DIABETES AND HEALTH SURVEILLANCE AMONG NATIVE AMERICANS

糖尿病是一个严重影响许多美国原住民的问题。 人口数量。 然而，在这方面， 糖尿病及其相关并发症的患病率 美国各地的部落。 美国人来自流行病学研究中进行的皮马人 亚利桑那州的部落，最近，来自美国三个地理区域的部落， 地区（亚利桑那州、俄克拉荷马州、北达科他州和南达科他州） 心脏研究。 很少有研究调查糖尿病的影响 在美国东南部的原住民中，只有一项研究 记录了糖尿病及其并发症的患病率， 在北卡罗来纳州的部落，这是东部乐队切罗基，唯一的 联邦政府承认的部落。 北卡罗来纳州有一个 美国原住民最集中的地方， 伦比部落是密西西比以东第二大部落。 目的 拟议项目的一个主要目的是开展一项试验性电话调查， 记录糖尿病及其并发症的患病率和风险 北卡罗来纳州美洲原住民的因素，并记录 在这一人群中进行全面调查的可行性。 数据 将与拟议试点的数据相结合 调查Lumbee印第安人在罗伯逊县，并将用于 为合作研究项目制定更大的项目 与南卡罗来纳州大学的伊丽莎白·迈耶-戴维斯博士一起， 建立一个针对南北美洲原住民的监视系统 卡罗莱纳。

Diabetes is a problem of significant impact in many Native American populations. However, significant disparity has been shown in the prevalence of diabetes and its associated complications among various tribes across the U.S. Much of what is known about diabetes in Native Americans has come from epidemiologic research conducted among the Pima tribe in Arizona and, more recently, from tribes in three geographic US regions (Arizona, Oklahoma, North and South Dakota) from the Strong Heart Study. Very few studies have examined the impact of diabetes among Native Americans in the Southeast, and only one study has documented the prevalence of diabetes and its complications among a tribe in North Carolina, that being the Eastern Band Cherokee, the only federally recognized tribe in the state. North Carolina has one of the largest concentrations of Native Americans in the country, and the Lumbee tribe is the second largest east of the Mississippi. The purpose of the proposed project is to develop a pilot telephone survey to document the prevalence of diabetes and its complications and risk factors among Native Americans in North Carolina, and to document the feasibility of conducting a full-scale survey in this population. Data from the proposed study will be combined with data from a proposed pilot survey among Lumbee Indians in Robeson County, and will be used in the development of a larger project for a collaborative research project with Dr. Elizabeth Mayer-Davis at the University of South Carolina to institute a surveillance system for Native Americans in North and South Carolina.