Re: "Temporal trends in diabetes mortality among American Indians and Hispanics in New Mexico: birth cohort and period effects".
Re: "Temporal trends in diabetes mortality among American Indians and Hispanics in New Mexico: birth cohort and period effects".
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回复：“新墨西哥州美洲印第安人和西班牙裔糖尿病死亡率的时间趋势：出生队列和时期影响”。
DOI：
10.1093/oxfordjournals.aje.a009528
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发表时间：
1997
影响因子：
5
通讯作者：
Janette S. Carter
中科院分区：
文献类型：
--
作者：
F. Gilliland;Charles L Owen;Susan S. Gilliland;Janette S. Carter
美国少数族裔的糖尿病死亡率异常高。为了描述新墨西哥州糖尿病死亡率的种族趋势和队列效应，作者研究了 1958 年至 1994 年期间该州非西班牙裔白人、西班牙裔和美洲印第安人的死亡率趋势。以图形方式检查特定年龄的比率，以定性描述日历周期和出生队列效应对比率变化的贡献。作者还对这些数据拟合了年龄-时期-队列模型。除最早的两个时期外，美洲印第安人和西班牙裔的年龄调整糖尿病死亡率均超过非西班牙裔白人。 1993年至1994年期间，美洲印第安人的年龄调整死亡率比非西班牙裔白人男性高3.8倍，女性高5.6倍。 37 年来，美洲印第安人男性和女性的患病率急剧上升，分别增长了 565% 和 1,105%。在研究期间，西班牙裔美国人的死亡率有所上升，但增速低于美洲印第安人。特定年龄比率的图形分析与美洲印第安人和西班牙裔的出生队列效应以及美洲印第安人的时期效应一致。年龄-时期-队列模型的结果表明出生队列效应始于 1912 年美洲印第安人队列和 1902 年西班牙裔队列。 20 世纪 60 年代美洲印第安人中出现了时代效应。新墨西哥州的美洲印第安人糖尿病死亡率急剧上升；如果目前的趋势继续下去，糖尿病可能成为该州美洲印第安人死亡的主要原因。
Rates of diabetes mortality are disproportionately high among ethnic minorities in the United States. To describe ethnic trends and cohort effects in diabetes mortality in New Mexico, the authors examined the trends in mortality rates for non-Hispanic whites, Hispanics, and American Indians in the state during the period 1958-1994. Age-specific rates were examined graphically to qualitatively describe the contribution of calendar period and birth cohort effects to changes in the rates. The authors also fit age-period-cohort models to these data. Age-adjusted diabetes mortality rates for American Indians and Hispanics surpassed rates for non-Hispanic whites for all but the earliest two time periods. In the 1993-1994 period, the age-adjusted mortality rate for American Indians was 3.8 times higher for men and 5.6 times higher for women than for their non-Hispanic white counterparts. Rates for American Indian men and women increased sharply over the 37-year period, by 565% and 1,105%, respectively. Mortality rates increased among Hispanics over the period of study but less rapidly than did rates among American Indians. Graphical analyses of age-specific rates were consistent with birth cohort effects among both American Indians and Hispanics and also with a period effect among American Indians. Results from age-period-cohort models indicate a birth cohort effect starting with the 1912 cohort in American Indians and the 1902 cohort in Hispanics. A period effect was present during the 1960s in American Indians. American Indians have experienced an epidemic rise in diabetes mortality in New Mexico; if current trends continue, diabetes may become the leading cause of mortality among American Indians in the state.