The Distribution of Type 1 Diabetes Onset in the United States by Demographic Factors

摘要: The Distribution of Type 1 Diabetes Onset in the United States by Demographic Factors Margaret Beckstrand MPH, University California at Los Angeles, 1997 BS, Polytechnic San Luis Obispo, 1994 Dissertation Submitted Partial Fulfillment Requirements for Degree Doctor Philosophy Public Health Walden May 2015 Abstract diabetes (T1D) is a chronic and lifelong condition, often diagnosed childhood. Patients with T1D are elevated risks associated health complications, comorbidities, mortality. Occurrence, clinical presentation, complications related to differ age onset, ethnicity, gender. last reported population-based estimatesType estimates regarding burden children using National Nutrition Examination Survey (NHANES) were published 2008, these not well stratified purpose this study was examine demographics within conceptual framework hygiene hypothesis data from NHANES 1999 2012. A cross-sectional design used determine average onset respect ethnicity gender assess if 10.5 years males 11.8 females. 13.0 Hispanics, 12.7 Non-Hispanic Blacks, 10.6 NonHispanic Whites. Regression analysis indicated that there no significant association between (β = 1.1, p 0.386) 2.1, 0.070 Hispanic White; β 1.9, 0.101 Black) having considered White as reference population. result may contribute positive social change providing better insight on demographic determinants risk T1D, which crucially important planning implementation prevention measures highly susceptible populations. Angeles Obispo Dedication This dissertation lovingly dedicated my children, whose contagious smiles, generous hearts, bright futures provided me courage pursue research face all its uncertainties. I would also like dedicate massive undertaking husband, support infinite patience have enabled progress so far. Plus, daily laughter he creates has been crucial academy journey; it helped though tough/multitasking-times “see forest through trees.” Finally, parents. They inspiration work mainly because their love wisdom am who today. feel overwhelmingly blessed such thoughtful exceptional deeply indebted five key players life who, along others, motivate encourage each every day; you very, very much. Acknowledgments express deepest appreciation committee chair, Dr. Joseph Robare, sincere guidance involvement indispensable during process. thank members, Shana Morrell Gudeta Fufaa, expert hours review. In particular, profoundly thankful Morrell’s assistance editing analyzing content dissertation. perceptive questions, extensive knowledge, approach truly invaluable. could possible without CDC’s our program. From questionnaire designers interviewers, database managers SAS programmers, CDC staff’s diligent excellent documentation integral Also, appreciate over seventy thousand people participated across nation; feasible them. Lastly, family friends words encouragement. Thank you...thank you...