:Child, Preschool; D003922:Diabetes Mellitus, Type 1 / Q000453:epidemiology* / Q000208:ethnology; D006801:Humans; D015994:Incidence; D007223:Infant; D011446:Prospective Studies; D012042:Registries; D014900:West Indies / Q000453:epidemiology