Baker IDI Heart and Diabetes Institute, Melbourne, Australia.
Baker IDI Heart and Diabetes Institute, Melbourne, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.
Diabetes Res Clin Pract. 2011 Aug;93(2):139-149. doi: 10.1016/j.diabres.2011.06.012. Epub 2011 Jul 13.
To perform a systematic review of the prevalence of diabetes and impaired glucose tolerance (IGT) in Indigenous Australians in order to clarify overall patterns, by determinants such as age, gender, region, ethnicity and remoteness.
The OVID interface to Medline and the Australian Indigenous HealthInfoNet databases were systematically searched from years 1997 to 2010. Studies reporting diabetes prevalence were included if they used population-based samples of Indigenous Australians. Diagnosis of diabetes was based on self-report or standard diagnostic criteria.
Twenty-four studies were included. The diabetes prevalence ranged from 3.5 to 33.1%; IGT estimates ranged from 4.7 to 21.1%. Prevalence was greater among Indigenous Australian women compared to men, the Northern Territory's Top End compared to Central Australia, Torres Strait Islanders compared to Aboriginals, older (≥35 years) compared to younger (<35 years) age groups, and remote compared to urban settings. Patterns of IGT prevalence were similar to those observed for diabetes.
Although the prevalence of diabetes and IGT is high, there appears to be considerable variation in prevalence between different segments of the Australian Indigenous population. Data on diabetes prevalence in the urban Australian Indigenous population is lacking, despite accounting for almost three quarters of the total population.
对澳大利亚原住民中糖尿病和糖耐量受损（IGT）的流行情况进行系统综述，以便根据年龄、性别、地区、种族和偏远程度等决定因素阐明总体模式。
从 1997 年至 2010 年，系统地在 OVID 接口的 Medline 和澳大利亚原住民卫生信息网数据库中进行了检索。如果研究使用了基于人群的澳大利亚原住民样本，则纳入报告糖尿病患病率的研究。糖尿病的诊断基于自我报告或标准诊断标准。
共纳入 24 项研究。糖尿病的患病率范围为 3.5%至 33.1%；IGT 的估计范围为 4.7%至 21.1%。与男性相比，女性原住民的糖尿病患病率更高，与中澳大利亚相比，北部地区的顶端地区更高，与澳大利亚原住民相比，托雷斯海峡岛民的患病率更高，与年轻（<35 岁）相比，年龄较大（≥35 岁）的人群患病率更高，与城市地区相比，偏远地区的患病率更高。IGT 患病率的模式与糖尿病观察到的模式相似。
尽管糖尿病和 IGT 的患病率较高，但澳大利亚原住民人口的不同群体之间的患病率似乎存在相当大的差异。尽管占总人口的近四分之三，但在城市澳大利亚原住民人口中，糖尿病患病率的数据却缺乏。
