Prevalence of diabetes among native Americans and Alaska natives, 1990-1997 - An increasing burden
Prevalence of diabetes among native Americans and Alaska natives, 1990-1997 - An increasing burden
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DOI：
10.2337/diacare.23.12.1786
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发表时间：
2000-12-01
期刊：
影响因子：
16.2
通讯作者：
Acton, KJ
中科院分区：
文献类型：
--
作者：
Burrows, NR;Geiss, LS;Acton, KJ
目的-确定糖尿病患病率的趋势美洲原住民和阿拉斯加Natives.RESEARCH设计和方法-从1990年至1997年，美洲原住民和阿拉斯加原住民与糖尿病被确定从印度卫生服务（IHS）国家门诊数据库，和患病率计算使用这些情况下，估计美洲原住民和阿拉斯加人口服务的IHS和部落卫生设施。患病率是年龄调整的直接方法的基础上，1980年U.S. population.RESULTS -1990年和1997年之间，美国原住民和阿拉斯加原住民的所有年龄段的诊断糖尿病的人数从43，262人增加到64，474人。确诊糖尿病的患病率增加了29%。到1997年，美洲原住民和阿拉斯加原住民的患病率为5.4%，年龄调整后的患病率为8.0%。在整个1990-1997年期间，妇女的流行率高于男子，但男子的增长率高于妇女（37%对25%）。1997年，糖尿病的年龄调整患病率因地区而异，从阿拉斯加地区的3%到大西洋地区的17%不等。在1990年和1997年之间的患病率的增加范围从16%，在北方平原地区的76%，在阿拉斯加region.CONCLUSIONS -糖尿病是常见的美洲原住民和阿拉斯加原住民，并大幅增加，在8年期间检查。需要有效的一级、二级和三级预防干预措施，以解决美洲原住民和阿拉斯加原住民糖尿病负担的巨大和迅速增长。
OBJECTIVE - To determine trends in diabetes prevalence among Native Americans and Alaska Natives.RESEARCH DESIGN AND METHODS - From 1990 to 1997, Native Americans and Alaska Natives with diabetes were identified from the Indian Health Service (IHS) national outpatient database, and prevalence was calculated using these cases and estimates of the Native American and Alaskan population served by IHS and tribal health facilities. Prevalence was age-adjusted by the direct method based on the 1980 U.S. population.RESULTS - Between 1990 and 1997, the number of Native Americans and Alaska Natives of all ages with diagnosed diabetes increased from 43,262 to 64,474 individuals. Prevalence of diagnosed diabetes increased by 29%. By 1997, prevalence among Native Americans and Alaska Natives was 5.4%, and the age-adjusted prevalence was 8.0%. During the entire 1990-1997 period, prevalence among women was higher than that among men, but the rate of increase was higher among men than women (37 vs. 25%). In 1997, age-adjusted prevalence of diabetes Varied by region and ranged from 3% in the Alaska region to 17% in the Atlantic region. The increase in prevalence between 1990 and 1997 ranged from 16% in the Northern Plains region to 76% in the Alaska region.CONCLUSIONS - Diabetes is common among Native Americans and Alaska Natives, and it increased substantially during the 8-year period examined. Effective interventions for primary secondary, and tertiary prevention are needed to address the substantial and rapidly growing burden of diabetes among Native Americans and Alaska Natives.