MMWR Morb Mortal Wkly Rep. 2006 Nov 10;55(44):1201-3.
Diabetes disproportionately affects American Indians/Alaska Natives (AI/ANs), and the prevalence of diabetes is increasing among young persons in certain AI/AN populations. To examine trends in the prevalence of diagnosed diabetes among AI/ANs aged <35 years, CDC analyzed patient data collected by the Indian Health Service (IHS) during 1994-2004. This report summarizes the results of that analysis, which indicated that the age-adjusted prevalence of diagnosed diabetes increased from 8.5 to 17.1 per 1,000 population among AI/ANs aged <35 years who use IHS health-care services. Because young persons with diabetes have more years of disease and greater risk for costly and disabling complications early in life, diabetes prevention programs targeting younger age groups have become increasingly important in AI/AN communities.
糖尿病对美国印第安人/阿拉斯加原住民（AI/ANs）的影响尤为严重，且在某些AI/AN人群中，糖尿病在年轻人中的患病率正在上升。为了研究35岁以下AI/ANs中确诊糖尿病患病率的趋势，美国疾病控制与预防中心（CDC）分析了印第安卫生服务局（IHS）在1994年至2004年期间收集的患者数据。本报告总结了该分析结果，结果表明，在使用IHS医疗服务的35岁以下AI/ANs中，年龄调整后的确诊糖尿病患病率从每1000人8.5例增至17.1例。由于患有糖尿病的年轻人患病时间更长，且在生命早期出现代价高昂和致残并发症的风险更大，因此针对较年轻年龄组的糖尿病预防项目在AI/AN社区中变得越来越重要。
