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Spatial and temporal variation in type 1 diabetes incidence in Western Australia from 1991 to 2010: Increased risk at higher latitudes and over time

This study analysed spatial and historical variation in childhood incidence of type 1 diabetes mellitus (T1DM) among Western Australia's 36 Health Districts...

Authors:
Ball SJ, Haynes A, Jacoby P, Pereira G, Miller LJ, Bower C, Davis EA

Authors notes:
Health and Place 28: 194-204

Keywords:
latitude, population density, remoteness, socioeconomic status, Type 1 diabetes mellitus

Abstract:
This study analysed spatial and temporal variation in childhood incidence of type 1 diabetes mellitus (T1DM) among Western Australia's 36 Health Districts from 1991 to 2010.

There was a strong latitudinal gradient of 3.5% increased risk of T1DM per degree south of the Equator, as averaged across the range 15-35° south.

This pattern is consistent with the hypothesis of vitamin D deficiency at higher latitudes.

In addition there was a 2.4% average increase in T1DM incidence per year.

These effects could not be explained by population density, socioeconomic status, remoteness or ethnicity.