Chapter 02 · The Basics

Epidemiology – How Common Is Ulcerative Colitis?

Prevalence and Trends

While mental health issues are the most common health concerns among adolescents in the United States, prevalence of other health issues like inflammatory bowel disease (IBD), including ulcerative colitis (UC), are increasing.

~10

out of every 100,000 children and adolescents in the US have some form of IBD

2–4

out of every 100,000 adolescents aged 10–19 have UC specifically

84K–168K

adolescents in this age group living with UC across the US

Prevalence of UC is Rising

📈A 133% increase in under a decade

Between 2007 and 2016, the prevalence of IBD in children and adolescents increased by 133%. The average age of diagnosis is also decreasing, meaning more children and younger adolescents are now affected.

UC incidence varies worldwide, with the highest rates in Europe and North America, and the lowest in Asia, South America, and the Middle East.

🌍
Highest ratesEurope and North America
🌏
Lowest ratesAsia, South America, and the Middle East

Time of Onset

15–30Years old
50–70Years old
080+

Ulcerative colitis used to be most commonly diagnosed in adults, as shown in the timeline above. However, now 20% of IBD cases, including ulcerative colitis, are diagnosed before the age of 20. This is a noticeable shift toward diagnosis during early adolescence and childhood.

💡Onset can look different for everyone

The specific onset of ulcerative colitis can be difficult to determine. In some cases, symptoms appear and worsen over time, while in others, they start suddenly and strongly.

Gender and Race/Ethnicity

👥What the research shows

Most research studies have not found gender differences among children and adolescents.

Ulcerative colitis remains more common among White individuals compared to other races or ethnicities, and appears to be particularly prevalent in the Jewish population.

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If any symptom is worrying you, contact your medical team. TeenHealthInsight is a health education resource — not a substitute for medical advice, diagnosis, or treatment from your doctor or gastroenterologist.

Want a quick recap? → Explore: Ulcerative Colitis has myths and facts around diabetes, symptom explorer, flashcards, quizzes, transition and travel checklists, and much more.

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