Urban-rural variation in childhood type 1 diabetes incidence in Canterbury, New Zealand, 1980-2004

Health Place. 2011 Jan;17(1):248-56. doi: 10.1016/j.healthplace.2010.10.010. Epub 2010 Nov 12.


Geographical variation in the incidence of childhood type 1 diabetes is well documented. Such patterns are thought to give clues to the potential causes of this complex disease. This study examined the urban-rural differences in childhood type 1 diabetes in the Canterbury region of New Zealand between 1980 and 2004. We found significantly higher incidence of childhood type 1 diabetes in satellite urban communities, which could not be explained by the ethnic composition, neighbourhood deprivation, population density or household overcrowding in these areas. Varying levels of immigration and or/commuting in different urban-rural settings could explain this finding. This study highlights the value of geographical investigations for aetiological hypothesis generation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Age Factors
  • Child
  • Child, Preschool
  • Diabetes Mellitus, Type 1 / epidemiology*
  • Female
  • Humans
  • Incidence
  • Infant
  • Male
  • Multivariate Analysis
  • New Zealand / epidemiology
  • Poisson Distribution
  • Regression Analysis
  • Rural Population / statistics & numerical data*
  • Sex Factors
  • Urban Population / statistics & numerical data*