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American Journal of Epidemiology Vol. 138, No. 11: 984-987
Copyright © 1993 by The Johns Hopkins University School of Hygiene and Public Health

research-article

Incidence of Insulin-dependent Diabetes Mellitus in Young Adults: Experience of 1,587,630 US Navy Enlisted Personnel

Edward D. Gorham1,, Frank C. Garland1,2, Elizabeth Barrett-Connor2, Cedric F. Garland2, Deborah L. Wingard2 and William M. Pugh3

1Health Sciences and Epidemiology Department, Division of Epidemiology, Naval Health Research Center San Diego, CA
2Department of Family and Preventive Medicine, School of Medicine, University of California San Diego, La Jolla, CA
3Medical Systems and Operations Research Department, Naval Health Research Center San Diego, CA

Reprint requests to Mr. Edward D. Gorham, Division of Epidemiology, Naval Health Research Center, P.O. Box 85122, San Diego, CA 92186–5122

First hospitalizations (n = 1,293) for diabetes mellitus between 1974 and 1988 were used as a surrogate for insulin-dependent diabetes mellitus incidence among 17–34-year-old US Navy enlisted personnel followed for 6,077,856 person-years. In the 15-year period, the overall incidence of insulin-dependent diabetes mellitus was 21.3 per 100,000 person-years. Incidence did not differ significantly by sex, but was higher for blacks than whites (28.4 vs. 20.2 per 100,000 person-years, respectively; p < 0.05). Incidence increased with age threefold for white men and fivefold for black men (p < 0.05) between the ages of 177–19 and 30–34 years.

diabetes mellitus, insulin-dependent; incidence; prospective studies


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