Lin S, Naseri T, Linhart C, Morrell S, Taylor R, Mcgarvey ST, Magliano DJ, Zimmet P. Diabetes incidence and projections from prevalence surveys in Samoa over 1978-2013.
Int J Public Health 2017;
62:687-694. [PMID:
28280865 PMCID:
PMC5487887 DOI:
10.1007/s00038-017-0961-x]
[Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2016] [Revised: 02/09/2017] [Accepted: 02/17/2017] [Indexed: 01/05/2023] Open
Abstract
Objectives
This study estimates type 2 diabetes (T2DM) incidence in Samoans aged 25–64 years from sequential, irregularly spaced, cross-sectional population prevalence surveys.
Methods
T2DM prevalence from eight population surveys conducted over 1978–2013 (n = 12,516) was adjusted for census region, sex, and 5-year age group to the nearest previous census. Annual T2DM incidence was calculated from adjusted prevalences (by sex), using birth cohorts constructed from age-period matrices. Projections of T2DM incidence to 2020 were estimated, based on various scenarios of population weight change using Poisson regression.
Results
Over 1978–2013, T2DM incidence was estimated to increase from 1.12 to 8.44 per 1000 person-years in men and from 2.55 to 8.04 per 1000 in women. Based on regression modeling, if mean population weight was stabilized from 2013, absolute incidence reductions of 0.9 per 1000 person-years (7% lower) are predicted in 2020, compared to the current period trend in weight gain.
Conclusions
T2DM incidence can be calculated from irregularly conducted population risk factor surveys which may be useful in developing countries with limited resources.
Electronic supplementary material
The online version of this article (doi:10.1007/s00038-017-0961-x) contains supplementary material, which is available to authorized users.
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