This is the article to answer the question below: https://www.cdc.gov/mmwr/volum

Question

This is the article to answer the question below: https://www.cdc.gov/mmwr/volumes/66/wr/mm6619a4.htm

Name the epidemiology study and summarize the study participants (i.e. who was enrolled in the study?). Discuss on how results from this study build on or conflict with the information the post below (Answer as thoroughly as possible in 200-250 words in own words):

This is the post:

Saydah et al sought to determine diabetes mortality rates amongst children and adolescents (ages 1-19 years) of various races during the time period of 2000-2014. Because diabetes is not a notifiable condition, i.e., one that is required to be reported to the government in an effort to track trends and prevent outbreaks, Saydah et al reviewed death certificates across all 50 states in the United States (U. S.) and categorized those related to diabetes as either black, white, or Hispanic. During this time period, the diabetes mortality rate among black children and adolescents was found to be two times higher than whites and three times higher than Hispanics, even though whites have the highest incidence and prevalence of diabetes.1

   This information is significant because it shows that diabetes mortality rates among children and adolescents in the U. S. is a concern. However, with proper education and access to healthcare, these deaths could be prevented. Public health professionals should use this information to look more closely at the three races and determine why the diabetes mortality rate is significantly higher in blacks and the lowest among Hispanics. In an effort to prevent future deaths from diabetes, public health professionals, especially those in an area with a higher number of black children and adolescents, should target these adolescents and their parents by providing them with diabetic education. Because diabetes is not a notifiable condition, outreach may be difficult for public health professionals because they are not notified every time a child is diagnosed with diabetes. One way to reach the affected population is for public health professionals to partner with local hospitals, urgent care centers, and primary schools. The public health professional may create educational materials or form a diabetes community support group for physicians and teachers to encourage these families to take advantage of.

REFERENCES
1. Saydah S, Imperatore G, Cheng Y, Geiss LS, Albright A. Disparities in Diabetes Deaths Among Children and Adolescents — United States, 2000–2014. MMWR Morb Mortal Wkly Rep 2017;66:502–505. DOI: http://dx.doi.org/10.15585/mmwr.mm6619a4.

Explanation / Answer

Name of the study :- Study of Disparities in Diabetes mortality rate among children and adolescents of different ethnic groups in the period (2000-2014) in United sates.

Summery of study aprticipants :- Here the participants studied are children and adolescents of 1 to 19 years of diiferent ethnic groups they were - i) Hispanic ii) Black- non hispanic iii) White-nonhispanic.

Results of the study build on the post, and gives some more additional and detailed information, about the study of mortality rate among different ethnic groups in children and adolescents, affected by diabetes in United states during 2000-2014.

According to the study the rate of mortality is highest among blacks, though whites are more affected by diabetes, The exact reason is not yet known, but it might be due to less awareness about the symptoms of the disease and proper education of these children and adolescents and their parents about the disease and their treatment, may be due to less access to health care, health services and diabetis care. The study advises them to take the help of the local health centeres and health professionals to reduce the death rate.

It is found that there was no data of mortality due to diabetes among hispanics before 2000, so comparison was not possible. But during the study period 2000-2014, the datas about hispanics were collected and compared with their black and white counterparts, and it is noticed that hispanics have lowest mortality rate due to diabetes. Mortality rate among Blacks is two times higher than whites and three times higher than Hispanics.

Diabetis type-1 is common among children and adolescents, but only in 24% reports they type of diabetes was found, but in rest of the cases, this data is not mentioned. so the type can not be determined and compared.

Children and adolescents are at a higher risk of death due to acute complication of diabetes, like hypoglycemia and ketoacidosis. CDC analysis report of the National Vital Statistics System says for deaths in the age group of 1–19 years in the United States during 2000–2014 , diabetis was the main cause.

During 2012–2014, Death among black children and adolescents was highest, due to diabetes,and was least among Hispanics. The death can be prevented by Increased awareness of the symptoms.

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