Davis T M E, McAullay D, Davis W A, Bruce D G
School of Medicine and Pharmacology, University of Western Australia, Fremantle Hospital, Western Australia, Australia.
Intern Med J. 2007 Jan;37(1):59-63. doi: 10.1111/j.1445-5994.2006.01247.x.
We analysed data from Aboriginal patients with type 2 diabetes recruited to the community-based Fremantle Diabetes Study and compared them with those from the Anglo-Celt participants. Diabetes prevalence among Aboriginal people in the Fremantle area was more than double that of Anglo-Celts and the average age at diagnosis was 14 years or younger. Glycaemic control, urinary albumin :creatinine and the proportion of smokers were all higher in the Aboriginal group and there was evidence of lower diabetes-related quality of life and high rates of disability at a young age. The Aboriginal patients died 18 years or younger than their Anglo-Celt counterparts. Specialized, culturally-sensitive and sustainable programmes are urgently needed to improve the management of diabetes in urban Aboriginal communities.
我们分析了参与社区弗里曼特尔糖尿病研究招募的原住民2型糖尿病患者的数据，并将其与英裔凯尔特人参与者的数据进行了比较。弗里曼特尔地区原住民的糖尿病患病率是英裔凯尔特人的两倍多，诊断时的平均年龄为14岁或更小。原住民组的血糖控制、尿白蛋白：肌酐以及吸烟者比例均更高，且有证据表明其糖尿病相关生活质量较低，年轻时残疾率较高。原住民患者比其英裔凯尔特人同龄人早18年或更早死亡。迫切需要专门的、具有文化敏感性且可持续的项目来改善城市原住民社区的糖尿病管理。
