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加拿大梅蒂斯人群中心血管代谢风险体验的综述。

A review of the cardiometabolic risk experience among Canadian Métis populations.

机构信息

Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.

出版信息

Can J Cardiol. 2013 Aug;29(8):1006-13. doi: 10.1016/j.cjca.2012.11.029. Epub 2013 Mar 7.

Abstract

Cardiometabolic risk is a growing concern in Western society in which rates of cardiovascular disease, diabetes, and obesity are on the rise. Aboriginal populations currently experience unequal burdens of these chronic conditions. However, limited information regarding the experience of cardiometabolic risk among Métis populations is available. This review sought to evaluate the cardiometabolic risk experience among Métis populations in Canada. Canada's Métis population currently experiences greater burdens of chronic conditions including metabolic syndrome, diabetes, obesity, and cardiovascular disease than that of the non-Aboriginal population. Métis populations also experience poorer life expectancy, education, and employment attainments, and reduced access to health care services compared with non-Aboriginal populations. Interventions addressing the deficiencies in sociodemographic, lifestyle, and social determinants among the Métis population might help combat rising experiences of chronic diseases faced by these people. Though the burden of chronic conditions, sociodemographic, lifestyle challenges, and social determinants of health among Métis populations are generally less than that of First Nations populations, Métis people experience these health challenges and influencing factors are generally more similar to that of First Nations than non-Aboriginal peoples. Subsequently, Métis populations need to be included in plans and strategies to reduce chronic conditions among Aboriginal populations. In conclusion, Métis populations experience greater burden of cardiometabolic risk and its components than the general Canadian population.

摘要

心血管代谢风险是西方社会日益关注的问题,心血管疾病、糖尿病和肥胖症的发病率正在上升。原住民群体目前正面临这些慢性疾病的不平等负担。然而,有关梅蒂斯人群心血管代谢风险体验的信息有限。本综述旨在评估加拿大梅蒂斯人群的心血管代谢风险体验。与非原住民群体相比,加拿大的梅蒂斯人群目前经历着更大的慢性疾病负担,包括代谢综合征、糖尿病、肥胖症和心血管疾病。与非原住民群体相比,梅蒂斯人群的预期寿命、教育和就业水平较低,获得医疗保健服务的机会也较少。解决梅蒂斯人群在社会人口统计学、生活方式和社会决定因素方面的不足的干预措施可能有助于应对这些人群日益增加的慢性疾病体验。尽管梅蒂斯人群的慢性疾病负担、社会人口统计学、生活方式挑战和健康社会决定因素一般低于第一民族人群,但梅蒂斯人也面临着这些健康挑战,而且影响因素与第一民族人群更为相似,而非非原住民人群。因此,需要将梅蒂斯人群纳入减少原住民人群慢性疾病的计划和战略中。总之,与加拿大普通人群相比,梅蒂斯人群的心血管代谢风险及其组成部分负担更大。

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