Young T K, Kaufert J M, McKenzie J K, Hawkins A, O'Neil J
Department of Community Health Sciences, University of Manitoba, Winnipeg, Canada.
Am J Public Health. 1989 Jun;79(6):756-8. doi: 10.2105/ajph.79.6.756.
Analysis of data from the Canadian National Renal Failure Register indicates that Canadian Natives are at much higher risk for end-stage renal disease (ESRD) than the Canadian population in general. Using two population estimates for the total Native population, the age-standardized incidence rate of newly registered ESRD cases between 1981 and 1986 among Natives was at least 2.5 times (and may be as high as four times) the national rate. Natives were particularly at higher risk for ESRD to diabetes, glomerulonephritis, and pyelonephritis, whereas for the other causes the risk was no different from that of other Canadians. As technologically sophisticated treatment facilities are only available in major urban centers, Native ESRD patients and their families living in remote areas of Canada are faced with major psychosocial disruptions of relocation.
对加拿大国家肾衰竭登记处数据的分析表明，加拿大原住民患终末期肾病（ESRD）的风险比加拿大总人口普遍要高得多。根据对原住民总人口的两种人口估计，1981年至1986年间新登记的原住民ESRD病例的年龄标准化发病率至少是全国发病率的2.5倍（可能高达四倍）。原住民患糖尿病、肾小球肾炎和肾盂肾炎导致的ESRD风险尤其高，而对于其他病因，其风险与其他加拿大人并无差异。由于只有在主要城市中心才有技术先进的治疗设施，居住在加拿大偏远地区的原住民ESRD患者及其家庭面临着因搬迁而造成的重大心理社会干扰。
