Schraer C D, Lanier A P, Boyko E J, Gohdes D, Murphy N J
Diabetes Program, Alaska Area Native Health Service, Anchorage 99510.
Diabetes Care. 1988 Oct;11(9):693-700. doi: 10.2337/diacare.11.9.693.
The prevalence of diabetes mellitus in Alaska Natives has been thought to be low, but no survey of this condition in all natives has been conducted. Medical records from 1979 to 1985 were reviewed to determine the prevalence of diagnosed diabetes mellitus in Alaska Natives. Computerized outpatient and inpatient medical record data and clinician reports were used to identify cases. As of December 1985, 610 living Alaska Natives fulfilled diagnostic criteria for diabetes. Type II diabetes mellitus was found in 564 subjects, type I diabetes was found in 15 subjects, and unspecified type of diabetes was found in 31 subjects. The overall age-adjusted prevalence of diabetes mellitus, 15.7/1000, was lower than the overall United States rate of 24.7/1000. However, age-adjusted prevalence varied considerably by ethnic group; the prevalence was 27.2/1000 among Aleuts, 22.0/1000 among Alaskan Indians, and 8.8/1000 among Alaskan Eskimos. Rates within the Eskimo subgroups varied by a factor of four. Compared with previous reports, the prevalence of diabetes mellitus in Alaskan Eskimos appears to have increased. Diabetes mellitus is no longer a rare condition among Alaska Natives.
阿拉斯加原住民中糖尿病的患病率曾被认为较低，但尚未对所有原住民进行过此类调查。回顾了1979年至1985年的医疗记录，以确定阿拉斯加原住民中确诊糖尿病的患病率。利用计算机化的门诊和住院医疗记录数据以及临床医生报告来识别病例。截至1985年12月，610名在世的阿拉斯加原住民符合糖尿病诊断标准。564名受试者患有II型糖尿病，15名受试者患有I型糖尿病，31名受试者患有未明确类型的糖尿病。糖尿病的总体年龄调整患病率为15.7/1000，低于美国总体患病率24.7/1000。然而，年龄调整患病率因种族而异；阿留申人的患病率为27.2/1000，阿拉斯加印第安人的患病率为22.0/1000，阿拉斯加爱斯基摩人的患病率为8.8/1000。爱斯基摩人亚组中的患病率相差四倍。与之前的报告相比，阿拉斯加爱斯基摩人中糖尿病的患病率似乎有所上升。糖尿病在阿拉斯加原住民中已不再是罕见疾病。
