Type 1 diabetes

Rotavirus vaccination and incidence of type 1 diabetes: a population-based natural experiment

DiabetologiaPublished Population-based cohort study

Main finding · T1D incidence trend (primary interrupted time series analysis)Result — go to the resultRelative hazard ratio 1.11 95% CI 1.03–1.20

Authors' conclusion

This study found no evidence for a reduced risk of type 1 diabetes after introduction of rotavirus vaccination in infancy.

Study context

Population
All children born in Norway during 2007–2019, followed from 6 months to 5 years of age846 diagnosed with T1D
Participants
740,744 children
Exposure
Children born after vs before introduction of the rotavirus vaccination programme (September 2014)
Outcome
T1D incidence
Follow-up
6 months to 5 years of age
Methodological detailsnatural experiment, interrupted time series analysis
  • Natural experiment
  • Interrupted time series analysis

Main finding

As reported in the abstract

T1D incidence trend (primary interrupted time series analysis)

Relative hazard ratio

1.11

95% CI 1.03–1.20

After introductionvs Before introduction
relative HR 1.11 (95% CI 1.03–1.20)

Observational data: associations, not effects.

Further findings

OutcomeEstimate
T1D incidence trend excluding 2013-2015 birth cohorts (to avoid potential herd immunity effects)relative HR 1.05 (95% CI 0.93–1.18)
T1D: fully vaccinatedvs non-vaccinated children (secondary analysis)aHR 1.17 (95% CI 0.78–1.77)

Original publication

Rotavirus vaccination and incidence of type 1 diabetes: a population-based natural experiment. Diabetologia. Published 28 August 2026. doi:10.1007/s00125-026-06832-0

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